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纽曼系统护理在乳腺结节手术患者中的应用效果

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目的:观察纽曼系统护理在乳腺结节手术患者中的应用效果.方法:回顾性分析 2021 年 3 月至 2023 年 4 月该院收治的128 例乳腺结节患者的临床资料,根据护理方法不同将其分为对照组与研究组各 64 例.对照组采取常规护理,观察组在对照组基础上采取纽曼系统护理.比较两组护理前后负性情绪[焦虑自测量表(SAS)、抑郁自测量表(SDS)]、睡眠质量[匹兹堡睡眠质量指数(PSQI)]和生命质量[世界卫生组织生存质量测定量表简表(WHOQOL-BREF)]评分.结果:护理后,两组SAS、SDS评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);两组睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物、日间功能障碍等PSQI评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);两组生理领域、心理领域、环境领域、社会关系等WHOQOL-BREF评分均高于护理前,且观察组高于对照组,差异有条统计学意义(P<0.05).结论:在常规护理基础上采取纽曼系统护理可提高乳腺结节手术患者生命质量评分,降低负性情绪和睡眠质量评分,其效果优于单纯常规护理.
Application effects of Newman system nursing in patients undergoing breast nodules surgery
Objective:To observe application effects of Newman system nursing in patients undergoing breast nodules surgery.Methods:The clinical data of 128 patients with breast nodules admitted to this hospital from March 2021 to April 2023 were retrospectively analyzed.According to different nursing methods,they were divided into control group and study group,64 cases in each group.The control group received routine nursing,while the observation group received the Newman system nursing on the basis of that of the control group.The scores of negative emotions[self-rating anxiety scale(SAS),self-rating depression scale(SDS)],sleep quality[Pittsburgh sleep quality index(PSQI)]and quality of life[World Health Organization quality of life measurement scale(WHOQOL-BREF)]were compared between the two groups before and after the nursing.Results:After the nursing,the scores of SAS and SDS in the two groups were lower than those before the nursing,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The PSQI scores of sleep quality,time before falling asleep,sleep time,sleep efficiency,sleep disorder,hypnotic drugs and daytime dysfunction in the two groups were lower than those before the nursing,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Further,the WHOQOL-BREF scores of the two groups in the physiological field,psychological field,environmental field and social relationship were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the Newman system nursing can improve the quality of life scores of the patients with breast nodules,and reduce the scores of negative emotion and sleep quality.Moreover,it is superior to simple routine nursing.

Breast noduleSurgeryNewman system nursingNegative emotionQuality of lifeSleep quality

徐晓燕

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平顶山市第一人民医院甲状腺乳腺外科,河南 平顶山 467000

乳腺结节 手术 纽曼系统护理 负性情绪 生命质量 睡眠质量

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(14)
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