延续护理管理对患者术后功能恢复情况的影响分析

作者:未知

  [摘要] 目的 分析乳腺癌患者术后实施延续护理管理对功能恢复的影响。方法 选取2016年7月—2018年7月该院收治的78例乳腺癌患者,随机分为研究组和对照组,对照组予以常规随访护理管理,研究组则实施延续护理管理,统计管理效果。结果 研究组患者的乳腺癌术后自我管理知识掌握率达到了94.87%,较对照组76.92%的健康知识掌握率明显提高(P<0.05);研究组各角度肩关节活动度指标均较对照组显著改善(P<0.05);研究组患者在功能训练、导管维护、按时复查、化疗周期完成方面的乳腺癌术后延续管理遵医率分别为87.18%、92.31%、94.87%、100.00%,优于对照组(P<0.05)。结论 延续护理管理应用于乳腺癌患者,有效促进了术后上肢功能恢复,提高了患者疾病自我管理知识掌握度及遵医行为,值得推广。
  [关键词] 延续管理;护理管理;乳腺癌;功能恢复;遵医行为
  [中图分类号] R47 [文献标识码] A [文章编号] 1672-5654(2019)11(c)-0074-03
  [Abstract] Objective To analyze the effect of continuous nursing management on functional recovery in patients with breast cancer. Methods 78 breast cancer patients admitted to the hospital from July 2016 to July 2018 were randomly divided into study group and control group. The control group received routine follow-up care management. The study group implemented continuous nursing management and statistical management effects. Results The self-management knowledge of breast cancer patients in the study group reached 94.87%, which was significantly higher than that of the control group (76.92%) (P<0.05). The shoulder joint activity index of the study group was compared with the control. Significant improvement in the group(P<0.05); the compliance rate of breast cancer postoperative management in the study group in terms of functional training, catheter maintenance, on-time review, and completion of chemotherapy cycle were 87.18%, 92.31%, 94.87%, and 100.00%, respectively, better than the control group(P<0.05). Conclusion Continuing nursing management is applied to breast cancer patients, which effectively promotes the recovery of postoperative upper limb function, improves the patient's disease self-management knowledge and compliance behavior, and is worthy of promotion.
  [Key words] Continuation management; Nursing management; Breast cancer; Functional recovery; Compliance behavior
   乳腺癌術后化疗患者需带管回家,由于患者缺乏导管维护知识,易影响遵医行为,甚至引发经皮外周静脉穿刺植入中心静脉置管(PICC)相关并发症。此外乳腺癌术后还会产生患肢功能受限、身体外形改变等变化,加之治疗期间的不良反应,患者往往承受着巨大的身心压力,对患者康复造成了严重的影响[1]。院外是乳腺癌患者康复的重要场所,因此加强对乳腺癌术后患者的延续管理,促进其社会、心理、生理功能的康复,对于患者病情及生活质量改善具有重要意义。该次研究选取了2016年7月—2018年7月期间该院收治的78例乳腺癌患者为研究对象,进一步探讨了延续管理的应用效果,现报道如下。
  1  资料与方法
  1.1  一般资料
   选取该院收治的78例乳腺癌患者为研究对象,随机分为研究组和对照组,各39例,研究组患者年龄介于29~65岁,平均(47.84±3.56)岁,学历:初中及以下6例,高中13例,大专及以上20例;对照组患者年龄介于28~64岁,平均(46.23±3.62)岁,学历:初中及以下7例,高中11例,大专及以上21例,所有患者及家属均对研究完全知情同意,所有患者均为女性,所有患者出院前均恢复良好达出院标准,但需排除合并精神疾病影响正常交流沟通的患者,排除合并心、肾等重要脏器疾病的患者,该次研究取得了伦理委员会批准,两组患者年龄、学历等一般资料比较,差异无统计学意义(P>0.05)。
转载注明来源:https://www.xzbu.com/1/view-15088622.htm

服务推荐