张海萍

摘要  目的：分析在乳腺癌手术治疗中应用个性化护理干预方法对患者睡眠质量的影响。方法：选取2015年2月至2017年2月郑州大学附属洛阳中心医院开展乳腺癌手术治疗的患者108例，对患者临床资料进行回顾性分析，按双盲法随机将其分为对照组和观察组，每组54例，对照组应用一般护理方法，观察组应用个性化护理干预方法，比较2组患者的睡眠质量、负性情绪。结果：观察组的睡眠质量评分均低于对照组，差异有统计学意义（ P <0.05）;观察组的负性情绪均低于对照组，差异有统计学意义（ P <0.05）。结论：在乳腺癌患者护理中应用个性化护理干预方法，在改善患者睡眠质量方面具有积极的作用，并有效的缓解了患者的负性情绪和疼痛，临床应用价值较高。

关键词  个性化护理干预;乳腺癌手术;睡眠质量

中图分类号：R473.73 文献标识码：A  doi： 10.3969/j.issn.2095-7130.2018.10.042

Study on the Application of Protective Psychological Nursing and Sleep Guidance  in the Clinical Nursing of Patients After Breast Cancer Surgery

Zhang Haiping

（Luoyang Central Hospital Affiliated to Zhengzhou University，Luoyang，471000）

Abstract Objective： To analyze the effect of personalized nursing intervention on the quality of sleep in patients undergoing breast cancer surgery. Methods： A total of 108 cases of patients after breast cancer surgery start from February 2015 to February 2017 were divided into control group and observation group according to double blind randomization methods，with 54 cases in each group.The control group were given common nursing methods and the observation group given individualized nursing intervention methods.The sleep quality and negative emotions of the two groups were compared. Results： The sleep quality scores of the nursing group were lower than control group，the difference was statistically significant（ P <0.05）.The negative emotions of the observation group were lower than the control group，the difference was statistically significant（ P <0.05）. Conclusion： The application of individualized nursing intervention method in the nursing of breast cancer patients plays an active role in improving the quality sleep and could effectively relieves the patient′s negative emotions and pain.It is worthy of the clinical using.

Key Words  Personalized nursing intervention; Breast cancer surgery; Sleep quality

乳腺癌作為当前治疗中常见的疾病类型，对患者的身心健康危害较大。临床治疗中以手术治疗方法为主，但由于手术会对患者带来的创伤较大，极易引发应激反应，加之术后患者乳房切除，在心理方面也有沉重的压力，造成情绪低下，心态消极。一定程度上心理方面过重的负担会对患者的恢复带来不利影响，严重影响患者的睡眠，不利于治疗效果的提升。本文就个性化护理干预方法的应用进行分析，现将结果报道如下。

1 资料与方法

1.1 一般资料 选取2015年2月至2017年2月郑州大学附属洛阳中心医院开展乳腺癌手术治疗的患者108例，对患者临床资料进行回顾性分析，按双盲法随机将其分为对照组和观察组，每组54例。对照组年龄29～68岁，平均年龄（48.5±3.6）岁，临床分期：Ⅰ期23例、Ⅱ期21例、Ⅲ期10例;观察组中年龄27～68岁，平均年龄（47.5±3.1）岁，临床分期：Ⅰ期24例、Ⅱ期18例、Ⅲ期12例。对2组患者资料进行统计学分析，年龄、分期差异无统计学意义（ P >0.05），具有可比性。对……