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目的:探讨临床护理路径对乳腺癌患者术后心理状态及社会支持的影响。方法:随机双盲法将110例乳腺癌患者分为2组,均行乳腺抗癌方联合根治术治疗,在院期间对照组采取常规护理,观察组则实施临床护理路径,比较2组护理不良事件、患者满意度、生活质量评分、干预前后心理状态及社会支持相关指标。结果:观察组护理不良事件发生率12.7%显著低于对照组的34.5%,差异有统计学意义(P<0.05)。观察组干预后SAS评分、SDS评分分别为(45.2±5.8)分、(40.8±6.9)分,均显著低于对照组的(55.4±6.5)分、(49.3±6.6)分,差异有统计学意义(P<0.05)。观察组干预后社会支持总分、主观支持分、客观支持分、对支持利用度分、患者满意度评分及生活质量评分均明显高于对照组(P<0.05)。结论:临床护理路径能明显减轻乳腺癌患者术后焦虑、抑郁情绪,减少护理不良事件发生,显著提高患者社会支持水平,进而改善其生活质量。
Objective: To investigate the impact of clinical nursing pathway on postoperative psychological status and social support in patients with breast cancer. Methods: A total of 110 patients with breast cancer were divided into two groups according to a randomized double-blind method. All patients underwent combined radical mastectomy combined with anticancer therapy with breast cancer. During the period of hospitalization, the control group received routine nursing and the observation group received clinical nursing. Events, patient satisfaction, quality of life score, psychological status before and after intervention and social support related indicators. Results: The incidence of adverse events in the observation group was significantly lower than that in the control group (12.7% vs 34.5%, P <0.05). SAS score and SDS score were (45.2 ± 5.8) and (40.8 ± 6.9) in the observation group after intervention, respectively, which were significantly lower than those in the control group (55.4 ± 6.5 and 49.3 ± 6.6, respectively) Significance (P <0.05). The scores of social support score, subjective support score and objective support score in the observation group after intervention were significantly higher than those in the control group (P <0.05). Conclusion: The path of clinical nursing can obviously relieve postoperative anxiety and depression of breast cancer patients, reduce the incidence of nursing adverse events, significantly improve the level of social support and improve their quality of life.