摘要
目的将基于快速康复外科理念(FTS)的护理干预用于乳腺癌根治术中,探究其对患者睡眠质量及术后康复情况的影响。方法随机选择2018年6月—2020年8月该院收治的100例乳腺癌根治术患者,随机分为对照组、观察组,各组50例,对照组接受常规围术期护理,观察组实施基于快速康复外科理念的护理干预,对两组患者疼痛情况、睡眠质量、术后疼痛程度、术后康复情况、护理满意度、并发症进行比较。结果两组术前的休斯顿疼痛情况调查表(HPOI)和匹兹堡睡眠质量指数(PSQI)评分,差异无统计学意义(P>0.05),观察组术后3 d的上述评分与对照组比较,差异有统计学意义(P<0.05);观察组术后48 h、3 d、7 d的VAS评分均较对照组低,差异有统计学意义(P<0.05);观察组患者术后肠鸣音恢复、肛门排气、上肢功能恢复、住院时间均较对照组短,差异有统计学意义(P<0.05);观察组护理满意度为96.00%,较对照组82.00%高,差异有统计学意义(χ^(2)=5.005,P<0.05);观察组术后并发症发生率为4.00%,较对照组16.00%低,差异有统计学意义(χ^(2)=4.000,P<0.05)。结论基于快速康复外科理念的护理干预用于乳腺癌根治术围术期可提高患者对疼痛控制的满意度,改善患者睡眠质量,减轻术后疼痛程度,还可提高患者满意度,促进术后康复,值得推广。
Objective To apply nursing intervention based on the concept of rapid rehabilitation surgery(FTS)in radical mastectomy for breast cancer,and to explore its impact on patients'sleep quality and postoperative rehabilitation.Methods 100 patients undergoing radical mastectomy for breast cancer admitted to the hospital from June 2018 to August 2020 were selected randomly and randomly divided into a control group and an observation group with 50 cases in each group.The control group received routine perioperative care,and the observation group was implemented based on rapid rehabilitation nursing intervention based on surgical concept,comparing the pain status,sleep quality,postoperative pain degree,postoperative recovery,nursing satisfaction,and complications between the two groups of patients.Results There was no statistically significant difference in the Houston Pain Questionnaire(HPOI)and Pittsburgh Sleep Quality Index(PSQI)scores between the two groups before surgery(P>0.05).The above scores of the observation group 3 days after surgery were significantly different from those of the control group,the difference was statistically significant(P<0.05);The VAS scores of the observation group at 48 h,3 d,and 7 d were lower than those of the control group,the difference was statistically significant(P<0.05);the postoperative bowel sounds,anus exhaust,upper limb function recovery,and hospital stay of the observation group were all lower than those of the control group,the difference was statistically significant(P<0.05);the observation group’s nursing satisfaction rate was 96.00%,which was higher than the control group’s 82.00%,the difference was statistically significant(χ^(2)=5.005,P<0.05);the observation group’s postoperative complication rate was 4.00%,which was lower than the control group’s 16.00%,the difference was statistically significant(χ^(2)=4.000,P<0.05).Conclusion Nursing intervention based on the concept of rapid recovery surgery for the perioperative period of radical mastectomy can increase patients'satisfaction with pain control,improve patients'sleep quality,reduce postoperative pain,and can also increase patient satisfaction and promote postoperative recovery,which is worth promoting.
作者
周冬梅
程蓓蓓
韩晓玲
ZHOU Dongmei;CHENG Beibei;HAN Xiaoling(Department of General Surgery,Section Two,Zhuhai People's Hospital(Zhuhai Hospital Affiliated to Jinan University),Zhuhai,Guangdong Province,519000 China;Department of Nursing,Zhuhai People's Hospital(Zhuhai Hospital Affiliated to Jinan University),Zhuhai,Guangdong Province,519000 China)
出处
《中外医疗》
2021年第21期151-154,159,共5页
China & Foreign Medical Treatment
关键词
快速康复外科理念
乳腺癌根治术
睡眠质量
康复情况
Concept of rapid rehabilitation surgery
Radical mastectomy
Sleep quality
Rehabilitation
