一项关于循证护理措施的临床干预对保乳手术后患者并发症影响的研究。
A study on the effect of clinical intervention of evidence-based nursing measures on complications in patients after breast-conserving surgery.
机构信息
Department of Anesthesiology, Shanghai Cancer Center, Fudan University, Shanghai, China.
Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China.
出版信息
Technol Health Care. 2024;32(6):4627-4636. doi: 10.3233/THC-240814.
BACKGROUND
Breast-conserving surgery is an important treatment for breast cancer, which not only eradicates the disease, but also protects the integrity of the breast, however, postoperative nausea and vomiting often bother patients.
OBJECTIVE
This study examines the effects of evidence-based nursing practices on nausea and vomiting in patients after breast-conserving surgery, with the aim of providing new perspectives for clinical nursing practice.
METHODS
One hundred and sixty patients who underwent breast-conserving surgery from January 2023 to December 2023 in Fudan University Shanghai Cancer Center were enrolled. The patients were divided into an intervention group (evidence-based nursing group) and a control group (conventional nursing group) using the random number table method, both groups comprised 80 patients. The control group used conventional nursing methods, and the intervention group added evidence-based nursing intervention on this basis. Comparative analysis focused on the incidence of nausea and vomiting, quality of life metrics, and postoperative satisfaction.
RESULTS
In the intervention group, notably lower incidence rates of postoperative nausea and vomiting were observed compared to the control group within both the 0-24 hour and 24-48-hour postoperative periods (P< 0.05). Furthermore, the intervention group exhibited significantly higher scores across all five dimensions as well as the overall score of the FACT-B scale in comparison to the control group (P< 0.05), accompanied by heightened satisfaction with the nursing staff.
CONCLUSION
This study demonstrated the positive clinical intervention effects of evidence-based nursing measures and emphasized their importance in improving postoperative nausea and vomiting and quality of life. Future studies are expected to incorporate evidence-based nursing practices into nursing care to improve patient recovery and overall quality of care.
背景
保乳手术是治疗乳腺癌的重要手段，不仅能根治疾病，还能保留乳房的完整性，但术后恶心呕吐常困扰患者。
目的
本研究旨在探讨循证护理实践对保乳术后患者恶心呕吐的影响，为临床护理实践提供新视角。
方法
选取 2023 年 1 月至 2023 年 12 月在复旦大学附属肿瘤医院行保乳手术的 160 例患者，采用随机数字表法将其分为干预组（循证护理组）和对照组（常规护理组），每组 80 例。对照组采用常规护理方法，干预组在此基础上增加循证护理干预。比较两组患者恶心呕吐发生率、生活质量评分和术后满意度。
结果
干预组患者术后 0-24 小时和 24-48 小时恶心呕吐发生率明显低于对照组（P<0.05）。干预组各维度及 FACT-B 总分评分均明显高于对照组（P<0.05），护理人员满意度也高于对照组。
结论
本研究表明，循证护理措施具有积极的临床干预效果，能改善患者术后恶心呕吐和生活质量。未来的研究可将循证护理实践纳入护理中，以提高患者的康复和整体护理质量。
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