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目的分析研究延续护理在乳腺癌保乳术中的应用体会以及对患者心理及生存质量的影响。方法选取108例行乳腺癌保乳术患者,在患者知情同意下采用骰子法将其分为观察组和对照组二组(各54例);在院治疗期间二组均实施护理干预,出院后对照组未给予任何护理干预,观察组实施延续护理;比较二组患者出院时、出院后3个月患者焦虑(SAS)、忧郁(SDS)、生活质量、运动功能评分变化。结果出院后3个月二组患者SAS、SDS、生存质量及FIM评分均有一定变化,组间比较出院后1、2、3个月观察组SAS、SDS均显著低于对照组(P<0.05),生存质量及FIM评分均显著高于对照组(P<0.05)。结论延续护理的实施能进一步提升乳腺癌保乳术患者对疾病及康复疗养相关知识的认知度,进而增强自我防护及并发症防治,改善心理状况和生存质量,对患者康复疗养具有重要的意义。
Objective To analyze the application of continuation nursing in breast conserving surgery and its impact on the psychology and quality of life of patients. Methods A total of 108 patients undergoing breast-conserving surgery were enrolled in this study. They were divided into two groups (54 in each group) by dice method with informed consent. Nursing interventions were performed in both groups during hospitalization and after discharge The control group did not receive any nursing intervention and the follow-up care was performed in the observation group. SAS, SDS, quality of life and motor function scores were compared between the two groups after discharge from hospital and 3 months after discharge. Results The SAS, SDS, quality of life and FIM scores of the two groups changed a little after 3 months. The SAS and SDS of the observation group were significantly lower than those of the control group at 1,2,3 months after discharge ), Quality of life and FIM score were significantly higher than the control group (P <0.05). Conclusion The implementation of continuous nursing can further enhance the awareness of breast-conserving patients with breast-conserving surgery on disease and rehabilitation-related knowledge, enhance self-protection and prevention and treatment of complications, and improve psychological status and quality of life, which is of great significance to patients’ rehabilitation .