中华护理杂志 ›› 2023, Vol. 58 ›› Issue (21): 2565-2574.DOI: 10.3761/j.issn.0254-1769.2023.21.001
• 乳腺癌护理专题 • 下一篇
收稿日期:
2023-02-13
出版日期:
2023-11-10
发布日期:
2023-11-10
通讯作者:
喻晓芬,E-mail:yxf4800@163.com作者简介:
李英:女,硕士,副主任护师,护士长,E-mail:zryrxwk2020@163.com
基金资助:
LI Ying(), YU Xiaofen(), MEI Xiaofeng, ZHANG Lufei
Received:
2023-02-13
Online:
2023-11-10
Published:
2023-11-10
摘要: 目的 构建乳腺癌患者腹壁下动脉穿支皮瓣乳房重建围手术期护理方案并评价其应用效果,为临床实践提供参考。方法 检索国内外数据库获取相关文献,初步构建乳腺癌患者腹壁下动脉穿支皮瓣乳房重建围手术期护理方案,于2022年10月—2023年1月采用德尔菲法进行3轮专家函询,确定方案最终内容。选取2022年1月—12月在浙江省某三级甲等医院接受腹壁下动脉穿支皮瓣乳房重建的21例患者作为对照组,接受常规护理;选取2023年1月—9月的28例患者作为试验组,实施该方案并评价应用效果。结果 共15名专家完成3轮函询。第3轮函询中,一、二、三级指标重要性的肯德尔和谐系数分别为0.347、0.388、0.200(P<0.01),各指标的变异系数为0~0.224;最终构建的方案包括3项一级指标、18项二级指标、67项三级指标;试验组皮瓣并发症的发生率低于对照组,但差异无统计学意义(χ2=1.675,P=0.196)。结论 该研究构建的乳腺癌患者腹壁下动脉穿支皮瓣乳房重建围手术期护理方案初步应用于临床,具有较好的科学性、可靠性、实用性,可为临床护理提供参考依据。
李英, 喻晓芬, 梅晓凤, 张露飞. 乳腺癌患者腹壁下动脉穿支皮瓣乳房重建围手术期护理方案的构建及应用研究[J]. 中华护理杂志, 2023, 58(21): 2565-2574.
LI Ying, YU Xiaofen, MEI Xiaofeng, ZHANG Lufei. Construction and application of a perioperative management program of breast reconstruction with deep inferior epigastric perforator flap in patients with breast cancer[J]. Chinese Journal of Nursing, 2023, 58(21): 2565-2574.
表2 乳腺癌患者腹壁下动脉穿支皮瓣乳房重建围手术期护理方案
Table 2(Continued) Perioperative management program for breast reconstruction with deep inferior epigastric perforator flap for breast cancer
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