[1]徐岚,郭阳阳,何宗美,等.中西医结合护理干预联合多学科团队协作模式在微波消融治疗乳腺癌手术中的应用[J].西部中医药,2023,36(06):126-129.[doi:10.12174/j.issn.2096-9600.2023.06.30]
　XU Lan,GUO Yangyang,HE Zongmei,et al.The Application Effects of Integrated Traditional Chinese and Western Medicine Nursing Intervention Joined with Multi-disciplinary Team Cooperation Model in the Treatment of Breast Cancer by Microwave Ablation[J].Western Journal of Traditional Chinese Medicine,2023,36(06):126-129.[doi:10.12174/j.issn.2096-9600.2023.06.30]
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中西医结合护理干预联合多学科团队协作模式在微波消融治疗乳腺癌手术中的应用
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
36
期数:
2023年06期
页码:
126-129
栏目:
出版日期:
2023-06-15

文章信息/Info

Title:
The Application Effects of Integrated Traditional Chinese and Western Medicine Nursing Intervention Joined with Multi-disciplinary Team Cooperation Model in the Treatment of Breast Cancer by Microwave Ablation
作者:
徐岚, 郭阳阳, 何宗美, 周文斌
南京医科大学第一附属医院，江苏 南京 210029
Author(s):
XU Lan, GUO Yangyang, HE Zongmei, ZHOU Wenbin
The First Affiliated Hospital with Nanjing Medical University, Nanjing 210029, China
关键词:
乳腺癌; 微波消融; 中西医结合护理; 多学科团队协作; 应用效果
Keywords:
breast cancer; microwave ablation; Integrated Traditional Chinese and Western Medicine nursing intervention; multi-disciplinary team cooperation; the application effect
分类号:
R473.73
DOI:
10.12174/j.issn.2096-9600.2023.06.30
文献标志码:
B
摘要:
目的探讨中西医结合护理干预联合多学科团队协作模式在微波消融治疗乳腺癌手术中的应用效果。 方法将90例乳腺癌患者纳入研究，按照随机数字表法分为观察组及对照组，每组45例。对照组实施多学科团队协作护理模式，观察组实施中西医结合护理干预联合多学科团队协作模式。比较两组并发症情况，干预前后证候评分、心理状态变化、满意度情况、疼痛程度、自我效能感水平、自我护理能力及生活质量。 结果观察组皮下积液、皮瓣轻度坏死及上肢水肿发生率均低于对照组（P＜0.05）。干预后两组的失眠、乳房胀痛、情绪低落、乏力疲惫等证候评分，焦虑自评量表、抑郁自评量表评分，术后疼痛程度均明显降低，且观察组降低程度大于对照组（P＜0.05）。干预后观察组满意度、自我效能评分、各项自护能力评分、各项生活质量评分均高于对照组（P＜0.05）。 结论中西医结合护理干预联合多学科团队协作模式在微波消融治疗乳腺癌手术中具有较好的临床效果，有利于降低并发症、减轻临床症状及疼痛程度、改善心理状态、提高满意度及自护能力和生活质量。
Abstract:
ObjectiveTo study the application effect of Integrated Traditional Chinese and Western Medicine nursing intervention combined with multi-disciplinary team cooperation model in the treatment of breast cancer by microwave ablation. MethodsNinety patients with breast cancer were included in the study, divided into the obser-vation group and the control group in light of random mumber table method, with 45 cases in each group. The control group performed multi-disciplinary team cooperation model, the observation group was treated by Integrated Traditional Chinese and Western Medicine nursing intervention and multi-disciplinary team cooperation model. To compare the conditions of compli-cations, syndrome integrals before and after the intervention, psychological changes, satisfaction degrees, pain degrees, self-efficacy scores, self-care ability and quality of life between both groups. ResultsThe observation group was lower than the control group in the incidences of subcutaneous effusion, mild necrosis of the flap and edema of the upper extremity (P<0.05). After the intervention, the scores of the syndromes including insomnia, breast swelling pain, depressed and upset, weak and weary, SAS and SAS, VAS scores after the operation reduced evidently, and the decrease of the observation group was greater than that of the control group (P<0.05). Satisfac-tion degree, self-efficacy scores, different self-care ability and the scores of quality of life of the observation group were higher than these of the control group after the intervention (P<0.05). ConclusionThe application of Integrated Traditional Chinese and Western Medicine nursing intervention combined with multi-disciplinary team cooperation model owns better clinical effects in the treatment of breast cancer by microwave ablation, which is conducive to reducing the complication, relieving clinical symptoms and VAS, improving psychological state, raising satisfaction degree, self-care ability and quality of life.

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备注/Memo

备注/Memo:
徐岚（1984—），女，主管护师。研究方向：手术室护理。国家自然科学基金青年基金（81502299，81771953）。
更新日期/Last Update: 2023-06-15