乳腺良性肿瘤患者术后开展整体护理服务的效果评估

Evaluation of the Effectiveness of Postoperative Holistic Nursing Service for Patients with Benign Breast Tumors

目的探讨整体护理服务方案在乳腺良性肿瘤术后患者中的应用效果。方法方便选取2022年4月—2023年4月滨州市中心医院收治的82例乳腺良性肿瘤术后患者为研究对象,按照奇偶分组法将其分为两组,每组41例。参照组应用术后常规护理模式,研究组在参照组基础上,采取整体护理服务计划。比较两组护理前后的负性情绪、肩部活动度、生命质量。结果研究组护理后焦虑评分、抑郁评分、恐惧评分、自卑评分负性情绪指标均比参照组低,差异有统计学意义(P均<0.05)。研究组内收幅度、外展幅度、前屈上举幅度、后伸幅度等肩部活动度均高于参照组,差异有统计学意义(P均<0.05)。研究组情绪功能(20.05±2.18)分、认知功能(24.92±2.32)分、社会功能(23.93±2.12)分、生理功能(24.02±2.14)分,均高于参照组,差异有统计学意义(t=4.272、7.724、6.545、4.912,P均<0.05)。结论整体护理服务方案的应用,有助于提升乳腺良性肿瘤术后患者的肩部活动度,有助于减轻患者不良情绪,并且还可提高患者生命质量。

Objective To explore the application effect of holistic nursing service program in postoperative patients with benign breast tumors.Methods 82 postoperative patients with benign breast tumors admitted to Binzhou City Central Hospital from April 2022 to April 2023 were conveniently selected as the study objects and divided into two groups of 41 cases each,according to the odd-even grouping method.The reference group applied postoperative routine nursing care mode,and the study group adopted the overall nursing service plan on the basis of the reference group.Negative emotions,shoulder mobility,and quality of life before and after nursing care were compared between the two groups.Results Anxiety scores,depression scores,fear scores,and inferiority scores negative emotional indicators in the study group were lower than those in the reference group after care,and the differences were statistically significant(all P<0.05).Shoulder mobility of the study group such as internal retraction amplitude,abduction amplitude,anterior flexion supination amplitude,and posterior extension amplitude were higher than those of the reference group,and the differences were statistically significant(all P<0.05).Emotional function(20.05±2.18)points,cognitive function(24.92±2.32)points,social function(23.93±2.12)points,and physiological function(24.02±2.14)points of the study group were higher than those of the reference group,and the differences were statistically significant(t=4.272,7.724,6.545,4.912,all P<0.05).Conclusion The application of a holistic nursing service program helps to improve shoulder mobility in postoperative patients with benign breast tumors,helps to alleviate patients'bad moods,and also improves patients'quality of life.