互联网+护理模式对腹壁下动脉穿支游离皮瓣乳房再造术后患者远期恢复及生活质量影响

Influence of Internet+Nursing Mode on Long-term Recovery and Quality of Life of Patients after Breast Reconstruction with Inferior Epigastric Artery Perforator Free Flap

目的探讨在腹壁下动脉穿支(DIEP)游离皮瓣乳房再造术患者中实施互联网+护理模式对远期恢复及生活质量的影响。方法选取郑州大学附属肿瘤医院于2019年2月至2021年2月收治的78例接受DIEP游离皮瓣乳房再造术的乳房缺失患者为研究对象,根据护理方法不同分为对照组和研究组。对照组实施常规护理措施,研究组实施互联网+护理模式下的护理措施。比较两组患者术前(T0)及术后1年(T1)疾病不确定感、自卑感、生活质量、护理满意度、并发症发生情况。结果T1时,研究组不确定感评分低于对照组,差异有统计学意义(P<0.05);T1时,研究组自卑感评分低于对照组,差异有统计学意义(P<0.05);T1时,研究组生活质量评分高于对照组,差异有统计学意义(P<0.05);研究组护理满意度(95.65%)高于对照组(78.13%),差异有统计学意义(P<0.05);研究组并发症发生率(4.35%)低于对照组(21.88%)。结论应用互联网+护理模式对实施DIEP游离皮瓣乳房再造术患者进行干预,可有效改善患者远期恢复效果,提高患者心理状态、生活质量及满意度,并发症发生率低。

Objective To explore the effect of Internet+nursing mode on long-term recovery and quality of life in patients with inferior epigastric artery perforator(DIEP)free flap breast reconstruction.Methods A total of 78 breast cancer patients who received DIEP free flap breast reconstruction in Affiliated Cancer Hospital of Zhengzhou University from February 2019 to February 2021 were selected as the research objects,and divided into control group and study group according to different nursing methods.The control group implemented routine nursing measures,and the research group implemented nursing measures under the Internet+nursing mode.Disease uncertainty,inferiority,quality of life,nursing satisfaction and complications were compared between the two groups before surgery(T0)and 1 year after surgery(T1).Results At T1,the uncertainty score of the research group was lower than that of the control group,and the difference was statistically significant(P<0.05).At T1,the score of inferiority in the research group was lower than that in the control group,and the difference was statistically significant(P<0.05).At T1,the QOL score of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).The nursing satisfaction of the study group(95.65%)was higher than that of the control group(78.13%),and the difference was statistically significant(P<0.05).The complication rate of the study group(4.35%)was lower than that of the control group(21.88%).Conclusion The application of Internet+nursing mode to the intervention of patients undergoing DIEP free flap breast reconstruction can effectively improve the long-term recovery effect of patients,improve the psychological state of patients,quality of life and satisfaction,the incidence of complications is low.