摘要
目的探讨加速康复外科理念在乳腺癌改良根治术后恢复的作用。方法选取2018年2月至2019年4月间陕西省肿瘤医院收治的90例乳腺癌患者,采用随机数字表法分为研究组和对照组,每组45例,均采用乳腺癌改良根治术。观察组患者采用加速康复外科理念护理模式进行干预,对照组患者采用常规护理模式进行干预,比较两组患者术后愈合情况、心理状态、生活质量和不良反应发生情况。结果护理后,观察组患者下床活动时间、平均住院时间和术后进食时间均短于对照组,术后24h舒适度和护理满意度高于对照组,差异均有统计学意义(均P<0.05)。护理后,两组患者SAS和SDS评分均较护理前降低,且观察组评分低于对照组,差异均有统计学意义(均P<0.05)。护理后,观察组患者功能状况、生理状况、情感状况、社会与家庭状况及附加关注条目评分均高于对照组,差异均有统计学意义(均P<0.05)。观察组患者水肿、尿潴留、肺部感染、肠麻痹和恶心呕吐发生率均低于对照组,差异均有统计学意义(均P<0.05)。两组患者发热情况比较,差异无统计学意义(P>0.05)。结论加速康复外科理念能有效促进乳腺癌改良根治术后患者恢复,提高术后生活质量,减少不良反应。
Objective To explore the role of enhanced recovery after surgery in the recovery of breast cancer after radical mastectomy.Methods Ninety patients with breast cancer were selected at Shaanxi Cancer Hospital from February 2018 to April 2019.They were randomly divided into a study group and a control group with 45 patients each using random table method.All of them underwent modified radical mastectomy for breast cancer.The observation group received the enhanced recovery after surgery nursing and the control group received conventional nursing.Postoperative healing status,psychological state,quality of life and adverse reactions were compared between the two groups.Results Time to out-of-bed activities,the average length of hospital stay,and time to postoperative food intake were significantly shorter in the observation group than in the control group after nursing,and there was significant difference in comfort and patient satisfaction with nursing between the two groups at 24 h after the operation(all P<0.05).The self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores decreased in both groups and were significantly lower in the observation group than in the control group after nursing(all P<0.05).After nursing,functional,physiological,emotional,and social and family status,and additional attention items were significantly higher in the observation group than in the control group(all P<0.05).The incidence of edema,urinary retention,pulmonary infection,intestinal paralysis and nausea and vomiting was significantly lower in the observation group than in the control group(all P<0.05).Conclusion Enhanced recovery after surgery can effectively promote recovery,improve quality of life after surgery,and reduce the occurrence of adverse reaction in patients undergoing modified radical mastectomy for breast cancer.
作者
刘海娟
丁艳妮
杜绒
杨佩
李静
姜婷
UU Hai-juan;DING Yan-ni;DU Rong;YANG Pei;LI Jing;JIANG Ting(Department of Breast Cancer,Shaanxi Cancer Hospital,Xi’an 710061,China)
出处
《中国肿瘤临床与康复》
2021年第5期623-626,共4页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
加速康复外科
乳腺癌改良根治术
乳腺肿瘤
Enhanced recovery after surgery
Modified radical mastectomy for breast cancer
Breast neoplasms
