首页|聚焦解决护理模式对乳腺癌患者术后感染预防及自我护理能力的影响

聚焦解决护理模式对乳腺癌患者术后感染预防及自我护理能力的影响

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目的:探讨聚焦解决护理模式在预防乳腺癌患者术后感染,提高其自我护理能力方面的应用效果,为临床护理提供依据.方法:回顾性分析2020年10月—2022年1月河南省襄城县人民医院接受治疗的137例乳腺癌患者的病历资料,采用随机数表法将患者分为常规组69例和聚焦组68例.常规组术后采用常规护理干预,聚焦组采用聚焦解决护理模式干预.比较两组患者自我护理能力、血清炎性因子水平、血流变化指标、患肢活动能力.结果:护理后,聚焦组患者自我护理能力各维度评分均明显高于常规组,差异有统计学意义(t=3.430、5.112、3.529,P<0.05).护理后,聚焦组患者血清炎性因子水平均明显低于常规组,差异有统计学意义(t=3.377、2.688、4.990,P<0.05).护理后,聚焦组患者红细胞压积、全血黏度和血浆黏度均明显低于常规组,差异有统计学意义(t=3.377、2.688、4.692,P<0.05).护理后,聚焦组患者患肢前后伸展、前后旋转、患肢洗漱、患肢拿物及抓举物品评分均明显高于常规组,差异有统计学意义(t=24.078、32.434、28.327、29.166、20.112,P<0.05).结论:乳腺癌患者术后应用聚焦解决护理模式干预,能够提升患者的自我护理意识,增强自我护理技巧和能力,降低炎性因子水平,改善血流动力及血液循环,提高患肢活动能力,促进手术切口愈合.
Effect of Focused Solution Care Model on Postoperative Infection Prevention and Self-Care in Breast Cancer Patients
Objective:To explore the application effect of focused solution care model in preventing postoperative infection and improving self-care ability of breast cancer patients,and to provide a basis for clinical care.Methods:The medical records of 137 breast cancer patients treated in the hospital from October 2020 to January 2022 were retrospectively analyzed,and the patients were divided into 69 cases in the conventional group and 68 cases in the focused group using the random number table method.The conventional group used conventional nursing intervention after surgery,and the focused group used focused solution nursing model intervention.The self-care ability,serum inflammatory factor,blood flow change indexes,and mobility of the affected limbs were compared between the two groups.Results:After the nursing care,the scores of all dimensions of self-care ability of the focus group were significantly higher than those of the conventional group,and the differences were statistically significant(t= 3.430,5.112,3.529,P<0.05).After care,the serum inflammatory factor levels of the focus group were all significantly lower than those of the conventional group,and the differences were statistically significant(t=3.377,2.688,4.990,P<0.05).After the care,the erythrocyte pressure volume,whole blood viscosity and plasma viscosity of the focus group were significantly lower than those of the conventional group,and the differences were statistically significant(t=3.377,2.688,4.692,P<0.05).After care,the scores of anterior-posterior extension,anterior-posterior rotation of the affected limb,washing of the affected limb,and holding and grasping objects of the affected limb of the focus group were significantly higher than those of the conventional group,and the difference was statistically significant(t=24.078,32.434,28.327,29.166,20.112,P<0.05).Conclusion:The postoperative application of focused solution care model intervention in breast cancer patients can enhance patients'self-care awareness,strengthen self-care skills and abilities,reduce the level of inflammatory factors,improve hemodynamics and blood circulation,improve the mobility of the affected limbs,and promote the healing of surgical incisions as soon as possible.

Solution-focused nursingBreast cancerPostoperative infectionSelf-care ability

李晓琼

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河南省襄城县人民医院外科,河南 襄城 461700

聚焦解决护理 乳腺癌 术后感染 自我护理能力

河南省医学教育研究项目

201900131

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(4)
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