基于细节的手术室舒适干预对乳腺癌根治术患者术后早期康复及生活质量的影响
Effect of detail-based comfort intervention in operating room on early postoperative recovery and quality of life of patients undergoing radical mastectomy
毛雅楠 1韩燚 1徐丽 1刘子杨1
作者信息
- 1. 河南省人民医院手术室,河南省护理医学重点实验室,郑州大学人民医院,郑州 450000
- 折叠
摘要
目的 探讨基于细节的手术室舒适干预对乳腺癌根治术患者术后早期康复及生活质量的影响.方法 根据干预方式的不同将80例乳腺癌根治术患者分为常规组(n=38)和舒适干预组(n=42),常规组患者采用手术室常规干预,舒适干预组患者采用基于细节的手术室舒适干预.比较两组患者的术后恢复指标、负性情绪[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)]、生活质量[生活质量综合评定问卷-74(GQOLI-74)]及术后并发症发生情况.结果 舒适干预组患者首次肛门排气时间、进食时间、首次下床时间、术后住院时间均短于常规组,术后并发症总发生率低于对照组,差异均有统计学意义(P﹤0.05).术后第3天,两组患者HAMA、HAMD评分均低于本组干预前,GQOLI-74各维度评分均高于本组干预前,舒适干预组患者HAMA、HAMD评分均低于常规组,GQOLI-74各维度评分均高于常规组,差异均有统计学意义(P﹤0.05).结论 基于细节的手术室舒适干预应用于乳腺癌根治术患者,能够促进患者术后早期康复,改善患者的负性情绪和生活质量,减少术后并发症.
Abstract
Objective To investigate the effect of detail-based comfort intervention in operating room on early post-operative recovery and quality of life of patients undergoing radical mastectomy.Method A total of 80 patients who un-derwent radical mastectomy were divided into conventional group(n=38)and comfort intervention group(n=42)accord-ing to different intervention methods.The conventional group received conventional intervention in operating room,while the comfort intervention group received detail-based comfort intervention in operating room.The postoperative re-covery indicators,negative emotions[Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD)],quality of life[generic quality of life inventory-74(GQOLI-74)]and incidence of postoperative complications were compared be-tween the two groups.Result The first anal exhaust time,feeding time,first getting out of bed time and postoperative hospitalization time in comfort intervention group were shorter than those in conventional group,and the total incidence of postoperative complications was lower than that in control group,the differences were statistically significant(P<0.05).On the 3rd day after surgery,the scores of HAMA and HAMD in both groups were lower than those before inter-vention,the dimensional scores of GQOLI-74 were higher than those before intervention,the scores of HAMA and HAMD in comfort intervention group were lower than those in conventional group,the dimensional scores of GQOLI-74 were higher than those in conventional group,and the differences were statistically significant(P<0.05).Conclusion The application of detail-based comfort intervention in operating room can promote the early recovery of patients under-going radical mastectomy,improve the negative emotions and quality of life,and reduce postoperative complications.
关键词
基于细节的手术室舒适干预/乳腺癌根治术/术后早期康复/生活质量Key words
detail-based comfort intervention in operating room/radical mastectomy/early postoperative recovery/quality of life引用本文复制引用
出版年
2024
NETL
NSTL
万方数据