CAJ | 학술논문

目的探讨早期康复护理干预模式对乳腺癌改良根治术后引流管留置时间的影响.方法选取我科收治的女性乳腺癌患者100例,均行改良乳腺癌根治术治疗,将患者随机平均分为两组,分别行术后常规护理与早期康复护理干预:即术前预防术后并发症的情景教育康复(个体与集体相结合的教育康复模式,即固定时间集体上课和术前个别教育)；术后经常变换体位；经常督促指导协助患者深呼吸运动和有效的咳嗽排痰及肢体被动活动到主动运动.观察两组患者术后引流管留置时间与并发症.结果观察组患者术后引流管平均留置时间较对照组显著缩短(t=-4.668),留置时间低于14天的患者相比对照组增加,术后并发皮下/腋窝积液、皮瓣坏死、伤口感染显著低于对照组(x2分别为5.01、4.77、3.85).结论早期康复护理干预能够明显缩短乳腺癌改良根治术后引流管留置时间,减少患者住院与治疗的费用,改善患者生活质量,具有较高的临床价值.
목적 탐토조기강복호리간예모식대유선암개량근치술후인류관류치시간적영향.방법 선취아과수치적녀성유선암환자100례,균행개량유선암근치술치료,장환자수궤평균분위량조,분별행술후상규호리여조기강복호리간예:즉술전예방술후병발증적정경교육강복(개체여집체상결합적교육강복모식,즉고정시간집체상과화술전개별교육)；술후경상변환체위；경상독촉지도협조환자심호흡운동화유효적해수배담급지체피동활동도주동운동.관찰량조환자술후인류관류치시간여병발증.결과 관찰조환자술후인류관평균류치시간교대조조현저축단(t=-4.668),류치시간저우14천적환자상비대조조증가,술후병발피하/액와적액、피판배사、상구감염현저저우대조조(x2분별위5.01、4.77、3.85).결론 조기강복호리간예능구명현축단유선암개량근치술후인류관류치시간,감소환자주원여치료적비용,개선환자생활질량,구유교고적림상개치.
Objective To investigate the effect of early nursing intervention on duration of tube indwelling in modified radical mastectomy for breast cancer.Methods 100 patients with breast cancer in our hospital underwent modified radical mastectomy for breast cancer and were randomly divided into two groups.Postoperative routine nursing,nursing intervention,duration of tube indwelling,and complications were analyzed between the two groups after surgery.Results The mean duration of tube indwelling was significantly shorter in the study group than in the control group (P＜0.05); the incidence rate of postoperative complications was significantly lower in the study group than in the control group (P＜0.05).Conclusions Early nursing intervention can shorten duration of tube indwelling after modified radical mastectomy for breast cancer,reduce the cost of hospitalization and treatment,and improve quality of life in patients,with a higher clinical value.