护理干预对巨乳缩小术患者术后生活质量的影响研究(1)
[摘要]目的：探索护理干预对巨乳缩小术就医者生活质量的影响。方法：将86例接受巨乳缩小术的就医者按照随机法则分为对照组和护理干预组，每组43例。对照组就医者在巨乳缩小术后接受常规护理；护理干预组则同时接受常规护理和护理干预(包含认知和心理干预)。两组就医者分别在巨乳缩小术前和出院后6个月填写SF-36健康调查量表(The MOS item short from health survey，SF-36)和Rosenberg自尊量表(Rosenberg self-esteem scale，RSES)，术后6个月填写满意度调查表，整理数据并进行统计学分析。结果：巨乳缩小术后6个月，对照组和护理干预组的SF-36健康调查量表中各项指标及Rosenberg自尊量表得分均高于术前，差异有统计学意义(P<0.05)；护理干预组得分高于对照组，差异有统计学意义(P<0.05)。结论：护理干预可显著提高巨乳缩小术后就医者的生活质量。
[关键词]巨乳症；巨乳缩小术；护理干预；生活质量；Rosenberg自尊量表；SF-36健康调查量表
, 百拇医药
[中图分类号]R47 [文献标志码]B [文章编号]1008-6455(2018)12-0144-04
The Influence of Nursing Intervention on Postoperative Quality of Life in Patients with
Reduction Mammaplasty
WANG Xiao-hong1， ZHANG Mei-xia2， ZHANG Xiao-qing1， PENG Pai1
(1.Department of Plastic Surgery；2.Department of Nursing，the First Affiliated Hospital of the Air Force Medical University，Xi’an 710032，Shaanxi，China)
, 百拇医药
Abstract： Objective To explore the effects of nursing intervention on quality of life in patients with reduction mammaplasty. Methods 86 patients with macromastia were randomly divided into control group and nursing intervention group， 43 cases in each group. Routine nursing and routine nursing plus intervention (including cognitive intervention and psychosocial intervention) were performed on the control group or the nursing intervention group respectively. All patients in both groups were asked to fill the table of satisfaction score， the MOS item short from health survey (SF-36)， and the Rosenberg self-esteem scale (RSES) before reduction mammaplasty or six month after surgery， and the statistical analysis were performed. Results After the surgery of six months the scores of SF-36 and the scores of RSES in both groups were higher than that of pre-operation(P<0.05). And the score of RSES in nursing intervention group was significantly higher than that in control group six months post-operation (P<0.05). Conclusion Nursing intervention could significantly improve the quality of life in patients with reduction mammaplasty.
, 百拇医药
Key words： macromastia； reduction mammaplasty； nursing intervention； quality of life； RSES； SF-36 health survey scale
巨乳癥(Macromastia)又称乳房肥大[1]，主要指女性乳房由于过度发育导致腺体和(或)脂肪结缔组织过度增生，形成体积超常的乳房组织。该病好发于中青年女性，常给就医者带来胸部压迫、颈肩背部疼痛和乳房下皱襞处皮炎等困扰，严重影响其身心健康[2-3]。巨乳缩小术(Reduction mammaplasty)可通过去除就医者部分乳房皮肤和乳腺组织，改善其形态和症状，解决乳房体积问题，从而提升就医者生活质量[4-6]。研究发现，护理干预与就医者术后生活质量密切相关。因此，在实施巨乳缩小术的同时，给予护理干预可能更加有利于就医者生活质量的改善。本文探索护理干预对巨乳缩小术就医者生活质量的影响，现报道如下。
1 资料和方法
1.1 一般资料：选取2016年1月-2017年6月于笔者科室接受巨乳缩小术就医者86例为研究对象。随机分为对照组与护理干预组，每组43例，年龄16～65岁。两组就医者年龄、体重指数及文化程度比较，差异无统计学意义(P>0.05)，具有可比性。见表1。, http://www.100md.com(王晓红 张美霞 张小青 彭湃)
[关键词]巨乳症；巨乳缩小术；护理干预；生活质量；Rosenberg自尊量表；SF-36健康调查量表
, 百拇医药
[中图分类号]R47 [文献标志码]B [文章编号]1008-6455(2018)12-0144-04
The Influence of Nursing Intervention on Postoperative Quality of Life in Patients with
Reduction Mammaplasty
WANG Xiao-hong1， ZHANG Mei-xia2， ZHANG Xiao-qing1， PENG Pai1
(1.Department of Plastic Surgery；2.Department of Nursing，the First Affiliated Hospital of the Air Force Medical University，Xi’an 710032，Shaanxi，China)
, 百拇医药
Abstract： Objective To explore the effects of nursing intervention on quality of life in patients with reduction mammaplasty. Methods 86 patients with macromastia were randomly divided into control group and nursing intervention group， 43 cases in each group. Routine nursing and routine nursing plus intervention (including cognitive intervention and psychosocial intervention) were performed on the control group or the nursing intervention group respectively. All patients in both groups were asked to fill the table of satisfaction score， the MOS item short from health survey (SF-36)， and the Rosenberg self-esteem scale (RSES) before reduction mammaplasty or six month after surgery， and the statistical analysis were performed. Results After the surgery of six months the scores of SF-36 and the scores of RSES in both groups were higher than that of pre-operation(P<0.05). And the score of RSES in nursing intervention group was significantly higher than that in control group six months post-operation (P<0.05). Conclusion Nursing intervention could significantly improve the quality of life in patients with reduction mammaplasty.
, 百拇医药
Key words： macromastia； reduction mammaplasty； nursing intervention； quality of life； RSES； SF-36 health survey scale
巨乳癥(Macromastia)又称乳房肥大[1]，主要指女性乳房由于过度发育导致腺体和(或)脂肪结缔组织过度增生，形成体积超常的乳房组织。该病好发于中青年女性，常给就医者带来胸部压迫、颈肩背部疼痛和乳房下皱襞处皮炎等困扰，严重影响其身心健康[2-3]。巨乳缩小术(Reduction mammaplasty)可通过去除就医者部分乳房皮肤和乳腺组织，改善其形态和症状，解决乳房体积问题，从而提升就医者生活质量[4-6]。研究发现，护理干预与就医者术后生活质量密切相关。因此，在实施巨乳缩小术的同时，给予护理干预可能更加有利于就医者生活质量的改善。本文探索护理干预对巨乳缩小术就医者生活质量的影响，现报道如下。
1 资料和方法
1.1 一般资料：选取2016年1月-2017年6月于笔者科室接受巨乳缩小术就医者86例为研究对象。随机分为对照组与护理干预组，每组43例，年龄16～65岁。两组就医者年龄、体重指数及文化程度比较，差异无统计学意义(P>0.05)，具有可比性。见表1。, http://www.100md.com(王晓红 张美霞 张小青 彭湃)