Journal of Advances in Clinical Nursing
Journal of Advances in Clinical Nursing. 2026; 5: (1) ; 10.12208/j.jacn.20260001 .
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博白县人民医院胸外腺体外科 广西玉林
*通讯作者: 梁帅,单位:博白县人民医院胸外腺体外科 广西玉林;
目的 基于围手术期个体化护理理念,分析按兴趣爱好分型的护理干预对乳腺瘤患者麦默通微创旋切术后并发症、心理状态及护理满意度的影响。方法 选取2023年5月至2025年5月期间在我院接受麦默通微创旋切术治疗的乳腺瘤患者共60例。采用数字随机化法将其分为两组,每组30例。对照组采用常规围手术期护理方案,干预组在常规护理基础上,结合患者兴趣爱好(如短视频观看、书籍阅读、音乐聆听等)实施个体化护理干预。研究过程中收集两组患者围手术期术后并发症总发生率、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分及护理满意度评分等数据。结果 干预后数据显示,对照组围手术期术后并发症总发生率(20.00%)显著高于干预组(3.33%);同时,对照组SAS、SDS评分均高于干预组,护理满意度各维度评分及总分则低于干预组,上述差异均具有统计学意义(P<0.05)。结论 对行麦默通微创旋切术的乳腺瘤患者,应用基于兴趣爱好的个体化围手术期护理,可显著降低术后并发症发生率,有效缓解患者焦虑、抑郁等负性情绪。若将该护理模式推广至其他手术类型,对改善各类术后临床症状具有重要临床应用价值。
Objective To explore the impact of individualized perioperative nursing intervention based on patients' hobbies on postoperative complications, psychological status, and nursing satisfaction in patients with breast tumors undergoing Mammotome minimally invasive rotational resection. Methods A total of 60 patients with breast tumors who underwent elective Mammotome minimally invasive rotational resection in our hospital from May 2023 to May 2025 were selected. They were divided into two groups using a numerical randomization method, with 30 patients in each group. The control group received routine perioperative nursing, while the intervention group received individualized nursing intervention based on patients' hobbies (such as short videos, reading, music, etc.) on the basis of routine nursing. Results The total incidence of postoperative complications in the intervention group (3.33%) was lower than that in the control group (20.00%). The Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) scores of the intervention group were lower than those of the control group (P<0.05). The scores of each dimension and the total score of nursing satisfaction in the intervention group were higher than those in the control group (P<0.05). Conclusion Implementing individualized perioperative nursing intervention based on patients' hobbies for patients with breast tumors undergoing Mammotome minimally invasive rotational resection can effectively reduce the incidence of postoperative complications, improve negative emotions such as anxiety and depression in patients, and has important clinical application value.
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