FTS护理对乳腺癌改良根治术患者负性情绪及术后康复效果的影响

摘要

目的 探讨快速康复外科(fast track surgery,FTS)护理对乳腺癌改良根治术患者负性情绪及术后康复效果的影响.方法 选取2016-05至2018-03收治的72例行乳腺癌改良根治术的患者,随机分成对照组和观察组,每组36例.对照组给予常规外科护理,研究组给予FTS护理,对比分析两组患者的临床护理干预效果.结果 观察组与对照组术后并发症发生率分别为8.33％与27.78％,差异具有统计学意义(P ＜0.05).观察组与对照组入院时焦虑评分与抑郁评分比较无统计学差异(P＞ 0.05),但出院时观察组的焦虑评分、抑郁评分明显比对照组低,且差异具有统计学意义(P ＜0.01).两组患者术前入睡困难人数及住院时间相比较,观察组均少于对照组,差异具有统计学意义(P ＜0.05).结论 FTS护理应用于行改良根治术治疗的乳腺癌患者不仅能够减少患者术后并发症的发生,而且可以缓解患者负性情绪促进患者术后康复.%Objective To explore the effect of fast track surgery (FTS) nursing on negative emotions and postoperative rehabilitation of patients undergoing modified radical mastectomy. Methods Seventy-two patients undergoing modified radical mastectomy between May 2016 and March 2018 were selected and randomly divided into the control group and observation group, with 36 patients in each group. Results The incidence of postoperative complications in the observation group and the control group was respectively8. 33％ and 27. 78％, with statistically significant difference (P ＜ 0. 05). There was no significant difference in anxiety and depression scores between the two groups on admission, but the anxiety and depression scores of the observation group upon discharge were significantly lower than those of the control group, and the difference was statistically significant (P ＜ 0. 01). The number of patients with difficulty in falling asleep before surgery and the length of hospital stay in the observation group were smaller or shorter than those of the control group, and the difference was statistically significant (P ＜ 0. 05). Conclusions FTS nursing can not only reduce the occurrence of postoperative complications in patients with breast cancer treated by modified radical surgery, but also alleviate the negative emotions in patients and promote postoperative rehabilitation.