Study on the influence of comprehensive nursing on the quality of life of breast cancer patients undergoing surgery
综合护理在乳腺癌手术患者护理中对其生存质量的影响研究

摘要

目的 本文研究乳腺癌手术患者的护理，针对临床应用综合护理对患者的生存质量影响效果予以分析。方法 随机选取近年在本院进行乳腺癌手术治疗的患者，将2023年1月-12月一年中86例展开研究调查，根据患者手术时间顺序分组护理，43例患者接受常规护理，设为常规组，另外43例患者应用综合护理，设为综合组，对比观察患者干预后的生存质量、护理前后心理状态及术后康复效果、并发症等情况。结果 经对2组患者护理干预，以SF-36测评生存质量（社会功能、生理功能、躯体功能、物质生活），综合组上述四项功能评分，相较常规组患者均明显更高，（p＜0.05）；根据护理前测评患者心理状态，SAS评分和SDS评分相较无显著区别，（p＞0.05），再护理后2组患者均呈现改善趋势，综合组患者心理两项评分更优于对照组，（p＜0.05）；综合组患者的切口愈合时间、住院时间更比常规组短，（p＜0.05）；术后并发症（切口出血、切口感染、皮下积液）统计，综合组发生率4.65%较常规组发生率25.58%低，（p＜0.05）。结论 对于乳腺癌手术患者的临床护理，予以综合护理对患者生存质量具有积极改善影响，利于患者术后尽快康复，预防其并发症，值得推广。

Abstract

Objective To study the nursing care of breast cancer patients undergoing surgery, and analyze the effect of clinical application of comprehensive nursing care on the quality of life of patients.
Methods Randomly select the patients who have undergone surgery for breast cancer in our hospital in recent years, and carry out research and investigation on 86 cases in the year from January 2023.01 to December 2023.01. According to the sequence of patients' surgery, 43 patients received routine care, which was set as the routine group, and 43 patients applied comprehensive care, which was set as the comprehensive group. Compare and observe the quality of life of patients after intervention, psychological status before and after nursing, postoperative rehabilitation effect, complications and other conditions.
Results After nursing intervention on two groups of patients, SF-36 was used to evaluate the quality of life (social function, physiological function, physical function, and material life). The comprehensive scores of the above four functions in the group were significantly higher than those in the control group (p<0.05); According to the pre nursing evaluation of the patient's psychological status, there was no significant difference between SAS score and SDS score (p>0.05). After renusing, both groups of patients showed an improvement trend, and the comprehensive group of patients had better psychological scores than the control group (p<0.05); The incision healing time and hospitalization time of patients in the comprehensive group were shorter than those in the conventional group (p<0.05); The incidence of postoperative complications (incision bleeding, incision infection, subcutaneous fluid accumulation) in the comprehensive group was 4.65%, which was lower than the incidence of 25.58% in the conventional group (p<0.05).
Conclusion   For the clinical nursing of breast cancer patients undergoing surgery, comprehensive nursing has a positive impact on the quality of life of patients, which is conducive to the patients' recovery as soon as possible after surgery and the prevention of complications. It is worth promoting.