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目的探讨护理干预对乳腺癌患者改良根治术后临床疗效和生活质量的影响。方法选取2014年1月至2015年8月间陕西省肿瘤医院收治的90例乳腺癌改良根治术患者,采用随机数字表法随机分为对照组和观察组,每组45例。对照组采用常规护理,观察组采用护理干预。采用焦虑量表评分(SAS)和抑郁量表评分(SDS),观察和比较两组患者护理前后SAS、SDS、术后疼痛控制和手术后并发症发生率。结果观察组患者护理后SAS和SDS评分明显降低,与对照组比较,差异有统计学意义(P<0.05)。观察组患者手术后疼痛明显缓解,与对照组比较,差异有统计学意义(P<0.05)。观察组患者手术后并发症发生率显著降低,与对照组比较,差异有统计学意义(P<0.05)。结论护理干预能够明显改善患者负面情绪,有效缓解手术后疼痛,降低手术后并发症发生率。
Objective To investigate the effect of nursing intervention on the clinical efficacy and quality of life after modified radical mastectomy in patients with breast cancer. Methods Totally 90 patients with modified radical mastectomy admitted from Shaanxi Provincial Tumor Hospital from January 2014 to August 2015 were randomly divided into control group and observation group with 45 cases in each group. The control group used routine nursing, the observation group used nursing intervention. The anxiety scale (SAS) and depression scale (SDS) were used to observe and compare SAS, SDS, postoperative pain control and postoperative complications in two groups before and after nursing. Results The score of SAS and SDS in the observation group was significantly lower than that in the control group, the difference was statistically significant (P <0.05). The pain relief in the observation group was significantly relieved after operation, the difference was statistically significant (P <0.05) compared with the control group. The incidence of postoperative complications in the observation group was significantly lower than that in the control group (P <0.05). Conclusion Nursing intervention can significantly improve the negative emotions of patients, effectively relieve postoperative pain and reduce the incidence of postoperative complications.