亲情式护理对超声检查BI-RADS 3类乳腺增生结节患者焦虑抑郁状态及疾病认知水平的影响

Effect of familial nursing on the anxiety,depression and disease cognition of patients with BI-RADS category 3 breast hyperplasia nodules examined by ultrasound

目的 观察亲情式护理改善超声检查BI-RADS 3类乳腺增生患者焦虑、抑郁心理及对提高疾病认知水平的影响。方法 选择石家庄市第四医院和张家口市第二医院接受治疗的150例超声检查BI-RADS 3类乳腺增生结节患者,随机分为2组,每组75例,对照组给予常规护理,观察组给予亲情式护理,比较2组负性心理状态、对疾病认知程度及生活质量的影响。结果 观察组护理后的SAS、SDS评分分别为(32.17±3.64)分、(30.09±3.27)分,分别低于对照组的(45.03±3.41)分、(44.96±3.05)分(P均<0.05)。观察组护理后的疾病认知评分为(90.36±4.62)分,高于对照组的(65.28±3.71)分(P<0.05)。观察组护理后的SF-36评分为(82.56±4.32)分,高于对照组的(63.18±4.91)(P<0.05)。结论 对超声检查BI-RADS 3类乳腺增生结节患者实施亲情式护理可进一步改善患者负性情绪状态,并有助于提高患者对疾病的认知程度,且可改善生活质量。

Objective To observe the effect of familial nursing on improving anxiety and depression of patients with the Breast Imaging Reporting and Database System(BI-RADS)category 3 breast hyperplasia examined by ultrasound and the influence on improving the level of disease cognition.Methods A total of 150 patients with BI-RADS category 3 breast hyperplasia nodules found by ultrasound who were treated in Shijiazhuang Fourth Hospital and Zhangjiakou Second Hospital in recent years were randomly divided into two groups,with 75 cases in each group.Routine care and familial nursing were given to patients of the control group and observation group,respectively.The negative psychological status,level of disease cognition and quality of life were compared.Results The Self-Rating Anxiety Scale(SAS)score([32.17±3.64]points vs[45.03±3.41]points)and the Self-Rating Depression Scale(SDS)score([30.09±3.27]points vs[44.96±3.05]points)after nursing were significantly lower in the observation group than those of the control group(P<0.05).The disease cognition score of the observation group after nursing was significantly higher than that of the control group([90.36±4.62]points vs[65.28±3.71]points,P<0.05).The 36-Item Short-Form Health Survey(SF-36)score of the observation group after nursing was significantly higher than that of the control group([82.56±4.32]points vs[63.18±4.91]points,P<0.05).Conclusion The familial nursing of patients with BI-RADS category 3 breast hyperplasia nodules examined by ultrasound relieves negative emotion,enhance the disease cognition and improve the quality of life.