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目的探讨围术期临床护理干预在微创乳腺手术患者中的应用效果。方法选取宁家埠镇卫生院2013年4月—2015年9月收治的微创乳腺手术患者104例,随机分为研究组与对照组,各52例。研究组给予围术期临床护理干预,对照组给予常规护理。比较两组患者护理前后收缩压(SBP)和舒张压(DBP)、抑郁自评量表(SDS)和焦虑自评量表(SAS)评分、视觉模拟评分法(VAS)评分。结果护理前两组患者SBP、DBP比较,差异无统计学意义(P>0.05);护理后研究组SBP、DBP低于对照组,差异有统计学意义(P<0.05)。护理后研究组患者SDS、SAS评分低于对照组,差异有统计学意义(P<0.05)。护理后研究组患者VAS评分低于对照组,差异有统计学意义(P<0.05)。结论围术期临床护理干预在微创乳腺手术患者中的应用效果明显,可稳定患者血压,利于患者保持积极的心理状态,有效缓解疼痛。
Objective To investigate the effect of perioperative clinical nursing intervention in patients with minimally invasive breast surgery. Methods 104 cases of minimally invasive breast surgery admitted to Ningjiabu Hospital from April 2013 to September 2015 were randomly divided into study group and control group, with 52 cases in each group. The study group was given perioperative clinical nursing intervention, while the control group was given routine nursing care. Systolic blood pressure (SBP) and diastolic blood pressure (DBP), Self-rating Depression Scale (SDS), Self-rating Anxiety Scale (SAS) and Visual Analogue Scale (VAS) were compared between the two groups before and after treatment. Results There was no significant difference in SBP and DBP between the two groups before nursing (P> 0.05). SBP and DBP in the study group after nursing were lower than those in the control group (P <0.05). The scores of SDS and SAS in the study group after nursing were lower than those in the control group, with significant difference (P <0.05). After nursing, the VAS score of the study group was lower than that of the control group, the difference was statistically significant (P <0.05). Conclusion Perioperative clinical nursing intervention in minimally invasive breast surgery patients with obvious effect, can stabilize the patient’s blood pressure, which will help patients to maintain a positive psychological state, effectively relieve pain.