[摘要]目的：探究系统性护理干预对乳腺微创旋切术患者心理状态及康复情况的影响。方法：将120例接受乳腺微创旋切术治疗的患者随机分为观察组（60例）和对照组（60例）。对照组采用常规护理干预，观察组采用系统性护理干预。比较两组患者术后疼痛、心理状态、并发症发生情况及对护理的满意度。结果：观察组护理满意度96.67%显著高于对照组的80.00%，观察组并发症发生率6.67%显著低于对照组的30.00%，差异有统计学意义（P<0.05）。观察组术后2h、6h、12h、24h的疼痛数字等级评定量表（Numerical rating scale，NRS）评分低于对照组，且观察组抑郁自评量表（Self-rating depression scale，SDS）评分、焦虑自评量表（Self-rating anxiety scale，SAS）评分均低于对照组，依从性评分显著高于对照组，差异有统计学意义（P<0.05）。结论：系统性护理干预在乳腺微创旋切术中应用效果良好，可有效降低并发症发生率，减轻患者疼痛及负性心理，提高其依从性及护理满意度，值得临床推广应用。

[关键词]系统性护理干预;乳腺微创旋切术;乳腺良性肿物;疼痛;抑郁;焦虑

Abstract： Objective  To explore the effect of systematic nursing intervention on psychology and rehabilitation of patients undergoing breast minimally invasive atherectomy. Methods  120 patients undergoing breast minimally invasive atherectomy were randomly divided into the observation group （60 cases） and the control group （60 cases）. The control group was treated with routine nursing intervention， and the observation group was treated with systematic nursing intervention. The postoperative pain， psychological state， complications and nursing satisfaction were compared between the two groups. Results  The nursing satisfaction rate of the observation group was 96.67%， which was significantly higher than that of the control group（80.00%）， the difference was statistically significant（P<0.05）. The complication rate of the observation group was 6.67%， which was significantly lower than that of the control group（30.00%， P<0.05）. The NRS score of the observation group was lower than that of the control group at 2h， 6h， 12h and 24h after operation（P<0.05）. The scores of SDS and SAS of the observation group were lower than those of the control group， and compliance score was significantly higher than that of the control group（P<0.05）. Conclusion  Systematic nursing intervention model has good effect in patients with breast tumor undergoing breast minimally invasive atherectomy. It can effectively reduce the incidence of complications， relieve pain and negative psychology of patients， improve their compliance and nursing satisfaction，which is worthy for clinical promotion.

Key words： systematic nursing intervention; breast minimally invasive atherectomy; breast benign tumor; pain; depression; anxiety

乳腺良性腫物为常见的乳腺良性病变之一，临床主要治疗方式为手术切除[1]，女性对乳腺方面手术顾虑多、心理负担重，提高了护理难度还可能影响手术效果。国内外多项研究表明乳腺微创旋切术对3cm以下乳腺病灶切除效果良好[2-3]，但作为一种较新术式，其临床护理方案尚在探索中。系统性护理干预是一种较为完善且系统化的护理，也是循证护理的重要组成部分，可从心理、营养、认知、疼痛等方面进行系统性、全面性干预，在甲状腺等多种手术治疗中均有良好应用[4-7]，在乳腺微创旋切术中的应用较少。因此本研究对笔者医院120例行乳腺微创旋切术治疗的患者进行研究，旨在为优化乳腺微创旋切术的护理服务及结局提供新依据，现将结果整理报道如下。

1  资料和方法

1.1 一般资料：经医院医学伦理委员会审核通过后，收集入组患者共120例，均为2016年10月-2018年10月在笔者医院进行乳腺微创旋切术治疗的乳腺良性肿物患者（均为女性），按照奇偶数随机法分为观察组及对照组，每组各60例。……