乳腺癌患者门诊手术后的术后护理及患者满意度

Post-operative care and patient satisfaction after ambulatory surgery for breast cancer patients.

作者信息

Marchal F, Dravet F, Classe J M, Campion L, François T, Labbe D, Robard S, Théard J L, Pioud R

机构信息

Department of Surgery, Centre Alexis Vautrin, Avenue de Bourgogne, 54511 Vandoeuvre lès Nancy, France.

出版信息

Eur J Surg Oncol. 2005 Jun;31(5):495-9. doi: 10.1016/j.ejso.2005.01.014.

DOI:10.1016/j.ejso.2005.01.014

PMID:15922885

Abstract

AIM

This study aimed to evaluate patient information provided, the management of post-operative symptoms and post-operative care, and patient satisfaction with ambulatory breast surgery over a 1-year period.

METHODS

From January to December 2000, all breast cancer patients undergoing conservative breast surgery were offered surgery as an outpatient procedure at the Ambulatory Surgery Unit.

RESULTS

Two hundred and thirty six patients underwent outpatient surgery. None were readmitted during the first night or the first week. Two hundred and nineteen patients completed a questionnaire. One hundred and sixty nine patients (group 1) underwent wide local excision (WLE) and 50 (group 2), WLE and axillary lymphadenectomy. Patients in group 2 experienced more pain at discharge from the hospital (p < or = 0.01) and during the first week after discharge (p < or = 0.00001) than patients in group 1. The mean overall satisfaction score was 8.97 on a scale of 1-10. Post-operative information provided by the surgeon before discharge from the hospital was rated 8.90 on a scale of 1-10 while information provided by the nurse was rated 9.33 (p < 0.0001).

CONCLUSION

Ambulatory surgery for breast cancer patients is safe and popular with patients, however, post-operative pain presents problem.

摘要

目的

本研究旨在评估在为期1年的时间里，所提供的患者信息、术后症状管理及术后护理，以及患者对非住院乳腺癌手术的满意度。

方法

2000年1月至12月，所有接受保乳手术的乳腺癌患者均在门诊手术单元接受门诊手术。

结果

236例患者接受了门诊手术。无一例在术后第一晚或第一周再次入院。219例患者完成了问卷调查。169例患者（第1组）接受了局部广泛切除（WLE），50例患者（第2组）接受了WLE及腋窝淋巴结清扫术。第2组患者在出院时（p≤0.01）及出院后第一周（p≤0.00001）比第1组患者经历了更多疼痛。总体满意度平均得分为8.97（满分10分）。外科医生在出院前提供的术后信息在1至10分的评分中得分为8.90，而护士提供的信息得分为9.33（p<0.0001）。