纽曼护理模式在乳腺癌根治术围手术期的应用价值
Application value of Neuman's nursing model in the perioperative period of radical mastectomy.
作者信息
Sun Li-Hua, Chen Feng
机构信息
Health Examination Department, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University Taiyuan 030032, Shanxi, China.
出版信息
Am J Transl Res. 2024 Sep 15;16(9):4928-4938. doi: 10.62347/UPBL4602. eCollection 2024.
PURPOSE
The purpose of this study was to explore the application value of Neuman's nursing model in perioperative nursing for patients undergoing modified radical mastectomy.
METHOD
A retrospective collection of data from breast cancer patients treated at Shanxi Bethune Hospital between January 2019 and December 2022 was conducted. Patients who received conventional nursing interventions were included in the conventional group. Patients who received intervention using Neuman's nursing model were placed in the study group. The psychological and physiological stress levels, quality of life, complications, nursing quality, and patient satisfaction during the perioperative period were compared between the two groups.
RESULTS
Postoperatively, the incidences of psychological stress, physiological stress, and complications in breast cancer patients who were intervened by Neuman's nursing model were significantly lower than those of patients receiving conventional nursing (all < 0.05). Their quality of life was significantly higher than that of patients in the conventional group ( < 0.05). Nursing personnel under Neuman's nursing model scored significantly higher in terms of nursing operations, nursing attitude, completion of nursing work, and patient's cooperation (all < 0.05). There was a significant difference in the degree of satisfaction between the two groups, with higher rates of "very satisfied" and "satisfied" patients in the Neuman's nursing model group compared to the conventional nursing group (Z=-2.036, =0.042).
CONCLUSION
The use of Neuman's nursing model in perioperative nursing for breast cancer patients can reduce the incidence of psychological and physiological stress. It improves nursing quality, patient's quality of life, and satisfaction with nursing.
目的
本研究旨在探讨纽曼护理模式在改良根治性乳房切除术患者围手术期护理中的应用价值。
方法
回顾性收集2019年1月至2022年12月在山西白求恩医院接受治疗的乳腺癌患者的数据。接受常规护理干预的患者被纳入常规组。接受纽曼护理模式干预的患者被纳入研究组。比较两组患者围手术期的心理和生理应激水平、生活质量、并发症、护理质量和患者满意度。
结果
术后，采用纽曼护理模式干预的乳腺癌患者心理应激、生理应激和并发症的发生率显著低于接受常规护理的患者（均P<0.05）。他们的生活质量显著高于常规组患者（P<0.05）。在纽曼护理模式下，护理人员在护理操作、护理态度、护理工作完成情况和患者配合度方面的得分显著更高（均P<0.05）。两组患者的满意度程度存在显著差异，纽曼护理模式组“非常满意”和“满意”的患者比例高于常规护理组（Z=-2.036，P=0.042）。
结论
在乳腺癌患者围手术期护理中应用纽曼护理模式可降低心理和生理应激的发生率。它提高了护理质量、患者的生活质量以及对护理的满意度。
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