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目的:探讨手术室护理小组干预在降低乳腺癌手术患者术后感染中的应用效果。方法:选取2016年11月~2017年4月我院收治的80例乳腺癌手术患者为研究对象,采用随机数字表法等分为对照组和研究组,对照组实施常规护理干预,研究组在对照组基础上实施手术室护理小组干预,观察护理干预前后两组患者焦虑自评量表(SAS)、抑郁自评量表(SDS)的评分情况、护理效果、术后感染率、医疗纠纷发生率及复发情况。结果:护理干预前两组患者SAS,SDS评分相比较无统计学意义(P>0.05);护理干预后两组患者SAS,SDS评分较护理干预前明显降低,且研究组的降低程度高于对照组(P<0.05)。护理干预后研究组患者手术室护理管理、护理质量、护理安全、护理服务、护理文书方面评分明显高于对照组(P<0.05)。护理干预后研究组患者的医源性感染发生率及医疗纠纷发生率、复发率均明显低于对照组(P<0.05)。结论:手术室护理小组干预在乳腺癌手术患者中应用,可有效减轻患者焦虑、抑郁情绪,明显提高护理效果,降低术后感染及不良事件发生率,且预后效果佳。
Objective: To investigate the effect of operating room nursing intervention on reducing postoperative infection in breast cancer patients. Methods: Eighty cases of breast cancer patients treated in our hospital from November 2016 to April 2017 were selected as the control subjects and the control group. The control group received routine nursing intervention. On the basis of the control group, the operating room care team was intervened to observe the scores of self-rating anxiety scale (SAS) and self-rating depression scale (SDS), the nursing effect, postoperative infection rate and medical dispute in the two groups before and after nursing intervention Rate and recurrence. Results: SAS and SDS scores of the two groups before nursing intervention were not statistically significant (P> 0.05). SAS and SDS scores of the two groups were significantly lower than those before nursing intervention, and the reduction in the study group was higher than that of the control group Group (P <0.05). After nursing intervention, the scores of operating room nursing management, nursing quality, nursing safety, nursing service and nursing document in study group were significantly higher than those in control group (P <0.05). The incidence of iatrogenic infection, the incidence of medical disputes and the recurrence rate of the study group after nursing intervention were significantly lower than those of the control group (P <0.05). Conclusion: The intervention of operating room nurses in the operation of breast cancer patients can effectively reduce anxiety and depression, improve the nursing effect, reduce the incidence of postoperative infection and adverse events, and the prognosis is good.