循证护理对乳腺癌改良根治术后患者上肢功能锻炼依从性及生活质量的影响

Zhongxiyi Jiehe Huli (Zhong-Yingwen Ban)

谢伟¹ 

关键词: 循证护理;    乳腺癌;    改良根治术;    依从性;    生活质量;   

DOI  :  10.11997/nitcwm.201610013

学科分类：护理学

来源: Shanghai Jiao Tong University Press

【 摘 要 】

Abstract：Objective To investigate the effect of evidence-based nursing on functional exercise compliance and quality of life in patients with breast cancer after modified radical mastectomy.Methods A total of 70 patients with breast cancer after modified radical mastectomy were selected and randomly divided into the evidence-based group and routine group, with 35 cases in each group. Both two groups received routing nursing care, and the evidence-based group was given evidence-based nursing interventions. The compliance to upper limbs exercise was observed, and the quality of life was assessed by 36-item short-form health survey questionnaire(SF-36)before and after intervention.Results The compliance rate of functional exercise in the evidence-based group was 94.29%(33/35)and was 74.29%(26/35)in the routine group, with a significant difference(P<0.05). Scores of each dimension in SF-36 were increased in both two groups after nursing interventions compared with those before intervention(P<0.05), and were higher in the evidence-based group than those in the routine group(P<0.05). Scores of each dimension in two groups before and after intervention were lower than those of average level of national normal population respectively, with significant differences(P<0.05).ConclusionEvidence-based nursing model can effectively enhance the functional exercise compliance of and improve the quality of life in patients with breast cancer after modified radical mastectomy.

【 授权许可】

CC BY-NC