持续早期综合护理干预对MAC30阳性老年乳腺癌患者术后心理和生存质量的影响

摘要

Objective:To investigate the effects of continuous early comprehensive nursing intervention on the psy-chological and quality of life of elderly patients with meningioma associated protein(MAC30)positive breast cancer. Methods:From September 2011 to December 2016,160 cases MAC30 positive breast cancer in the elderly patients after operation in our hospital were selected as the research object. All the patients were divided into observation group and control group with 80 cases in each group randomly. The control group was given routine nursing,the observation group was given actively continuous early comprehensive nursing intervention,two groups' nursing observation times were 3 months. Results:There were no statistical significance compared in the activity of shoulder joint before nursing in the two groups(P > 0. 05),and were significantly higher after nursing(P < 0. 05),and the observation group was significantly higher than the control group(P < 0. 05). The psychological status scores after nursing in the observation group and the control group were (14. 39 ± 2. 22)points and (19. 30 ± 3. 19)points that were significantly lower than those before treatment of (31. 28 ± 4. 29)points and (32. 00 ± 3. 89)points(P < 0. 05),and the observation group was lower than those of control group after nursing(P < 0. 05). The scores of overall health,pain,body image and future outlook in the observation group after nursing were significantly lower than those of the control group(P <0. 05). Conclusion:The application of continuous early comprehensive nursing intervention in patients with MAC30 positive breast cancer after operation can improve the shoulder mobility and improve the psychological status of pa-tients with breast cancer,so as to improve the quality of life.%目的:探讨持续早期综合护理干预对脑膜瘤相关蛋白(MAC30)阳性老年乳腺癌患者术后心理和生存质量的影响.方法:2011年9月到2016年12月选择在我院诊治的MAC30阳性老年乳腺癌术后患者160例作为研究对象,根据随机数字表法分为观察组与对照组各持续早期综合护理干预,两组护理观察时间为3个月.结果:两组护理前肩关节活动度对比差异无统计学意义(P>0.05),护理后都呈现明显上升的趋势(P<0.05),护理后,在肩关节的活动度方面,观察组比对照组明显要高(P<0.05).观察组与对照组护理后的心理状况评分为(14.39±2.22)分和(19.30±3.19)分,都明80例,对照组给予常规护理,观察组给予积极地显低于护理前的(31.28±4.29)分和(32.00±3.89)分(P<0.05),护理后对比两组患者心理状况的评分,观察组比对照组明显要低(P<0.05).护理后,观察组患者的整体健康状况、疼痛、身体形象、未来前景等评分都明显低于对照组(P<0.05).结论:持续早期综合护理干预在MAC30阳性老年乳腺癌患者术后的应用能提高患者的肩关节活动度,改善心理状况,从而有利于生存质量的提高.