全乳房切除术患者手术围术期进行个性化护理干预.docxVIP

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摘要

在全乳房切除术患者的围术期进行个性化护理干预，对比观察对照组和试验组患者幸福感和生命意义感的差距。方法：选用便利抽样选取2022年1-12月某市某三甲医院乳腺外科的准备进行全乳房切除术的患者，划分1-6月患者组成对照组，7-12月患者组成试验组，各组患者为40例，样本总量为80例。对照组应用常规护理措施，试验组应用围手术期个性化护理干预措施，主要以预防淋巴水肿，个性化心理护理，思维导图式健康教育为主，对两组研究对象的主观幸福感分数、生命意义感分数变化进行比较。结果：在“主观幸福感”、“接受与适应”、人际关系”、“自我控制”、“生活目标”、“生活态度”等六个维度比较。结果是在以上的维度中试验组的得分都比对照组的得分高。结论：对全乳房切除术患者手术围术期进行个性化护理干预，可提升患者的术后幸福感和生命意义感。?

关键词：围术期；个性化护理；全乳房切除术；幸福感；生命意义感

ABSTRACT

Intheperioperativeperiodofpatientswithtotalmastectomy,personalizednursinginterventionwascarriedouttocompareandobservethedifferencebetweenthecontrolgroupandtheexperimentalgroupinthesenseofhappinessandsenseofmeaningoflife.Methods:Conveniencesamplingwasusedtoselectthepatientswhowerereadyfortotalmastectomyinthebreastsurgerydepartmentofathird-gradeAhospitalinacityfromJanuarytoDecember2022,andthepatientsweredividedintothecontrolgroupfromJanuarytoJune,andtheexperimentalgroupfromJulytoDecember,with40patientsineachgroupandatotalof80samples.Thecontrolgroupwastreatedwithroutinenursingmeasures,andtheexperimentalgroupwastreatedwithperioperativepersonalizednursinginterventions,mainlyfocusingonlymphedemaprevention,personalizedpsychologicalnursing,andmindguidehealtheducation.Thechangesofsubjectivewell-beingscoresandsenseofmeaningoflifescoresofthetwogroupswerecompared.Results:Sixdimensionsofsubjectivewell-being,acceptanceandadaptation,interpersonalrelationship,self-control,lifegoalandlifeattitudewerecompared.Itturnsoutthatthecontrolgroupscoredlowerthanthetestgrouponallofthesedimensions.Conclusion:Individualizednursinginterventioninperioperativeperiodoftotalmastectomycanimprovepatientspostoperativehappinessandsenseoflifemeaning.

Keywords:perioperative;personalizedcare;totalmastectomy;Happiness;Meaningoflife

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目录

第1章试验背