目的 探讨微信平台式延续性护理在乳腺癌患者术后中的价值.方法 选取肇庆市第一人民医院在2018年11月至2019年10月收治50例乳腺癌手术患者随机分组.对照组25例实施常规护理,观察组25例行微信平台式延续性护理,比较两组护理效果及患者预后情况.结果 观察组功能锻炼依从性显著高于对照组(P<0.05);观察组生活质量评分高于对照组(P<0.05).结论 在乳腺癌患者术后实施微信平台式延续护理可以提高患者功能锻炼依从性并改善预后.

目的:探讨经外周静脉置入中心静脉导管(PICC)的肿瘤病人基于互联网居家照护模式下的护理效果.方法:选取于医院就诊行PICC的肿瘤病人52例,按照随机数字表法分为对照组和观察组各26例.对照组予以常规干预模式,观察组在对照组的基础上予以基于互联网居家照护模式干预.观察两组病人置管后至拔管期间的导管维护情况,干预前后知信行评分及并发症发生情况的分析.结果:观察组维护率15.38％低于对照组57.69％(P<0.05),维护频数少于对照组(P<0.05);干预后观察组知识评分、行为评分、态度评分均高于对照组(P<0.05);观察组并发症发生率为11.52％,低于对照组的34.61％(P<0.05).结论:PICC置管的肿瘤病人应用基于互联网居家照护模式的护理可减少置管后导管维护频率及次数,提高病人对PICC知识的掌握及态度行为的转变,减少并发症的发生.

目的 分析同伴支持教育联合思维导图护理对乳腺癌根治术患者病耻感及癌因性疲乏的影响.方法 选取2017年5月至2019年5月在本院行手术治疗的乳腺癌患者96例为研究对象,随机将其等分为对照组和观察组,对照组给予常规护理,观察组在对照组基础上给予同伴支持教育联合思维导图护理,比较干预前后两组患者病耻感与癌因性疲乏评分改变情况.结果 干预后两组患者癌因性疲乏和病耻感评分低于治疗前且观察组评分低于对照组,差异有统计学意义(P<0.05).结论 同伴支持教育联合思维导图护理可有效改善乳腺癌根治术患者病耻感及癌因性疲乏评分,提高患者心理健康水平,值得推广应用.

目的 探讨认知行为干预对鼻咽癌患者放疗后吞咽功能的影响.方法 选择2018年1—12月经放射治疗的鼻咽癌患者79例,随机分为对照组38例和试验组41例.对照组在出院前进行放疗后常规健康宣教,试验组在常规健康宣教的基础上给予认知行为干预,半年后评价患者咬肌痉挛、吞咽障碍的发生率,评估其张口范围、齿间距、生存质量.结果 试验组患者放疗后咬肌痉挛、吞咽障碍的发生少于对照组(P<0.05).试验组患者张口范围为(3.55±0.45)cm,齿间距为(3.61±0.34)cm,生活质量评分为(71.21±6.12)分,均优于对照组(P<0.05).结论 认知行为干预能减少张口困难、咬肌痉挛、吞咽障碍的发生,可以改善生活质量,提高患者满意度.

Objective PDCA circulation management is implemented in PICC catheterization nursing for cancer patients, providing reference for the nursing management of PICC catheterization for cancer patients. Methods A total of 126 cancer patients admitted and treated in the department of oncology of the hospital from January 2015 to December 2016 were selected as the research objects, and randomly divided into the control group and the research group with 63 cases each. Patients in the control group were treated with the conventional nursing management method of PICC catheterization in the department of oncology of the hospital, and patients in the study group were treated with PD-CA circulation nursing management mode. The incidence of complications of PICC catheterization and the satisfaction of patients with PICC catheterization were compared between the two groups. Results The incidence of phlebitis, skin al-lergy, catheter obstruction or prolapse was lower in the PDCA group than in the control group ( P<0. 05) . However, there was no significant difference in the incidence of thrombosis ( P>0. 05) . It may be due to the small sample size of this study. Patients in the control group were 62. 8% satisfied with PICC catheterization, while those in the study group were 81. 3% satisfied with PICC catheterization. Patients in the study group implementing PDCA circular nursing man-agement were significantly more satisfied with PICC catheterization than those in the control group ( P<0. 05) . Conclu-sions PDCA circular nursing management in PICC catheterization of cancer patients can significantly reduce the inci-dence of various complications and improve the satisfaction of patients, which is worthy of clinical application.

Objective To explore the effect of nursing interventions on prevention and mitigation of gastrointestinal reactions induced by chemotherapy in patients with cancer.Methods 80 cases of cancer receiving intravenous chemotherapy were randomly divided into control group and experimental group,with 40 cases in each group.Control group was treated with conventional chemotherapy care and randomized antiemetic medication application,on the basis of routine nursing experimental group received systematic health education before chemotherapy,dietary intervention during chemotherapy,comfort care,timely antiemetic medication application and health education after chemotherapy.Result The rate of nausea and vomiting in experimental group during chemotherapy was significantly lower than that in control group,with statistically significant difference (P ＜ 0.01).Conclusions It can effectively prevent and control gastrointestinal reactions induced by chemotherapy and reduce patients' suffering to strengthen health education,provide comfort care during chemotherapy and correctly grasp the timing of antiemetic medication.

目的 加强应用赫赛汀(药物通用名为曲妥珠单,Trastuzumab,商品名Herceptin)治疗乳腺癌的用药观察,遵守操作规范,使患者顺利安全完成治疗.方法 对37例经静脉输注赫赛汀药物的HER-2阳性乳腺癌患者,加强心理护理,用药中加强观察,严格遵守配药操作流程.结果 37例患者均能顺利完成治疗,无1例出现严重心脏不良反应.结论对应用赫赛汀治疗的患者,加强心理护理、用药观察及遵守用药操作要求,是使患者顺利完成治疗的重要保障.