陈晓 陈述政 金肖 甘春红 吴伟东

[摘要] 目的 探讨综合护理干预对乳腺癌患者康复的影响。 方法 选取2014年12月～2015年12月本院收治的乳腺癌患者60例，按照随机数字原则，分为对照组和实验组，各30例，对照组采取常规护理，实验组则在常规护理的基础上进行综合护理干预，然后比较两组患者的疲乏状况、焦虑抑郁情况及睡眠情况。 结果 实验组患者的疲乏程度显著低于对照组（P<0.05），实施护理之后两组患者的焦虑和抑郁状况都有所缓解，实验组患者显著低于对照组（P<0.05）。乳腺癌患者常见的症状是失眠，干预前，实验组和对照组睡眠质量比较无统计学差异（P>0.05），干预后，两组患者的睡眠质量均有提高，实验组患者的睡眠质量明显优于对照组（P<0.05）。 结论 对乳腺癌患者采用综合护理干预措施，可以显著提高患者的生活质量，加快患者的康复，在临床上值得推广应用。

[关键词] 综合护理；乳腺癌；疲乏；焦虑；抑郁

[中图分类号] R47 [文献标识码] B [文章编号] 1673-9701（2016）09-0144-04

[Abstract] Objective To discuss the effect of comprehensive nursing intervention on rehabilitation of patients with breast cancer. Methods 60 patients with breast cancer treated in our hospital from December 2014 to December 2015 were selected and randomly divided into the control group and the study group， each with 30 patients. Patients in the control group were given routine nursing， while patients in the study group were additionally given comprehensive nursing intervention. The condition of fatigue， anxiety and depression， and sleep quality were compared between two groups. Results The condition of fatigue of patients in the study group was significantly lower than that in the control group（P<0.05）. Anxiety and depression were relieved in both groups after nursing， and were significantly lower in the study group than that in the control group（P<0.05）. As to the most common symptom in patients with breast cancer， there was no significant difference in insomnia before intervention（P>0.05）， while after intervention， the sleep quality was improved in both groups， and was significantly superior in the study group than that in the control group（P<0.05）. Conclusion Comprehensive nursing intervention can significantly improve the life quality of patients with breast cancer and facilitate rehabilitation of patients， thus is worthy to be promoted in clinical practice.

[Key words] Comprehensive nursing； Breast cancer； Fatigue； Anxiety； Depression

乳腺癌作为临床上最常见的肿瘤之一，目前在我国发病率趋势呈逐年上升[1]。术后放疗仍是治疗癌症显著有效的方法，由于根治乳腺癌，需要切除患者乳腺、胸小肌、胸大肌和腋窝淋巴结以及结缔组织，切除范围比较广，所以常会给患者造成不同程度的上肢功能障碍等并发症[2]，因此在患者生理和心理上产生一些负性影响。随着医学的发展，医疗科技的进步以及人们的生活水平的提高，护理模式也在一步一步探讨中不断改进，不断完善[3，4]。随着乳腺癌逐年增多，其在生存期的需求虽然得到了满足，但是其生活质量仍是护理人员需要高度关注的一个问题，护理人员在护理过程中不仅要注意患者疾病的治疗情况，还要时刻关注患者的心理状况，并为解决实际问题提供切实有效的措施，使患者尽快地适应自己形象的改变，保持和谐的生活，促进家庭的幸福。……