摘要
目的:观察针对性护理干预对乳腺癌术后患肢淋巴水肿患者睡眠质量和护理满意度的影响。方法:选取2020年1月至2021年12月福建医科大学附属龙岩第一医院收治的手术治疗后发生患肢淋巴水肿的乳腺癌患者200例作为研究对象,按照随机数字表法分为观察组和对照组,每组100例。对照组患者给予常规护理干预,观察组患者给予针对性护理干预。采用匹兹堡睡眠质量指数(PSQI)比较2组患者干预前后睡眠质量的变化,采用我院自制的护理满意度调查量表比较2组患者护理满意度,并对比不同肿胀程度患肢护理前后双上肢周径差。结果:护理后,观察组重度水肿、中度水肿、轻度水肿患者双上肢周径差显著低于对照组(均P<0.05);观察组患者日间功能、催眠药物、睡眠障碍、睡眠效率、睡眠时间、入睡时间、PSQI评分显著低于对照组,观察组护理满意度显著高于对照组,2组比较差异均有统计学意义(均P<0.05)。结论:乳腺癌术后患肢淋巴水肿患者接受针对性护理干预能够取得显著治疗效果,患者患肢淋巴水肿以及睡眠质量均得到有效改善,患者护理满意度较高,临床应用价值显著。
Objective:To observe the effect of targeted nursing intervention on sleep quality and nursing satisfaction of patients with lymphedema after breast cancer surgery.Methods:A total of 200 breast cancer patients with limb lymphedema after surgical treatment admitted to Longyan First Hospital Affiliated to Fujian Medical University from January 2020 to December 2021 were selected as research objects and were divided into observation group and control group according to the random number table method,with 100 cases in each group.Control group patients were given routine nursing intervention,observation group patients were given targeted nursing intervention.Pittsburgh Sleep Quality Index(PSQI)scale was used to compare the change of sleep quality before and after intervention between two groups.Nursing satisfaction survey scale made by our hospital was used to compare the two groups of patients with nursing satisfaction,and the difference of upper limb circumference before and after nursing of affected limbs with different swelling degrees was compared.Results:After nursing,the circumference difference of both upper limbs in patients with severe edema,moderate edema and mild edema in observation group was significantly lower than the control group(P s<0.05).The daytime function,hypnotic drugs,sleep disorders,sleep efficiency,sleep time,sleep time and PSQI scores of the observation group were significantly lower than those of the control group,while the nursing satisfaction of the observation group was significantly higher than that of the control group,and the differences between the two groups were statistically significant(P s<0.05).Conclusion:Patients with lymphedema after breast cancer surgery receiving targeted nursing intervention can achieve significant therapeutic effects,patients with lymphedema and sleep quality have been effectively improved.Patient high nursing satisfaction is high,and clinical application value is significant.
作者
李冬华
彭长英
LI Donghua;PENG Changying(Longyan First Affiliated Hospital of Fujian Medical University,Longyan 364000,China)
出处
《世界睡眠医学杂志》
2022年第12期2446-2448,共3页
World Journal of Sleep Medicine
关键词
针对性护理
乳腺癌
患肢淋巴水肿
睡眠质量
护理满意度
Targeted nursing
Breast cancer
Lymphedema of affected limb
Sleep quality
Nursing satisfaction
