王莹

[摘要]目的 探讨人文关怀护理对乳腺癌围术期患者自我护理能力的影响。方法 选取我院2015年7月～2017年9月收治的126例乳腺癌患者，采用随机数字表法分为两组，每组各63例。研究组采取围术期人文关怀护理，对照组采取围术期常规护理，比较两组的自我护理能力和并发症发生情况。结果 实施干预后，研究组的自我责任感、自我概念、自我护理技能、健康知识水平评分及自我护理能力总分均高于对照组，差异有统计学意义（P<0.05）。研究组并发症总发生率为6.35%（4/63）低于对照组的19.05%（12/63），差异有统计学意义（P<0.05）。结论 对乳腺癌患者在围术期采取人文关怀护理，效果显著。

[关键词]乳腺癌;围术期;人文关怀;自我护理能力

[中图分类号] R473.71          [文献标识码] A          [文章编号] 1674-4721（2019）2（c）-0250-03

[Abstract] Objective To investigate the effect of humanistic care on the self-care ability of patients with breast cancer during perioperative period. Methods A total of 126 patients with breast cancer admitted to our hospital from July 2015 to September 2017 were enrolled. They were divided into two groups according to random number table method， 63 cases in each group. In study group， perioperative humanistic care was adopted， while in control group， perioperative regular nursing was used. The self-care ability and complications of the two groups were compared in the two groups. Results After the intervention， the scores of self-responsibility， self-concept， self-care skills， health knowledge and the total self-care ability of the study group were higher than those of the control group （P<0.05）. The total incidence of complications of the study group was 6.35% （4/63）， lower than that of the control group accounting for 19.05% （12/63）， with statistical significance （P<0.05）. Conclusion For patients with breast cancer， humanistic care adopted during the perioperative period can obtain a remarkable effect.

[Key words] Breast cancer; Perioperative period; Humanistic care; Self-care ability

據报道乳腺癌的发病率占恶性肿瘤的7%～10%，主要见于40～60岁的女性，属于目前发病率最高的女性恶性肿瘤[1]。目前治疗乳腺癌主要采取乳腺癌改良根治术，该手术在临床发展较为成熟，且效果较好，但术后患者存在较多的康复问题[2]。除了因手术造成的乳腺缺如、承担的经济负担、家庭问题等，自我形象紊乱也给患者的心理造成一定的负面影响[3]。有学者指出在乳腺癌术后，患者的自我护理能力跟预后康复有一定的关联[4]。本研究对乳腺癌围术期患者，实施人文关怀护理，取得了不错的效果，现报道如下。

1资料与方法

1.1一般资料

选取我院2015年7月～2017年9月收治的126例乳腺癌患者，均为女性，经病理切片确诊为乳腺癌且无远处转移，排除精神障碍患者、不愿意配合者、其他严重疾病的患者，所有患者均知晓并同意参与研究，本研究得到医院医学伦理委员会的许可。……