程序化护理管理联合营养支持对乳腺癌患者癌性伤口愈合及营养状态的影响

Effect of programmed nursing management combined with nutritional support on cancer wound improvement and nutritional status in breast cancer patients

目的探讨程序化护理管理联合营养支持对乳腺癌患者癌性伤口愈合及营养状态的影响。方法选取2019年3月—2021年6月河南中医药大学第三附属医院诊治的存在癌性伤口的88例乳腺癌患者,采用随机数字表法分为观察组与对照组,每组44例。2组患者均给予营养支持,对照组患者给予常规护理干预,观察组患者给予程序化护理管理。比较2组患者干预前后癌性伤口恢复情况、营养状态、心理状态及自我管理能力。结果2组患者干预前癌性伤口视觉模拟评分法(VAS)及Bates-Jensen伤口评估工具(BWAT)评分比较,差异均无统计学意义(P>0.05);观察组患者干预后6个月癌性伤口VAS及BWAT评分均低于对照组,差异均有统计学意义(P<0.05)。2组患者干预前血清前白蛋白(PAB)、血红蛋白(Hb)及总蛋白(TP)水平比较,差异均无统计学意义(P>0.05);观察组患者干预后6个月血清PAB、Hb及TP水平均高于对照组,差异均有统计学意义(P<0.05)。2组患者干预前抑郁自评量表(SDS)及焦虑自评量表(SAS)评分比较,差异均无统计学意义(P>0.05);观察组患者干预后6个月SDS及SAS评分均低于对照组,差异均有统计学意义(P<0.05)。2组患者干预前自我管理能力评分比较,差异无统计学意义(P>0.05);观察组患者干预后6个月自我管理能力评分高于对照组,差异有统计学意义(P<0.05)。结论乳腺癌癌性伤口患者应用程序化护理管理联合营养支持护理,有助于改善患者心理状态,提高自我管理能力,促进癌性伤口及营养状态恢复。

Objective This paper aims to investigate the effect of programmed nursing management combined with nutritional support on cancer wounds improvement and nutritional status in patients with breast cancer.Methods From March 2019 to June 2021,88 patients with breast cancer were randomly allocated into the observation group(n=44)and control group(n=44).Patients in both groups received nutritional support;patients in the control group received routine nursing intervention,and patients in the observation group received programmed nursing management.Cancer wound recovery,nutritional status,psychological status and self-management ability were compared between the two groups before and after intervention.Results There was no significant difference in the visual analogue scale(VAS)and Bates-Jensen wound assessment tool(BWAT)scores of cancer wounds before intervention between the two groups(P>0.05);the VAS and BWAT scores of cancer wounds 6 months after intervention in the observation group were significantly lower than those in the control group(P<0.05).No significant differences were observed in serum prealbumin(PAB),hemoglobin(Hb)and total protein(TP)levels before intervention between the 2 groups(P>0.05).The serum PAB,Hb,and TP levels 6 months after intervention in the observation group were significantly higher than those in the control group(P<0.05).No significant differences in self-rating depression scale(SDS)and self-rating anxiety scale(SAS)scores before intervention were observed between the 2 groups(P>0.05).SDS and SAS scores 6 months after intervention in the observation group were significantly lower than those in the control group(P<0.05).There was no significant difference in the self-management ability score before intervention between the two groups(P>0.05).The self-management ability score 6 months after intervention in the observation group was significantly higher than that in the control group(P<0.05).Conclusion Programmed nursing management combined with nutritional support nursing plays a beneficial part in improving the psychological status of breast cancer patients with cancer wounds,strengthening self-management ability,and promoting the recovery of cancer wounds and nutritional status.