基于风险管理的精细化干预在乳腺癌术后患者中的应用效果

Application effect of refined intervention based on risk management in postoperative patients with breast cancer

目的探讨基于风险管理的精细化干预在乳腺癌术后患者中的应用效果。方法依据干预方法的不同将194例乳腺癌手术患者分为对照组(n=96)和观察组(n=98),对照组患者接受常规干预,观察组患者在常规干预的基础上接受基于风险管理的精细化干预。比较两组患者的术后恢复指标、并发症发生情况、不良风险事件发生情况、心理弹性[Connor-Davidson心理弹性量表(CD-RISC)]和生活质量[欧洲癌症研究与治疗组织生命质量测定量表(EORTC QLQ-C30)]。结果观察组患者术后住院时间、首次下床时间及排便时间均明显短于对照组,差异均有统计学意义(P﹤0.01)。观察组患者的并发症总发生率为5.10%,低于对照组患者的15.62%,术后不良风险事件总发生率为2.04%,低于对照组患者的9.38%,差异均有统计学意义(P﹤0.05)。干预后,两组患者CD-RISC评分均高于本组干预前,观察组患者CD-RISC评分高于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者EORTC QLQ-C30各维度评分均高于本组干预前,观察组患者EORTC QLQ-C30各维度评分均高于对照组,差异均有统计学意义(P﹤0.05)。结论基于风险管理的精细化干预可促进乳腺癌术后恢复,预防不良风险事件发生,降低术后并发症发生率,提高患者的心理弹性,改善其生活质量。

Objective To explore the application effect of refined intervention based on risk management in postoperative patients with breast cancer.Method According to the different intervention methods,194 patients with breast cancer were divided into control group(n=96)and observation group(n=98).The patients in the control group received routine intervention,and the patients in the observation group received refined intervention based on risk management on the basis of routine intervention.The postoperative recovery indicators,incidence of complications,occurrence of adverse risk events,psychological resilience[Connor-Davidson resilience scale(CD-RISC)]and quality of life[European Organization for Research and Treatment of Cancer quality of life questionnaire core 30(EORTC QLQ-C30)]were compared between the two groups.Result The postoperative hospitalization time,first time getting out of bed,and defecation time of the observation group were significantly shorter than those of the control group,and the differences were statistically significant(P<0.01).The total incidence of complications in observation group was 5.10%,which was lower than 15.62%in control group,the total incidence of postoperative adverse risk events was 2.04%,which was lower than 9.38%in control group,and the differences were statistically significant(P<0.05).After intervention,the CD-RISC scores of both groups were higher than those before intervention,the CD-RISC score of observation group was higher than that of control group,and the differences were statistically significant(P<0.05).After intervention,the scores of dimension of EORTC QLQ-C30 in both groups were higher than those before intervention,the scores of each dimension of EORTC QLQ-C30 in observation group were higher than those in control group,and the differences were statistically significant(P<0.05).Conclusion Refined intervention based on risk management can promote the recovery after breast cancer surgery,prevent adverse risk events,reduce the incidence of postoperative complications,improve the psychological resilience of patients,and improve their quality of life.