李银柳

目的：探讨乳腺癌根治性手术患者的护理方案，分析围手术期实施优质护理的效果。方法：2023年1月-2024年6月，择取病例是乳腺癌根治性手术患者，共计60例，施以信封法分组，有2组，是对照组（实施常规护理，n=30例）、观察组（实施优质护理，n=30例），比较两组术后并发症、焦虑、抑郁、癌因性疲乏评分、护理满意度。结果：观察组术后并发症率6.67％小于对照组26.67％（X²=4.765，P＜0.05），观察组手术1月后的焦虑评分（7.12±1.54）分、抑郁评分（7.00±1.32）分低于对照组（10.01±1.86）分、（10.06±1.54）分（t=5.657、5.578，P＜0.05），观察组手术后认知评分（21.53±4.22）分、情感评分（18.06±3.72）分、行为评分（20.41±3.56）分、感知评分（22.05±3.61）分低于对照组（27.56±4.54）分、（26.01±3.99）分、（26.85±3.89）分、（28.79±3.95）分（t=6.762、6.091、6.234、6.435，P＜0.05），观察组护理满意度96.67％大于对照组80.00％（X²=6.532，P＜0.05）。结论：在乳腺癌根治术围手术期实施优质护理，有效减轻患者焦虑抑郁情绪，降低癌因性疲乏，提升术后恢复效果，让患者对医疗服务满意，应用价值显著。

乳腺癌；优质护理；术后并发症；焦虑、抑郁；癌因性疲乏

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