摘要
目的 了解乳腺疾病术后患者康复情况,发现术后常见问题与护理应关注要点,为乳腺疾病患者出院后延续性护理提供参考.方法 采用目的抽样法,选择2015年6月—2016年7月于四川大学华西医院甲状腺乳腺外科接受手术治疗的1583例乳腺疾病患者,并对其进行电话随访,随访时间为患者出院后1、3、6、12个月,随访内容为康复情况（伤口、功能锻炼、自理能力、引流情况）、心理状态、对随访的满意度等.结果 本次随访患者中女性1574例（99.4％）,平均年龄为（47.20±11.97）岁,恶性肿瘤比例74.6％,BMI平均为（22.66±2.5）kg/m2,平均手术等待天数以及住院天数分别为（4.12±2.40）、（8.54±3.40）d.患者出院后1、3、6、12个月的失访率分别为2.27％（36/1583）、1.90％（22/1158）、2.93％（26/888）、4.89％（9/184）.不同BMI、年龄的乳腺疾病患者的疾病良恶性性质差异具有统计学意义（P〈0.05）.结论 电话随访是一种简单有效的了解患者康复情况的方式,值得临床推广使用.随访结果提示护理人员应当关注乳腺疾病患者术后伤口愈合、患侧上肢功能康复、心理健康情况,从而根据患者实际问题采取有效措施来改善患者生活质量.
Objective To understand the rehabilitation of postoperative patients with breast diseases, and to find out the common problems and caring key points,in order to provide a reference for the continuous nursing for breast disease patients after the discharge.MethodsA total of 1583 patients who underwent surgical treatment in thyroid and breast surgical department in West China Hospital of Sichuan University from June 2015 to July 2016 were selected by purposive sampling method. The all patients were followed up on telephone at the time point of 1 month, 3 months, 6 months and 12 months after discharge. The follow-up was about patients＇ rehabilitation （wound, functional exercise, self-care ability and drainage）, mental state, satisfaction with follow-up and so on.Results Female accounted for 1574 of the follow-up cases （99.4%）. The average age of the patients was （47.20±11.97） years old. The proportion of malignant tumors was 74.6%. The average body mass index （BMI） was （22.66±2.5）kg/m2. The average surgery waiting days and the average hospitalization days were （4.12±2.40） and （8.54±3.40） respectively. The follow-up loss rate at 1 month, 3 months, 6 months and 12 months after discharge was 2.27% （36/1583）, 1.90% （22/1158）, 2.93% （26/888） and 4.89% （9/184） respectively. The differences of benign and malignant diseases between patients with different BMI and age were statistically significant （P〈0.05）.ConclusionsTelephone follow-up is a simple and effective way to understand the rehabilitation of patients, and is worthy of clinical use. Follow-up results suggests that caregivers should concern about postoperative wound healing, affected upper limb functional rehabilitation, and mental health in patients with breast diseases, so as to take effective measures to improve patients life quality according to actual problems.
出处
《中华现代护理杂志》
2018年第1期86-90,共5页
Chinese Journal of Modern Nursing
基金
四川大学华西医院学科卓越发展1-3-5工程资助项目（ZY2016204）
关键词
乳腺疾病
手术治疗
延续护理
电话随访
Breast disease
Surgery
Continuous nursing
Telephone follow-up
