首页|针对患者自我报告症状的护理干预在乳腺癌根治术患者中的应用效果

针对患者自我报告症状的护理干预在乳腺癌根治术患者中的应用效果

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目的 探讨基于患者自我报告症状的护理方案干预措施在乳腺癌根治术患者中的应用效果.方法 选取 2021 年 6 月—2022 年 6 月医院收治的乳腺癌根治手术患者 92 例为研究对象,按基本资料具有可比性的原则将患者分为观察组和对照组各 46 例,对照组围手术期行常规性护理,观察组围手术期实施基于患者自我报告症状的护理方案,记录两组相关症状发生率、症状持续时间,比较两组干预前后症状严重程度评分及患者生活质量改善情况.结果 观察组术后疼痛、疲乏、焦虑、睡眠障碍、患肢水肿等发生率依次为 13.04%、17.39%、10.87%、10.87%、8.69%,对照组相关症状发生率依次为 39.13%、56.52%、54.35%、47.83%、52.17%,组间比较差异有统计学意义(P<0.05).观察组疼痛、睡眠障碍、疲乏、肢体水肿、焦虑等症状持续时间依次为2.02±0.32 d、2.63±0.38 d、2.22±0.42 d、2.85±1.21 d、2.63±0.63 d,对照组相关症状持续时间依次为 4.92±0.42 d、4.89±0.86 d、4.33±0.86 d、4.52±0.85 d、5.02±0.85 d,两组相关症状持续时间比较差异有统计学意义(P<0.05).干预后观察组乳腺癌生存质量评定量表(FACT-B)总评分为 120.49±6.97 分,对照组FACT-B总评分为 98.30±5.78 分,差异有统计学意义(P<0.05).结论 基于患者自我报告症状的护理方案能有效减少乳腺癌根治术患者术后不良症状发生率及持续时间,有助于患者功能状态恢复,提高患者生活质量.
Application effect of nursing intervention targeting patients'self-reported symptoms in patients undergoing radical mastectomy for breast cancer
Objective To explore the application effect of nursing intervention measures based on patients'self-reported symptoms in patients undergoing radical mastectomy for breast cancer.Methods A total of 92 patients who underwent radical mastectomy for breast cancer in the hospital from June 2021 to June 2022 were selected as study subjects.According to the principle of comparability of basic data,the patients were divided into an observation group and a control group,with 46 cases in each group.The control group received routine perioperative care,while the observation group received a nursing plan based on the patients'self-reported symptoms during the perioperative period.The incidence and duration of related symptoms were recorded for both groups,and the symptom severity scores and the improvement in quality of life were compared before and after the intervention in both groups.Results The incidence rates of postoperative pain,fatigue,anxiety,sleep disorder,and edema of the affected limb in the observation group were 13.04%,17.39%,10.87%,10.87%,and 8.69%,respectively,while those in the control group were 39.13%,56.52%,54.35%,47.83%,and 52.17%,respectively,and the differences between the groups were statistically significant(P<0.05).The duration of pain,sleep disorder,fatigue,limb edema,anxiety and other symptoms in the observation group were 2.02±0.32 d,2.63±0.38 d,2.22±0.42 d,2.85±1.21 d,and 2.63±0.63 d,respectively,while those in the control group were 4.92±0.42 d,4.89±0.86 d,4.33±0.86 d,4.52±0.85 d,and 5.02±0.85 d,respectively,and the differences in the duration of related symptoms between the two groups were statistically significant(P<0.05).After the intervention,the total score of Function Assessment of Cancer Therapy-Breast(FACT-B)of the observation group was 120.49±6.97 points,while the total score of FACT-B of the control group was 98.30±5.78 points,and the difference was statistically significant(P<0.05).Conclusion The nursing plan based on patients'self-reported symptoms can effectively reduce the incidence and duration of adverse postoperative symptoms in patients undergoing radical mastectomy for breast cancer.This approach contributes to the recovery of patients'functional status and improves their quality of life.

Self-reported symptomsRadical mastectomy for breast cancerSymptomsQuality of lifeNursing plan

程林、周景娇、朱松颖、梁文文、高蔚

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山东大学齐鲁医院乳腺外科(山东省济南市,250012)

自我报告症状 乳腺癌根治术 症状 生活质量 护理方案

2024

护理实践与研究
河北省儿童医院

护理实践与研究

影响因子:1.354
ISSN:1672-9676
年,卷(期):2024.21(10)