个性化护理在全乳房切除术患者围手术期的应用效果观察

个性化护理在全乳房切除术患者围手术期的应用效果观察摘要在全乳房切除术患者的围术期进行个性化护理干预，对比观察对照组和试验组患者幸福感和生命意义感的差距。方法：选用便利抽样选取2022年1-12月某市某三甲医院乳腺外科的准备进行全乳房切除术的患者，划分1-6月患者组成对照组，7-12月患者组成试验组，各组患者为40例，样本总量为80例。对照组应用常规护理措施，试验组应用围手术期个性化护理干预措施，主要以预防淋巴水肿，个性化心理护理，思维导图式健康教育为主，对两组研究对象的主观幸福感分数、生命意义感分数变化进行比较。结果：在“主观幸福感”、“接受与适应”、人际关系”、“自我控制”、“生活目标”、“生活态度”等六个维度比较。结果是在以上的维度中试验组的得分都比对照组的得分高。结论：对全乳房切除术患者手术围术期进行个性化护理干预，可提升患者的术后幸福感和生命意义感。关键词：围术期：个性化护理：全乳房切除术：幸福感：生命意义感ABSTRACTIn the perioperative period of patients with total mastectomy,personalized nursing interventionwas carried out to compare and observe the difference between the control group and theexperimental group in the sense of happiness and sense of meaning of life.Methods:Conveniencesampling was used to select the patients who were ready for total mastectomy in the breast surgerydepartment of a third-grade A hospital in a city from January to December 2022,and the patientswere divided into the control group from January to June,and the experimental group from July toDecember,with 40 patients in each group and a total of 80 samples.The control group was treatedwith routine nursing measures,and the experimental group was treated with perioperativepersonalized nursing interventions,mainly focusing on lymphedema prevention,personalizedpsychological nursing,and mind guide health education.The changes of subjective well-beingscores and sense of meaning of life scores of the two groups were compared.Results:Sixdimensions of subjective well-being,acceptance and adaptation,interpersonal relationship,self-control,life goal and life attitude were compared.It turns out that the control group scoredlower than the test group on all of these dimensions.Conclusion:Individualized nursingintervention in perioperative period of total mastectomy can improve patients'postoperativehappiness and sense of life meaning.Key words:perioperative;personalized care;total mastectomy;Happiness;Meaning of life目录第1章试验背景与方法..11.】研究背景…11.1.1乳腺癌流行概况…11.1.2乳腺癌术后患者的幸福感亟需提升1.2研究对象1.2.】研究对象….11.2.2纳入标准……21.2.3排除标准.….21.3伦理原则.21.3.1自愿参加原则.21.3.2隐私保密原则.21.4测量工具.21.4.1问卷发放….21.5干预方案的确立及实施阶段21.5.1成立研究小组.21.5.2护理干预措施….3第2章结果.52.】一般资料..52.2对照组和试验组情况比较..6第3章讨论………………………………………………….73.1分析研究中患者幸福感和生命意义感偏低的原因73.2创新与不足..83.2.1创新….83.2.2不足.8结论.8参考文献，9致谢….10附录。.11