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1、解放軍護理雜志September２０１４,３１(１８)NursJChinPLA?２３?延續(xù)護理在乳腺癌改良根治術后出院患者中的應用張瓊,劉爽,李曉娜,王曉曉(解放軍第３０５醫(yī)院普外科,北京１０００１７)【摘要】目的探討延續(xù)護理在乳腺癌改良根治術后出院患者中的應用效果.方法便利抽樣選取解放軍第３０５醫(yī)院普外科行乳腺癌改良根治術的患者５３例,采用自身對照研究,觀察患者在出院接受延續(xù)護理后１、２、６、１２個月后對健康教育知識的掌握、生活質(zhì)量評分及對護理滿意度.結果出院患者在接受延續(xù)護理后１、２、６、１２個月對健康教育知識的掌握、生活質(zhì)量評分及對護理滿意度
2、的差異均有統(tǒng)計學意義(均P＜０．０１),其總分及各維度得分均呈上升趨勢,說明延續(xù)護理對健康教育知識的掌握、生活質(zhì)量評分及對護理滿意度的提高有改善,且時間愈長效果愈明顯.結論延續(xù)護理帶動了患者的主動康復,提高了患者的自我管理水平和對護理服務的滿意度.【關鍵詞】延續(xù)護理;乳腺癌;改良根治術;術后doi:１０．３９６９/j．issn．１００８-９９９３．２０１４．１８．００７【中圖分類號】R７３７．９;R４７３．６【文獻標志碼】A【文章編號】１００８-９９９３(２０１４)１８-００２３-０３ApplicationofExtendedNursinginDi
3、schargedPatientswithBreastCancerafterModifiedRadi-calMastectomyZhangQiong,LiuShuang,LiXiaona,WangXiaoxiao(DepartmentofGeneralSurgery,No．３０５HospitalofPLA,Beijing１０００１７,China)【Abstract】ObjectiveToexploretheapplicationeffectofextendednursingindischargedpatientswithbreastcanceraft
4、ermodifiedradicalmastectomy．MethodsByconveniencesampling,５３dischargedpa-tientswithbreastcanceraftermodifiedradicalmastectomywereselectedandselfcontrastmethodswereusedinthestudy．Allpatientsreceivedextendednursingafterdischarge．Thescoreofawarenessofhealthknowledgeandlifequalitya
5、ndthesatisfactionratetonursingofthepatientsatthe１,２,６and１２monthaf-terdischargewerecomparedrespectively．ResultsThedifferencesofscoreofawarenessofhealthknowl-edgeandlifequalityandsatisfactionratetonursingatthe１,２,６and１２monthafterdischargeweresignifi-cantstatistically(allP＜０．０１)．
6、Thetotalscoreandscoreforeachdimensionswereallincreased．Thismeansthattheextendednursingincreasedthescoreofawarenessofhealthknowledgeandlifequalityandsatis-factionratetonursingofthepatients．ConclusionTheextendednursingimprovedthepatients＇initiativehabilitation,increasedthelevelo
7、fself-managementandthesatisfactionratetonursingserviceofpatients．【Keywords】extendednursing;breastcancer;modifiedradicalmastectomy;postoperative[NursJChinPLA,２０１４,３１(１８):２３-２５]隨著社會的進步和醫(yī)療模式的轉(zhuǎn)變,乳腺癌已和患者乃至家庭成員間建立有目的的互動,有效提不再是單純的一種疾病,患者在治療和生存期間承高了患者的生活質(zhì)量,現(xiàn)報告如下.受著來自疾病本身、治療、心理、家庭、社會等各
8、方面１對象與方法的壓力.乳腺癌術后患者很難在住院期間一次性完１．１研究對象便利抽樣選取我科２０１１年９月至成疾病的全程治療
