首页|快速康复外科理念联合罗伊适应模式干预在乳腺癌患者围手术期中的应用效果

快速康复外科理念联合罗伊适应模式干预在乳腺癌患者围手术期中的应用效果

Application effect of rapid rehabilitation surgery concept combined with Roy adaptation model intervention in perioperative period of breast cancer patients

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目的 探讨快速康复外科理念联合罗伊适应模式干预在乳腺癌患者围手术期中的应用效果.方法 根据干预方法的不同将142例乳腺癌手术患者分为对照组(n=70)和观察组(n=72),对照组患者采取快速康复外科理念干预,观察组患者采取快速康复外科理念联合罗伊适应模式干预.比较两组患者的手术相关指标、心理状态[抑郁自评量表(SDS)、焦虑自评量表(SAS)]、生活质量[癌症康复评价系统简表(CARES-SF)]及并发症发生情况.结果 观察组患者伤口愈合时间、上肢正常活动时间、住院时间均明显短于对照组,差异均有统计学意义(P﹤0.01).干预后,两组患者SDS、SAS评分均低于本组干预前,观察组患者SDS、SAS评分均低于对照组,差异均有统计学意义(P﹤0.05).干预后,两组患者心理社会、生理评分均低于本组干预前,性关系、婚姻关系、与医护人员的关系评分均高于本组干预前,观察组患者心理社会、生理评分均低于对照组,性关系、婚姻关系、与医护人员的关系评分均高于对照组,差异均有统计学意义(P﹤0.05).观察组患者的并发症总发生率低于对照组,差异有统计学意义(P﹤0.05).结论 快速康复外科理念联合罗伊适应模式干预可促进乳腺癌手术患者快速恢复,改善心理状态,提高生活质量,降低并发症发生率.
Objective To explore the application effect of rapid rehabilitation surgery concept combined with Roy ad-aptation model intervention in perioperative period of breast cancer patients.Method According to different interven-tion methods,142 patients with breast cancer who underwent surgery were divided into control group(n=70)and observa-tion group(n=72).Patients in the control group received rapid rehabilitation surgery concept intervention,and patients in the observation group received rapid rehabilitation surgery concept combined with Roy adaptation model intervention.The surgery-related indicators,psychological state[self-rating depression scale(SDS),self-rating anxiety scale(SAS)],quality of life[cancer rehabilitation evaluation system-short form(CARES-SF)]and complications were compared be-tween the two groups.Result The wound healing time,upper limb normal activity time and hospitalization time of the observation group were significantly shorter than those of the control group,and the differences were statistically signifi-cant(P<0.01).After intervention,the SDS and SAS scores in both groups were lower than those before intervention,the SDS and SAS scores in observation group were lower than those in control group,and the differences were statistically significant(P<0.05).After intervention,the psychosocial and physiological scores in both groups were lower than those before intervention,the scores of sexual relationship,marital relationship and relationship with medical staff were higher than those before intervention,the psychosocial and physiological scores in observation group were lower than those in control group,and the scores of sexual relationship,marital relationship and relationship with medical staff were higher than those in control group,and the differences were statistically significant(P<0.05).The total incidence of complica-tions in observation group was lower than that in control group,and the difference was statistically significant(P<0.05).Conclusion Rapid rehabilitation surgery concept combined with Roy adaptation model can promote rapid recovery of breast cancer patients undergoing surgery,improve psychological state and quality of life,and reduce the incidence of complications.

rapid rehabilitation surgery conceptRoy adaptation modelbreast cancerperioperative periodpsycho-logical statequality of life

张倩、毛雅楠、闫园、蒋敏

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河南省人民医院 麻醉与围术期医学科,郑州 450000

河南省人民医院 乳腺外科,郑州 450000

快速康复外科理念 罗伊适应模式 乳腺癌 围手术期 心理状态 生活质量

2024

癌症进展
中国医学科学院,北京协和医学院

癌症进展

影响因子:1.004
ISSN:1672-1535
年,卷(期):2024.22(23)