关键词: 快速康复护理, 乳腺癌改良根治术, 心理状态, 疼痛

Abstract:

Objective To analyze the effect of rapid rehabilitation nursing on the psychological state and pain of patients with modified radical mastectomy for breast cancer. Method From November 2022 to December 2024, 80 patients with breast cancer in Jianli People's Hospital were selected and randomly divided into observation group and control group, 40 cases in each group. The control group received routine nursing intervention, while the observation group received rapid rehabilitation nursing. The psychological status, pain degree and upper limb function recovery of the two groups were compared. Result Before intervention, there was no significant difference in self-rating depression scale (SAS), self-rating anxiety scale(SDS) scores, Fugl-Meyer assessment scale upper extremity (FMA-UE) and motricity index upper extremity(MI-UE) scores between the two groups (P ＞ 0.05). After the intervention, the SAS and SDS scores of the two groups were lower than those before the intervention, and the observation group was lower than that of the control group, the difference was significant(P ＜ 0.05), and the FMA-UE and MI-UE scores of the two groups were increased, and the observation group was higher (P＜0.05). The visual analogue scale scores of the observation group were lower than those of the control group at 6h, 12h, 1d and 3d after operation, and the difference was significant (P ＜ 0.05). Conclusion Rapid rehabilitation nursing for patients with breast cancer undergoing modified radical mastectomy can significantly reduce their negative emotions and pain, and improve the recovery of upper limb function.

Key words: Rapid rehabilitation nursing, Modifi ed radical mastectomy for breast cancer, Mental state, Pain