主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2020, Vol. 20 ›› Issue (11): 1751-1757.doi: 10.3969/j.issn.1672-1756.2020.11.033

• 专科管理 • 上一篇    下一篇

出院准备服务在乳腺癌患者围手术期的应用

耿晓莉 李敏 练鹏敏 王欣然   

  1. 首都医科大学宣武医院普外科,100053 北京市
  • 出版日期:2020-11-15 发布日期:2020-11-15
  • 作者简介:耿晓莉,本科,主管护师,护士长,E-mail:tinglangeng@163.com
  • 基金资助:
    2018年首都医科大学宣武医院院级护理专项课题(XWHL-2018007)

Application of discharge preparation service in perioperative breast cancer patients

GENG Xiaoli, LI Min, LIAN Pengmin, WANG Xinran   

  1. General Surgery Department, Xuanwu Hospital, Capital Medical University, Beijing, 100053, China
  • Online:2020-11-15 Published:2020-11-15

摘要: 目的:评价出院准备服务在乳腺癌患者围手术期的应用效果。方法:采用便利抽样法,选取某三级甲等医院乳腺外科2018年9月至2019年6月收治的乳腺癌手术患者55例为对照组,2019年7月至2020年4月收治的乳腺癌手术患者55例为实验组;对照组采用常规的护理及出院后电话随访模式,实验组采用出院准备服务模式,比较两组患者的出院准备度、患肢肿胀程度、肩关节活动度、出院指导质量、乳腺癌患者生活质量。结果:干预后两组患者的出院准备度、出院指导质量、肩关节活动度、乳腺癌患者生活质量比较,差异具有统计学意义(P<0.001);两组患肢肿胀程度比较,差异无统计学意义(P>0.05)。结论:出院准备服务在乳腺癌患者围手术期的应用有效降低了术后肩关节活动障碍的发生,提高了患者的生活质量。

关键词: 出院准备服务;围手术期;乳腺癌

Abstract: Objective: To explore the effects of discharge preparation service in the perioperative period of breast cancer patients. Methods: This study was a quasi-experiment design. In the control group, 55 breast cancer patients received conventional care and telephone follow-up after discharge from September 2018 to June 2019.In the experimental group, another 55 breast cancer patients received discharge preparation service from July 2019 to April 2020. The discharge readiness, limb swelling, shoulder joint mobility, discharge guidance quality, and the quality of life were compared. Results: The difference in aspect of discharge preparation, quality of discharge guidance, motion of shoulder joint and quality of life between experimental and control group was statistically significant (P<0.001), while no statistically significant difference in the degree of limb swelling (P>0.05). Conclusion: The application of discharge preparation service can effectively reduce the occurrence of postoperative shoulder joint mobility disorder and improve the quality of life of the patients in the perioperative period.

Key words: discharge preparation service; perioperative period; breast cancer

中图分类号: 

  • R47