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目的:探讨延续性护理模式在改善手术治疗乳腺癌预后中的作用。方法:将84例行改良根治术后的乳腺癌患者按照随机数字表法分为延续组和对照组。对照组在患者出院后不予以任何护理服务,延续组实施延续性护理,比较两组生活质量评分、复发率和死亡率。结果:与干预前比较,干预后各维度生活质量评分延续组无显著性变化(P>0.05),而对照组评分均显著降低(P<0.05),且对照组评分均显著低于延续组(P<0.05);术后1、2年延续组的复发率(4.76%、11.90%)和死亡率(2.38%、7.14%)均明显低于对照组(复发率23.81%、45.24%,死亡率21.43%、40.48%),差异有统计学意义(P<0.05)。结论:延续性护理模式能够有效地阻止乳腺癌术后生活质量水平下降,还可显著改善乳腺癌预后。
Objective: To explore the role of continuous nursing model in improving the prognosis of surgical treatment of breast cancer. Methods: 84 patients with modified radical mastectomy were randomly divided into continuation group and control group. The patients in the control group were not given any nursing services after discharge, the continuation group to implement the continuity of care, quality of life scores were compared between the two groups, relapse rate and mortality. Results: Compared with those before the intervention, there was no significant change in quality of life extension score in all dimensions after intervention (P> 0.05), while the scores in control group were significantly decreased (P <0.05), and the scores in control group were significantly lower than those in continuation group P <0.05). The recurrence rates (4.76%, 11.90%) and mortality (2.38%, 7.14%) in the follow-up group were significantly lower than those in the control group (recurrence rate 23.81%, 45.24%, mortality rate 21.43%, 40.48%), the difference was statistically significant (P <0.05). Conclusion: The continuous nursing model can effectively prevent the postoperative quality of life of breast cancer decreased, but also significantly improve the prognosis of breast cancer.