循证护理对乳腺癌保乳手术患者情绪及生活质量影响.docVIP

循证护理对乳腺癌保乳手术患者情绪及生活质量影响 　　[摘要] 目的 探讨循证护理对行乳腺癌保乳手术围术期患者的情绪及生活质量的影响。 方法 选择2013年1月～2014年12月在四川省精神卫生中心接受保乳手术的乳腺癌患者72例作为研究对象，随机分为常规护理组和循证护理组，每组各36例，比较两组患者治疗前后焦虑自评量表（SAS）、抑郁自评量表（SDS）及生活质量评价量表（SF-38）各项评分。 结果 两组患者护理后焦虑、抑郁情绪及生活质量均较护理前有所改善，循证护理组改善程度优于常规护理组，差异有统计学意义（P 0.05）。且循证组术后并发症发生率及住院时间均低于常规护理组，差异有统计学意义（P 0.05）。 结论 乳腺癌行保乳手术患者围术期实施循证护理可有效改善患者负性情绪，提高生活质量，降低并发症发生率及缩短住院时间，值得临床推广应用。 　　[关键词] 循证护理；乳腺癌；保乳手术；负性情绪 　　[中图分类号] R473.73 [文献标识码] A [文章编号] 1673-7210（2016）06（a）-0168-05 　　[Abstract] Objective To investigate the influence of evidence-based nursing on the emotion and the quality of life for breast-conserving therapy in breast cancer. Methods From January 2013 to December 2014， 72 patients under breast-conserving surgery in Sichuan Mental Health Center were selected and randomly divided into conventional group （given usual care） and evidence-based group （line of evidence-based care）， the Self-rating Anxiety Scale （SAS） scores， Self-rating Depression Scale （SDS） scores and the health survey questionnaire （SF-38） scores were compared before and after treatment between two groups. Results The SAS， SDS and SF-38 in evidence-based nursing group improved better than those in conventional nursing group， the difference was significant between two groups （P 0.05）. The complication rate and hospitalization time in evidence-based group were lower than those in routine nursing group， the difference was significant between two groups （P 0.05）. Conclusion Evidence-based nursing can improve the negtive emotion and quality of life of breast conserving surgery patients， and help to reduce the incidence of complications and length of stay， whivh is worthy of clinical application. 　　[Key words] Evidence-based nursing； Breast cancer； Breast-conserving surgery； Negative emotions； Quality of life 　　研究显示，乳腺癌严重威胁妇女生命健康，在全世界及我国，其死亡率均位居女性恶性肿瘤之前列[1-2]。虽然乳腺癌的治疗已进入到了一个以生物学特征为指导的多学科综合治疗时代，但外科手术一直是治疗乳腺癌的的主要手段[3]。同时，由于乳房在女性体型和性功能中的特殊意义，手术造成的乳房缺失及治疗带来的躯体不适使乳腺癌患者的情绪发生率明显高于其他癌症[4-5]。 　　为避免毁形给患者带来的心理创