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目的探讨延续性护理在日间乳腺手术后的应用效果。方法 120例日间乳腺手术患者,随机分为对照组和实验组,各60例。对照组给予常规护理,实验组实施延续性护理,对比分析两组护理前后的状态焦虑值、术后不良反应发生率、术后自我护理知晓率、满意度等情况。结果实验组患者术后焦虑自评量表(SAS)评分(31.07±1.26)分、自我护理知晓评分为(15.13±2.33)分和满意度为71.7%均优于对照组的(46.28±5.73)分、(10.41±2.26)分、30.0%,差异具有统计学意义(P<0.05)。两组患者术后出血、切口愈合不良、切口感染发生情况比较,差异无统计学意义(P>0.05)。实验组发生切口疼痛6例(10.0%)低于对照组的15例(25.0%),差异有统计学意义(P<0.05)。结论对日间乳腺手术患者实施延续性护理,能有效地降低患者术后焦虑和不良反应的发生,提高患者自我护理效能和满意度。
Objective To explore the effect of continuous nursing after daytime breast surgery. Methods A total of 120 patients undergoing daytime breast surgery were randomly divided into control group and experimental group, with 60 cases in each. The control group was given routine nursing, and the experimental group was given continuous nursing. The state anxiety before and after nursing were compared between the two groups, the incidence of postoperative adverse reactions, awareness of postoperative self-care, satisfaction and so on. Results The SAS score (31.07 ± 1.26), self-care awareness score (15.13 ± 2.33) and satisfaction rate (71.7%) in the experimental group were significantly higher than those in the control group (46.28 ± 5.73) Points, (10.41 ± 2.26) points and 30.0% respectively, the difference was statistically significant (P <0.05). There was no significant difference between the two groups in postoperative bleeding, incision healing, incision infection, the difference was not statistically significant (P> 0.05). The incidence of incisional pain in the experimental group was lower than that of the control group in 6 cases (10.0%) (25.0%), the difference was statistically significant (P <0.05). Conclusion The continuous nursing care of daytime breast surgery patients can effectively reduce the occurrence of postoperative patients’ anxiety and adverse reactions and improve their self-care efficacy and satisfaction.