循证护理对乳腺癌术后患者功能锻炼依从性及恢复效果的影响

循证护理对乳腺癌术后患者功能锻炼依从性及恢复效果的影响李玉婷;张馨;刘晓舟;严雨珍;李喻岩;曹仲茹
【期刊名称】《中华现代护理杂志》
【年(卷),期】2016(022)016
【摘要】Objective To explore the application effects of evidence-based nursing on the functional training compliance and postoperative recovery effect in patients with breast cancer.Methods The study investigated 1 20 patients after breast cancer operation and the participants were divided into the intervention group (n =60)and the control group (n =60)using random number table according to patients′medical record number s.Based on the functional training of the upper limb,the control group received routine care and the intervention group received evidence-based nursing care.The quality of nursing,patients′compliance and recovery effects were compared between the two groups.Results The compliance and qualified rate were 93.3% (56 /60)and 91 .7%(55 /60)in the intervention group,which were better than those in the control group [83.3%(50 /60),80.0%(48
/60)],but there′s no statistically significant differences (P >0.05 ). The scores of nursing quality and motor function were (92.7 ±2.6)and (63.1
±4.3),which were significantly higher than that of the control group [(84.4 ±5.2),(48.5 ±3.7)](P <0.05).Conclusions The evidence-based nursing is a scientific and widely used method that can significantly improve the nursing quality and patients′compliance.%目的：探讨循证护理对乳腺癌术后
患者功能锻炼依从性以及恢复效果的影响。

方法以入院病例号为编号，根据随机数字表，将120例乳腺癌术后患者分成观察组和对照组各60例。

两组均实施上肢功能锻炼恢复，对照组给予常规护理，观察组给予循证护理。

比较恢复过程中，护理水平和患者依从性、恢复效果差异。

结果观察组依从性和达标率分别为93．3％（56／60）和91．7％（55／60），优于对照组的83．3％（50／60）和80．0％（48／60），但差异无统计学意义（P ＞0．05）；观察组护理工作质量评分和运动功能评分分别为（92．7±2．6），（63．1±4．3）分，均优于对照
组的（84．4±5．2），（48．5±3．7）分，差异有统计学意义（P ＜0．05）。

结论循证护理为科学性强、覆盖范围广的护理模式，可有效提高乳腺癌术后患者功能锻炼依从性，提升护理质量，改善患者预后情况。

【总页数】4页(P2253-2255,2256)
【作者】李玉婷;张馨;刘晓舟;严雨珍;李喻岩;曹仲茹
【作者单位】150000 哈尔滨医科大学附属肿瘤医院乳腺一科;150000 哈尔滨医科大学附属肿瘤医院乳腺一科;150000 哈尔滨医科大学附属肿瘤医院乳腺一
科;150000 哈尔滨医科大学附属肿瘤医院乳腺一科;150000 哈尔滨医科大学附属
肿瘤医院乳腺一科;150000 哈尔滨医科大学附属肿瘤医院内三科
【正文语种】中文
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