Clinical analysis of holistic nursing in patients undergoing breast surgery
整体护理应用于乳腺外科手术患者中的临床分析

摘要

目的 对接受乳腺外科手术患者实施整体护理，观察护理效果，总结护理临床价值。方法 选取本院2020年1月-2021年1月期间收治的接受乳腺外科手术患者126例，按照随机原则分组，每组63例，对照组给予常规护理，观察组实施整体护理，采用汉密尔顿抑郁量表（HAMD）及焦虑量表（HAMA）评价两组患者护理前后的心理状态，统计并比较两组术后并发症发生率。结果 护理前两组HAMD、HAMA得分基本一致，差异无统计学意义（P>0.05）；护理后两组HAMD、HAMA得分均下降，观察组各量表得分低于对照组（P<0.05）。观察组术后并发症发生率为4.76%，对照组为17.46%，两组差异有统计学意义（P<0.05）。结论 整体护理应用于接受乳腺外科手术患者的护理中，可显著改善病人的不良情绪，降低术后并发症风险，这对保障患者顺利接受手术并术后更快康复有积极意义，建议推广应用。

Abstract

Objective To implement holistic nursing for patients undergoing breast surgery, observe the nursing effect and summarize the clinical value of nursing.
Methods: Selection in our hospital in January 2020 - January 2021 admitted during the period of the patients undergoing breast surgery in 126 cases, in accordance with the principle of random grouping, each group of 63 cases, control group given routine nursing care, observation group to implement the overall care, the Hamilton depression rating scale (HAMD) and anxiety scale (HAMA) evaluation of psychological state before and after the two groups of patient care, The incidence of postoperative complications was compared between the two groups.
Results: Before nursing, the scores of HAMD and HAMA in the two groups were basically the same, with no statistical significance (P>0.05). After nursing, the scores of HAMD and HAMA in the two groups decreased, and the scores of each scale in the observation group were lower than those in the control group (P<0.05). The incidence of postoperative complications was 4.76% in the observation group and 17.46% in the control group, and the difference was statistically significant (P<0.05).
Conclusion  : Holistic nursing can significantly improve patients' bad mood and reduce the risk of postoperative complications in nursing patients undergoing breast surgery, which is of positive significance to ensure patients to receive surgery smoothly and recover faster after surgery. It is suggested to be popularized.