全程陪护角色扮演联合思维导图对乳腺癌手术患者的护理干预：一项随机试验。

Nursing intervention using a whole-process escort playing a relative role combined with mind mapping in patients undergoing breast cancer surgery: a randomized trial.

机构信息

Operating Room, Wuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science & Technology, Wuhan, China.

Nursing Department, Wuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science & Technology, Wuhan, China.

出版信息

Ann Palliat Med. 2021 Dec;10(12):12047-12054. doi: 10.21037/apm-21-915.

DOI:10.21037/apm-21-915

PMID:35016413

Abstract

BACKGROUND

Breast cancer is the most common malignant tumor affecting women worldwide. Surgery is the main treatment for breast cancer and can obtain a good curative effect. However, it can also entail trauma and stress for patients, leaving them susceptible to negative emotions, poor sleep quality, and various postoperative complications, which can affect the treatment effect and prognosis. Therefore, it is of great significance to explore scientific and effective nursing methods for patients with breast cancer. This study aimed to examine the application effect of whole-process nursing and mind mapping in patients with breast cancer.

METHODS

The present study enrolled 256 patients with breast cancer who were admitted to the hospital from March 2019 to October 2020. The study participants were divided into a control group (routine nursing intervention) and an observation group (nursing intervention including a whole-process escort playing a relative role combined with mind mapping) according to the random number table method, with 128 cases in each group. At admission and before surgery, the psychological status [Hamilton anxiety scale (HAMA) and Hamilton depression scale (HAMD)], physiological stress [cortisol (Cs) and adrenocorticotrophic hormone (ACTH)], fatigue degree (Piper fatigue scale), and sleep quality [Pittsburgh sleep quality index (PSQI)] were compared between the two groups, and the incidence of complications in the two groups was also compared.

RESULTS

The psychological status (HAMA and HAMD) scores, physiological stress levels (Cs and ACTH), fatigue degree (Piper fatigue scale), and sleep quality (PSQI) score were all significantly higher before surgery than at admission in both groups, and were significantly lower in the observation group than in the control group (P<0.05). There were no significant differences in the incidence of complications between the two groups (P>0.05).

CONCLUSIONS

Nursing intervention using a whole-process escort playing a relative role combined with mind mapping can effectively relieve the anxiety and depression felt by patients undergoing breast cancer surgery, and can reduce their physiological stress and fatigue degree, as well as improve their sleep quality.

TRIAL REGISTRATION

Chinese Clinical Trial Registry ChiCTR2100054024.

摘要

背景

乳腺癌是全球范围内影响女性健康最常见的恶性肿瘤。手术是治疗乳腺癌的主要手段，可以取得较好的疗效。但也会给患者带来创伤和应激，使患者易产生负性情绪、睡眠质量差和各种术后并发症，影响治疗效果和预后。因此，探索科学有效的乳腺癌患者护理方法具有重要意义。本研究旨在探讨全程护理联合思维导图在乳腺癌患者中的应用效果。

方法

选取 2019 年 3 月至 2020 年 10 月期间在我院住院的 256 例乳腺癌患者，采用随机数字表法分为对照组（常规护理干预）和观察组（在常规护理基础上实施全程护理联合思维导图护理），每组 128 例。于入院时和术前 1 d 比较两组患者心理状态[汉密尔顿焦虑量表（HAMA）、汉密尔顿抑郁量表（HAMD）]、生理应激[皮质醇（Cs）、促肾上腺皮质激素（ACTH）]、疲劳程度（Piper 疲劳量表）和睡眠质量[匹兹堡睡眠质量指数（PSQI）]，并比较两组患者并发症发生情况。