摘要
目的:探讨支持性心理护理与康复护理联合应用于乳腺癌根治术术后感染患者中的临床价值,为临床护理提供依据。方法:选取2019年12月—2021年7月佳木斯市肿瘤医院收治的84例乳腺癌患者作为研究对象,依据随机分组法将入选患者分为参照组和联合组,每组各42例。参照组实施常规护理,联合组在常规护理基础上实施支持性心理护理联合康复护理干预。比较两组患者心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)评分]、炎症因子水平[C反应蛋白(CRP)、白细胞介素-6(IL-6)、肿瘤坏死因子(TNF-α)]及术后并发症发生情况。结果:干预前,两组患者SAS、SDS评分比较,差异无统计学意义(t=0.013、0.028,P>0.05);干预后,两组患者SAS、SDS评分均明显低于干预前,且联合组明显低于参照组,差异有统计学意义(t=7.511、4.246,P<0.05)。干预前,两组患者炎症因子水平指标比较,差异无统计学意义(t=0.028、0.252、0.181,P>0.05);干预后,两组患者IL-6、TNF-α、CRP水平均明显低于干预前,且联合组明显低于参照组,差异有统计学意义(t=12.959、13.638、14.287,P<0.05)。联合组患者并发症发生率为7.14%,明显低于参照组的35.71%,差异有统计学意义(χ^(2)=10.182,P<0.05)。结论:支持性心理护理联合康复护理在乳腺癌根治术术后感染患者中应用具有理想的干预效果,可显著改善患者的心理状态,抑制炎症因子水平,降低并发症发生率。
Objective:To explore the clinical value of supportive psychological nursing combined with rehabilitation nursing in patients with postoperative infection after radical mastectomy for breast cancer.Methods:84 breast cancer patients admitted to the hospital from December 2019 to July 2021 were selected for the study,and the enrolled patients were divided into a reference group and a combined group based on the random grouping method,with 42 cases in each group.The reference group implemented conventional care,and the joint group implemented supportive psychological care combined with rehabilitation nursing intervention on the basis of conventional care.The psychological status(anxiety self-assessment scale[SAS]and depression self-assessment scale[SDS]scores),inflammatory factor levels(C-reactive protein[CRP],interleukin-6[IL-6],tumor necrosis factor[TNF-α])and the occurrence of postoperative complications were compared between the two groups.Results:Before the intervention,there was no statistically significant difference in SAS and SDS scores between the two groups(t=0.013,0.028,P<0.05).After the intervention,the SAS and SDS scores of patients in both groups were significantly lower than before the intervention,and the combined group was significantly lower than the reference group,with statistically significant differences(t=7.511,4.246,P<0.05).Before the intervention,there was no statistically significant difference in the indexes of inflammatory factor levels between the two groups of patients(t=0.028,0.252,0.181,P>0.05).After the intervention,the levels of IL-6,TNF-αand CRP were significantly lower in both groups than before the intervention,and were significantly lower in the combined group than in the reference group,with statistically significant differences(t=2.959,13.638,14.287,P<0.05).The complication rate in the combined group was 7.14%,which was significantly lower than 35.71%in the reference group,and the difference was statistically significant(χ^(2)=10.182,P<0.05).Conclusion:The application of supportive psychological care combined with rehabilitation care in patients with postoperative infection after radical mastectomy for breast cancer has an ideal intervention effect,which can significantly improve patients’psychological status,suppress the level of inflammatory factors and reduce the incidence of complications.
作者
陈淑娟
Chen Shujuan(Nursing Department,Jiamusi Tumor Hospital,Jiamusi,Heilongjiang,154007,China)
出处
《黑龙江医学》
2023年第18期2270-2272,共3页
Heilongjiang Medical Journal
关键词
支持性心理护理
康复护理
乳腺癌根治术
术后感染
炎症因子
并发症
Supportive psychological nursing
Rehabilitation nursing
Radical mastectomy for breast cancer
Postoperative infection
Inflammatory factors
Complications
