ACE-star模型循证护理干预对乳腺癌改良根治术后患者心理状态的影响

Effect of ACE-star Model Evidence-based Nursing Intervention on the Mental State of Patients after Modified Radical Mastectomy

目的:研究ACE-star模型循证干预对乳腺癌改良根治术后患者心理状态的影响。方法:选取宁德师范学院附属宁德市医院肿瘤外科2018年1月-2021年3月收治的乳腺癌改良根治术后患者200例,随机分为对照组(100例)和研究组(100例)。对照组行常规干预,研究组在对照组的基础上行ACE-star模型循证干预。观察两组术后患侧上肢功能恢复情况、术后并发症发生率、心理状态。结果:干预后两组患侧前伸、后伸、外展最大活动角度均较干预前增大(P<0.05),且研究组前伸、后伸、外展最大活动角度均大于对照组(P<0.05)。研究组术后并发症发生率(5.00%)低于对照组(17.00%)(P<0.05)。干预后两组SAS、SDS评分均较干预前降低(P<0.05),且研究组SAS、SDS评分均低于对照组(P<0.05)。结论:ACE-star模型循证干预应用于乳腺癌改良根治术后患者,可促进患者术后患侧上肢功能恢复,降低术后并发症发生率,改善患者心理状态。

Objective:To study the effect of evidence-based intervention of ACE-star model on the mental state of patients after modified radical mastectomy.Method:A total of 200 patients admitted to the Department of Oncology of Ningde Hospital Affiliated to Ningde Normal University from January 2018 to March 2021 were randomly divided into control group(100 cases)and research group(100 cases).The control group underwent conventional intervention,and the research group performed ACE-star model evidence-based intervention on the basis of the control group.The postoperative recovery of the upper limb function of the affected side,the incidence of postoperative complications,and the psychological state of the two groups of patients were observed.Result:The maximum angles of extension,extension,and abduction of patients in two groups were larger than those before intervention(P<0.05),and the maximum angle of extension,extension,and abduction of the research group were greater than those of the control group(P<0.05).The postoperative complication rate(5.00%)in the research group was lower than that in the control group(17.00%)(P<0.05).After the intervention,the SAS and SDS scores of both groups were lower than those before intervention(P<0.05),and the SAS and SDS scores in the research group were lower than those in the control group(P<0.05).Conclusion:Evidence-based intervention of the ACE-star model is applied to patients after modified radical mastectomy,which can promote the functional recovery of the affected side of the patients'upper limbs,reduce the incidence of postoperative complications,and improve the psychological state of the patients.