柘磊

[摘要] 目的 研究乳腺癌根治术后实施循证护理干预对其术后生活质量的影响。方法 整群选取88例经诊断确定为乳腺癌患者，随机分为两组。44例患者给予普通常规护理，为对照组。另44例给予循证护理干预，为实验组。经护理，对比两组护理效果、并发症发生几率及患者护理满意度。结果 经护理一段时间后，实验组患者满意度为98.3%，明显高于对照组患者满意度77.1%；实验组患者并发症发生率为20.46%，明显低于对照组40.90%；实验组物质生活、机体健康等评分高于对照组，抑郁指数评分低于对照组。差异有统计学意义，P<0.05。结论 对乳腺癌根治术后患者实施循证护理干预模式，可有效降低并发症的发生几率，有效提高患者物质生活、机体健康程度，降低患者内心抑郁指数，护理效果明显。患者满意程度高，值得临床广泛推广。

[关键词] 乳腺癌根治术；循证护理；护理效果

[中图分类号] R473.73 [文献标识码] A [文章编号] 1674-0742（2015）06（c）-0154-02

[Abstract] Objective To study the effect of evidence-based nursing intervention on the quality of life in patients after radical mastectomy. Methods 88 cases diagnosed with breast cancer confirmedly were selected and randomly divided into two groups. 44 cases in the control group were given the general conventional nursing， and other 44 cases in the experimental group were given the evidence-based nursing intervention. After nursing， the nursing effect， incidence of complications and level of patient satisfaction with nursing were compared between the two groups. Results After a period of care， the level of patient satisfaction with nursing was much higher in the experimental group than that in the control group（98.3% vs 77.1%）， the incidence of complications was obviously lower in the experimental group than that in the control group（20.46% vs 40.90%）， the material life and body health scores were higher while the SDS scores were lower in the experimental group than those in the control group， all with statistical significant difference， P<0.05. Conclusion For patients after radical mastectomy， evidence-based nursing intervention can effectively reduce the incidence of complications， improve the level of material life and body health， decrease the degree of depression with significant nursing efficacy and high level of patient satisfaction with nursing， so it is worthy of wide clinical promotion.

[Key words] Radical mastectomy； Evidence-based nursing； Nursing effect

作为妇科常见疾病，乳腺癌长期困扰着广大病患的身心及生命健康[1]。手术治疗是目前乳腺癌主流治疗方案，手术对广大爱美女性造成的心灵创伤是临床加强狐狸的前提之一[2]。良好的护理对策可提高临床疗效，改善患者预后。该研究在2014年1—9月期间为对乳腺癌根治术后患者实施循证护理干预模式的护理效果进行了深入分析，现报道如下。

1 资料与方法

1.1 一般资料

该研究对象整群选自该院2014年1—9月收治的乳腺癌住院患者88例。88例乳腺癌患者均实施手术方法进行肿瘤根除。对照组患者年龄26～72岁，平均年龄为（45.1±3.5）岁，患者平均接受教育（8.7±2.6）年。实验组患者年龄27～73岁，平均年龄为（44.2±4.6）岁，患者平均接受教育（9.5±2.3）年。两组基线资料对比，差异无统计学意义，具有可比性。

1.2 方法

患者均实施手术方法进行肿瘤根除。……