循证护理措施的临床干预对保乳手术后患者并发症的影响研究。

IF 1.4 4区 医学 Q4 ENGINEERING, BIOMEDICAL Technology and Health Care Pub Date : 2024-07-25 DOI:10.3233/THC-240814
Die Ren, Fei Cai, Mengqi Zhu, Yijun Zheng, Wei Chen
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引用次数: 0

摘要

背景:保乳手术是乳腺癌的重要治疗手段,不仅能根治乳腺癌,还能保护乳房的完整性,但术后恶心呕吐常常困扰着患者:本研究探讨循证护理实践对保乳手术后患者恶心呕吐的影响,旨在为临床护理实践提供新的视角:方法:选取2023年1月至2023年12月在复旦大学上海肿瘤防治中心接受保乳手术的160例患者为研究对象。采用随机数字表法将患者分为干预组(循证护理组)和对照组(常规护理组),两组均为 80 例。对照组采用常规护理方法,干预组在此基础上增加循证护理干预。比较分析的重点是恶心和呕吐的发生率、生活质量指标和术后满意度:结果:与对照组相比,干预组在术后 0-24 小时和 24-48 小时内的恶心和呕吐发生率明显降低(P< 0.05)。此外,与对照组相比,干预组在所有五个维度上的得分以及 FACT-B 量表的总分都明显更高(P< 0.05),同时对护理人员的满意度也有所提高:本研究证明了循证护理措施的积极临床干预效果,并强调了其在改善术后恶心呕吐和生活质量方面的重要性。今后的研究有望将循证护理措施纳入护理工作中,以改善患者的康复和整体护理质量。
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A study on the effect of clinical intervention of evidence-based nursing measures on complications in patients after breast-conserving surgery.

Background: Breast-conserving surgery is an important treatment for breast cancer, which not only eradicates the disease, but also protects the integrity of the breast, however, postoperative nausea and vomiting often bother patients.

Objective: This study examines the effects of evidence-based nursing practices on nausea and vomiting in patients after breast-conserving surgery, with the aim of providing new perspectives for clinical nursing practice.

Methods: One hundred and sixty patients who underwent breast-conserving surgery from January 2023 to December 2023 in Fudan University Shanghai Cancer Center were enrolled. The patients were divided into an intervention group (evidence-based nursing group) and a control group (conventional nursing group) using the random number table method, both groups comprised 80 patients. The control group used conventional nursing methods, and the intervention group added evidence-based nursing intervention on this basis. Comparative analysis focused on the incidence of nausea and vomiting, quality of life metrics, and postoperative satisfaction.

Results: In the intervention group, notably lower incidence rates of postoperative nausea and vomiting were observed compared to the control group within both the 0-24 hour and 24-48-hour postoperative periods (P< 0.05). Furthermore, the intervention group exhibited significantly higher scores across all five dimensions as well as the overall score of the FACT-B scale in comparison to the control group (P< 0.05), accompanied by heightened satisfaction with the nursing staff.

Conclusion: This study demonstrated the positive clinical intervention effects of evidence-based nursing measures and emphasized their importance in improving postoperative nausea and vomiting and quality of life. Future studies are expected to incorporate evidence-based nursing practices into nursing care to improve patient recovery and overall quality of care.

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来源期刊
Technology and Health Care
Technology and Health Care HEALTH CARE SCIENCES & SERVICES-ENGINEERING, BIOMEDICAL
CiteScore
2.10
自引率
6.20%
发文量
282
审稿时长
>12 weeks
期刊介绍: Technology and Health Care is intended to serve as a forum for the presentation of original articles and technical notes, observing rigorous scientific standards. Furthermore, upon invitation, reviews, tutorials, discussion papers and minisymposia are featured. The main focus of THC is related to the overlapping areas of engineering and medicine. The following types of contributions are considered: 1.Original articles: New concepts, procedures and devices associated with the use of technology in medical research and clinical practice are presented to a readership with a widespread background in engineering and/or medicine. In particular, the clinical benefit deriving from the application of engineering methods and devices in clinical medicine should be demonstrated. Typically, full length original contributions have a length of 4000 words, thereby taking duly into account figures and tables. 2.Technical Notes and Short Communications: Technical Notes relate to novel technical developments with relevance for clinical medicine. In Short Communications, clinical applications are shortly described. 3.Both Technical Notes and Short Communications typically have a length of 1500 words. Reviews and Tutorials (upon invitation only): Tutorial and educational articles for persons with a primarily medical background on principles of engineering with particular significance for biomedical applications and vice versa are presented. The Editorial Board is responsible for the selection of topics. 4.Minisymposia (upon invitation only): Under the leadership of a Special Editor, controversial or important issues relating to health care are highlighted and discussed by various authors. 5.Letters to the Editors: Discussions or short statements (not indexed).
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