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目的探讨术前访视和术后回访对乳腺癌改良根治术患者的影响。方法 120例行乳腺癌改良根治术患者,随机分为对照组和观察组,各60例。对照组采用常规护理,观察组采用术前访视和术后回访的护理。对比两组患者术中心率和收缩压的变化、并发症发生率、患者满意度、手术医师满意度及焦虑自评量表(SAS)评分。结果观察组心率加快、收缩压明显变化和并发症发生率明显低于对照组,差异有统计学意义(P<0.05);观察组患者满意度和手术医生满意度高于对照组(P<0.05),观察组SAS评分低于对照组(P<0.05)。结论术前访视与术后回访提高了患者满意度,缓解患者紧张情绪,保证手术的顺利进行,值得临床推广。
Objective To investigate the effect of preoperative visit and postoperative visit on patients with modified radical mastectomy of breast cancer. Methods 120 cases of modified radical mastectomy patients were randomly divided into control group and observation group, 60 cases in each. The control group was treated with routine care, and the observation group was treated with preoperative visit and postoperative follow-up care. Comparisons were made between the two groups in terms of surgery rate and systolic blood pressure, complication rates, patient satisfaction, surgeon satisfaction and anxiety self-rating scale (SAS). Results The observation group had faster heart rate, significant changes in systolic pressure, and lower complication rates than the control group (P <0.05). Satisfaction of the patients in the observation group and that of the surgeons were higher than those in the control group (P <0.05) ), SAS score in observation group was lower than that in control group (P <0.05). Conclusion Preoperative visit and postoperative follow-up have improved patient satisfaction, relieved the patient’s nervousness and ensured the successful operation, which is worthy of clinical promotion.