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周 芳 吴莉莉 蔡灵芝.基于快速康复外科理念的多模式护理干预在乳腺癌手术患者中的应用[J].中国现代医生,2021,59(11):184-187
基于快速康复外科理念的多模式护理干预在乳腺癌手术患者中的应用
Application of multi-mode nursing intervention based on the concept of rapid rehabilitation surgery to the patients undergoing breast cancer operation
  
DOI:
中文关键词:  快速康复外科理念  多模式护理干预  乳腺癌  手术指标  患肢功能恢复  术后并发症  生存质量
英文关键词:The concept of rapid rehabilitation surgery  Multi-mode nursing intervention  Breast cancer  Surgical indicators  Function recovery of affected limb  Postoperative complication  Quality of life
基金项目:浙江省医药卫生科技计划项目(2019RC062)
作者单位
周 芳 吴莉莉 蔡灵芝 浙江大学医学院附属杭州市第一人民医院浙江杭州 310006 
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中文摘要:
      目的 探讨接受手术治疗的乳腺癌患者应用基于快速康复外科理念多模式护理干预的效果。方法 选取2016 年4 月至2019 年10 月接受治疗的乳腺癌患者将118 例,分为对照组(n=59)与试验组(n=59),两组患者均接受手术治疗,对照组应用传统护理干预模式,试验组应用基于快速康复外科理念的多模式护理模式,比较两组手术相关指标、术后6 个月患肢肩关节功能恢复效果以及住院期间并发症情况。结果 试验组总引流量少于对照组,引流管留置时间及住院时间均短于对照组,两组比较,差异有统计学意义(P<0.05)。试验组患肢功能优良率高于对照组,两组患肢功能恢复效果比较,差异有统计学意义(P<0.05)。试验组术后胸大肌萎缩、皮下积液等并发症发生率低于对照组,两组并发症发生率比较,差异有统计学意义(P<0.05)。入院时两组生存质量比较,差异无统计学意义(P<0.05);试验组出院时、出院后3 个月及出院后6 个月生存质量均高于对照组,两组比较,差异有统计学意义(P<0.05)。结论 采用手术治疗的乳腺癌患者围术期应用基于快速康复外科理念的多模式护理干预可提高护理质量,促进患者术后恢复。
英文摘要:
      Objective To explore the effect of multi-mode nursing intervention based on the concept of rapid rehabilitation surgery on the patients with breast cancer undergoing surgical treatment.Methods From April 2016 to October 2019,a total of 118 patients with breast cancer who received treatment were divided into the control group (n=59) and the experimental group (n=59).Both groups received surgical treatment.The control group was treated with traditional mode of nursing intervention,while the experimental group was treated with multi-mode nursing intervention based on the concept of rapid rehabilitation surgery.The operation-related indexes,the recovery of shoulder joint function of affected limbs 6 m after operation and the complications during hospitalization were compared between the two groups.Results The total drainage volume of the experimental group was less than that of the control group,the indwelling time of the drainage tube and the hospitalization time were both shorter than those of the control group,and the differences in operation-related indexes between the two groups were statistically significant (P<0.05).The excellent and good rate of the function of affected limb in the experimental group was higher than that in the control group,and the difference in the recovery of the function of affected limb between the two groups was statistically significant (P<0.05).The incidence of postoperative complications such as pectoralis major atrophy and subcutaneous effusion,etc.in the experimental group was lower than that in the control group,and the difference in the incidence of complications between the two groups was statistically significant (P<0.05).At admission,the difference in the quality of life (QoL) between the two groups was statistically insignificant(P>0.05).The QoL of the experimental group at discharge,3 m after discharge and 6 m after discharge was better than that of the control group,and the difference between the two groups was statistically significant (P<0.05).Conclusion Multi-mode nursing intervention based on the concept of rapid rehabilitation surgery during the perioperative period of the patients with breast cancer undergoing surgical treatment can improve the nursing quality and promote the postoperative recovery of the patients.
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