摘要
目的探讨微信平台护理联合循证护理模式对乳腺癌手术患者术后恢复、负面情绪及生活质量的影响。方法选取2016年11月至2018年7月间上海市徐汇区大华医院收治的行乳腺癌根治术的108例患者作为研究对象。采用常规微信护理进行干预的54例患者纳入对照组,采用循证联合微信平台护理模式进行干预的54例患者纳入观察组。观察两组患者术后首次下床时间、术后72h睡眠时间和上肢肿胀消失时间,护理前及出院一个月后负面情绪焦虑自评量表(SAS)和抑郁自评量表(SDS)评分、生活质量评分情况。结果观察组患者临床术后恢复指标中首次下床时间、上肢肿胀消退时间和住院时间显著短于对照组,术后72h睡眠时间显著高于对照组,差异均有统计学意义(均P<0.05)。观察组患者出院一个月SAS和SDS评分显著下降,与护理前相较,差异均有统计学意义(均P<0.05);对照组患者出院一个月SAS评分与护理前相较,差异有统计学意义(P<0.05);而SDS评分较护理前,差异无统计学意义(P>0.05);观察组出院一个月SAS和SDS评分均低于对照组,差异均有统计学意义(均P<0.05)。观察组患者出院一个月生活质量中各维度评分显著提升,生活质量总分也显著高于护理前,差异均有统计学意义(均P<0.05);对照组出院一个月生活质量中社会家庭状况、功能状况、情感状况和生活质量总分维度评分虽有提升但与护理前相较,差异无统计学意义(P>0.05);躯体状况和乳腺特异模块与护理前比较,差异均有统计学意义(均P<0.05);观察组护理后生活质量各维度评分及总分显著高于对照组,差异均有统计学意义(均P<0.05)。结论循证联合微信平台护理模式对乳腺癌手术患者术后恢复具有促进作用,同时改善负面情绪与生活质量。
Objective To explore the effect of We Chat platform-based nursing combined with evidence-based nursing on postoperative recovery,negative emotions and quality of life in patients with breast cancer.Methods A total of 108 patients undergoing radical mastectomy at Shanghai Xuhui District Dahua Hospital from November 2016 to July 2018 were selected.Fifty-four patients receiving We Chat platformbased nursing combined with evidence-based nursing were included in an observation group and 54 patients receiving conventional We Chat platform-based intervention were included in a control group.Time to postoperative out-of-bed activity,sleep time at 72 h after the operation,time to disappearance of upper limb edema,scores of self-rating anxiety scale(SAS),self-rating depression scale(SDS)and quality of life score before nursing and at one month after discharge were observed.Results The time to out-of-bed activity,time to disappearance of upper limb edema and length of hospitalization were significantly shorter in the observation group than in the control group(all P<0.05).Sleep time at 72 h after the operation was significantly longer in the observation group than in the control group(P<0.05).At 1 month after discharge,the scores of SAS and SDS decreased in the observation group compared with before nursing(all P<0.05).There was significant difference in SAS between only We Chat platform-based nursing and before nursing(P<0.05).However,no significant difference in SDS was observed in the control group(P>0.05).The scores of SAS and SDS were lower in the observation group than in the control group at 1 month after discharge(all P<0.05).The scores of quality of life in all dimensions as well as the overall scores were significantly improved in the observation group at month after discharge compared with before nursing(all P<0.05).Although improvement was discovered in social and family status,function,emotion and overall score of quality of life,there was no significant difference in the control group(P>0.05).Significant difference was noticed in physical condition and breast specific modules(all P<0.05).After nursing,scores of quality of life in all dimensions as well as the overall scores were significantly higher in the observation group than in the control group(all P<0.05).Conclusion Evidence-based nursing plus Wechat platform-based nursing can effectively promote postoperative recovery and improve negative emotions and quality of life in patients with breast cancer.
作者
陈琪
彭丽雁
何玥
徐素梅
CHEN Qi;PENG Li-yan;HE Yue;XU Su-mei(Department of Physical Examination,Dahua Hospital,Xuhui District,Shanghai 200237,China;Department of Neurology,Shanghai Yongci Rehabilitation Hospital,Shanghai 201100,China;Department of Oncology,Zhabei Central Hospital,Jing'an District,Shanghai 200090,China;Department of laboratory Medicine,Shanghai International Medical Center,Shanghai 201318,China)
出处
《中国肿瘤临床与康复》
2020年第5期615-619,共5页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
循证护理
微信平台
乳腺肿瘤
应激心理
生活质量
影响
Evidence-based nursing
We Chat platform
Breast neoplasms
Psychological stress
Quality of life
Influence
