CAJ | 학술논문

目的探讨自我体位护理法在乳腺癌改良根治术后患者中应用的效果.方法选择意识清楚,能有效沟通,无肢体瘫痪,无骨折的102例乳腺癌改良根治术后患者,随机分为研究组和对照组各51例,研究组参照Orem"自理理论"理念,实施以自我翻身为主且注重身体重心位的自我体位护理法,对照组实施以协助翻身为主的传统体位护理法;观察并比较2组患者第1次下床时间、各并发症发生情况以及手术后第1天焦虑程度、翻身舒适度、体位舒适度、护理满意度.结果研究组的第1次下床时间明显早于对照组,焦虑程度明显低于对照组,翻身舒适度、体位舒适度、护理满意度明显高于对照组,2组头晕、患侧上肢肿胀、皮瓣积液、皮瓣坏死的发生率比较无显著差异,2组均无压疮发生.结论对乳腺癌改良根治术后患者采用自我体位护理,可以提高患者的舒适满意度,促进患者的康复,且不增加并发症,值得推广.
목적 탐토자아체위호리법재유선암개량근치술후환자중응용적효과.방법 선택의식청초,능유효구통,무지체탄탄,무골절적102례유선암개량근치술후환자,수궤분위연구조화대조조각51례,연구조삼조Orem"자리이론"이념,실시이자아번신위주차주중신체중심위적자아체위호리법,대조조실시이협조번신위주적전통체위호리법;관찰병비교2조환자제1차하상시간、각병발증발생정황이급수술후제1천초필정도、번신서괄도、체위서괄도、호리만의도.결과 연구조적제1차하상시간명현조우대조조,초필정도명현저우대조조,번신서괄도、체위서괄도、호리만의도명현고우대조조,2조두훈、환측상지종창、피판적액、피판배사적발생솔비교무현저차이,2조균무압창발생.결론 대유선암개량근치술후환자채용자아체위호리,가이제고환자적서괄만의도,촉진환자적강복,차불증가병발증,치득추엄.
Objective To explore the nursing effects of self-care body posture in patients after modified radical mastectomy. Methods The clinical data of 102 patients with modified radical mastectomy were randomly divided into the study group and the control group, all patients met the following standard:clear consciousness, effective communication, no paralysis of limbs, no fracture. In the study group, according to Orem"self-care theory" concept, patients carried out self-care body posture with mainly focus on self-emancipated and the body center of gravity position, in the control group patients were given traditional posture care with mainly emancipated assistance. The first time getting out-of-bed, the occurrence of various complications, the comfort level of emancipation and posture, as well as nursing satisfaction on the first day after surgery were observed and compared between the two groups. Results The two groups showed significant difference in the first time out-of-bed, anxiety, the comfort level of emancipation and posture, as well as nursing satisfaction. There was no significant difference between the two groups in dizziness, limb swelling, flap effusion, flap necrosis. No pressure ulcer occurred. Conclusions Making use of self-care body posture in patients after modified radical mastectomy can improve the satisfaction and comfort of the patients, and improve the patients' recovery, without increasing the complication, which is worth promoting.