CAJ | 학술논문

目的：观察延续护理对乳腺癌根治术后患者的心理和躯体功能的影响，以期为临床最优化护理积累经验。方法选取我院妇产科于2009年1月至2011年12月收治的36例乳腺癌患者，设为对照组，开展常规护理；选取2012年1月至2013年12月收治的39例乳腺癌患者，设为研究组，开展延续护理。两组患者在干预前后接受Zung-SAS量表测评焦虑情绪，并比较两组首次下床时间、上肢肿胀消退时间、术后睡眠时间。结果两组患者术前SAS评分差异无统计学意义(P>0.05)；研究组术后SAS评分低于对照组(P<0.05)。研究组首次下床时间、上肢肿胀消退时间早于对照组(P<0.05)，术后睡眠时间长于对照组(P<0.05)，住院时间短于对照组（P<0.05）。结论延续护理应用于乳腺癌根治术患者能够改善其负性情绪，促进躯体功能康复，取得较为满意的临床效果，值得临床推广应用。
목적：관찰연속호리대유선암근치술후환자적심리화구체공능적영향，이기위림상최우화호리적루경험。방법선취아원부산과우2009년1월지2011년12월수치적36례유선암환자，설위대조조，개전상규호리；선취2012년1월지2013년12월수치적39례유선암환자，설위연구조，개전연속호리。량조환자재간예전후접수Zung-SAS량표측평초필정서，병비교량조수차하상시간、상지종창소퇴시간、술후수면시간。결과량조환자술전SAS평분차이무통계학의의(P>0.05)；연구조술후SAS평분저우대조조(P<0.05)。연구조수차하상시간、상지종창소퇴시간조우대조조(P<0.05)，술후수면시간장우대조조(P<0.05)，주원시간단우대조조（P<0.05）。결론연속호리응용우유선암근치술환자능구개선기부성정서，촉진구체공능강복，취득교위만의적림상효과，치득림상추엄응용。
Objective To explore the influence of continuous nursing on psychological status and physical function of patients with breast cancer underwent radical operation so as to gather experience for optimal clinical nurs-ing. Methods 36 cases of breast cancer from the Department of Obstetrics and Gynecology in our hospital from Jan-uary 2009 to December 2011 were selected as the control group with routine nursing. 39 cases of breast cancer from January 2012 to December 2013 were selected as the research group with personalized continuous nursing. Anxiety of patients from both groups before and after the intervention was evaluated by Zung-SAS scale. Meanwhile, the first time of getting off bed, time for the upper limb swelling to degrade and sleep time after operation of both groups were compared. Results There was no significant difference between two groups on the SAS score of patients before the operation (P>0.05). The postoperative SAS score of patients in research group was significantly lower than that of the control group (P<0.05). The first time of getting off bed and the time for the upper limb swelling to degrade in re-search group was earlier than that of the control group (P<0.05). The postoperative sleep time in research group was longer than that of the control group (P<0.05) and the hospitalization time in research group is shorter than that of the control group (P<0.05). Conclusion Continuous nursing for breast cancer patients underwent radical surgery can im-prove the psychological condition of patients and promote the recovery of physical function of patients, which is worth popularizing in clinic.