Application of the concept of rapid rehabilitation surgery in nursing patients with breast cancer during perioperative period of modified radical treatment
快速康复外科理念在护理乳腺癌改良根治围手术期患者中的应用研究

摘要

目的 探讨在护理乳腺癌改良根治围手术期患者期间应用基于快速康复外科理念护理措施的临床效果。方法 以2023年1月~2024年1月于我院行乳腺癌改良根治术的患者作为研究对象（100例），根据临床采用的护理方式不同将患者分组，50%患者围术期行常规护理，50%患者围术期行基于快速康复外科理念护理，获取两组研究数据，针对性统计患者首次下床活动时间、住院时间、疼痛评分、并发症发生率、总计治疗有效率、患者满意率各项数据，两组对比分析护理有效性以及应用价值。结果 统计数据显示，患者首次下床活动时间、住院时间两组中研究组用时较短（P＜0.05）；术后1d患者疼痛评分两组数据对比无差异性（P>0.05）；术后7d患者疼痛评分对比，两组中研究组评分低于参照组（P＜0.05）；患者并发症发生率，总发生率对比，研究组低于参照组（P＜0.05）；患者治疗总有效率对比，研究组高于参照组（P＜0.05）；患者总满意率对比，研究组高于参照组（P＜0.05）。结论 在护理乳腺癌改良根治围手术期患者期间应用基于快速康复外科理念护理措施可有效促进患者尽快康复，同时并发症较少，具有较高的临床安全性，减轻患者术后疼痛感，有助于手术效果提升，效果获得患者满意，值得广泛应用。

Abstract

Objective To investigate the clinical effect of nursing measures based on the concept of rapid rehabilitation surgery during the perioperative period of modified radical treatment of breast cancer.
Methods A total of 100 patients who underwent modified radical mastectomy in our hospital from January 2023 to January 2024 were selected as research objects. The patients were divided into two groups according to different clinical nursing methods. 50% of patients received perioperative routine nursing and 50% received perioperative nursing based on the concept of rapid rehabilitation surgery. The data of the first time of getting out of bed, length of stay, pain score, complication rate, total treatment effective rate, and patient satisfaction rate were analyzed. The nursing effectiveness and application value of the two groups were compared.
Results The statistical data showed that the time of getting out of bed for the first time and staying in hospital was shorter in the study group (P < 0.05). There was no difference in pain score between the two groups one day after surgery (P>0.05). The pain score of the two groups was lower than that of the reference group (P < 0.05). The incidence of complications and the total incidence were lower in the study group than in the reference group (P < 0.05). The total effective rate of the study group was higher than that of the reference group (P < 0.05). The total satisfaction rate of the study group was higher than that of the reference group (P < 0.05).
Conclusion   The application of nursing measures based on the concept of rapid rehabilitation surgery in the nursing of perioperative patients with modified radical treatment of breast cancer can effectively promote the speedy recovery of patients, with fewer complications, with high clinical safety, reduce the postoperative pain of patients, contribute to the improvement of surgical effect, and obtain patient satisfaction, worthy of wide application.