Kết quả chăm sóc bệnh nhân sau phẫu thuật cắt toàn bộ tuyến vú tại Trung tâm Ung Bướu - Bệnh viện Trung ương Thái Nguyên=Results of nursing care for breast cancers after modified radical mastectomy at the center of oncology

Kết quả chăm sóc bệnh nhân sau phẫu thuật cắt toàn bộ tuyến vú tại Trung tâm Ung Bướu - Bệnh viện Trung ương Thái Nguyên=Results of nursing care for breast cancers after modified radical mastectomy at the center of oncology - Thai Nguyen National Hospital

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Thị Thu Minh Đào, Minh Cương Hoàng, Trà Mi Phan, Bảo Ngọc Trần, Bích Huyền Vũ

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.301-307

Bộ sưu tập: Metadata

ID: 242173

Thêm vào giỏ

Đánh giá kết quả chăm sóc hậu phẫu bệnh nhân ung thư vú. Phương pháp nghiên cứu: Nghiên cứu mô tả tiến cứu trên 36 bệnh nhân ung thư vú được phẫu thuật cắt toàn bộ tuyến vú, vét hạch nách tại Trung tâm Ung Bướu - Bệnh viện Trung ương Thái Nguyên từ 01/2023 đến tháng 10/2023. Kết quả: Vú trái có tỉ lệ ung thư cao hơn vú phải
58,3% so với 41,7%. Không có trường hợp nào bị ung thư vú cả hai bên. Vị trí ung thư hay gặp nhất là ¼ trên ngoài, chiếm 50%. Phần lớn bệnh nhân được chẩn đoán ở giai đoạn II, chiếm 55,6%. Không có trường hợp nào có biến chứng nhiễm trùng tại vết mổ hoặc hoại tử vạt da. Có 19,4% số bệnh nhân bị nhiễm trùng tại chân sonde dẫn lưu. 11,1% có đọng dịch sau mổ. Phần lớn bệnh nhân có thời gian nằm viện hậu phẫu >
7 ngày, chiếm 75%. Điều dưỡng thực hiện tốt các quy trình chăm sóc người bệnh theo quy định. 100% số bệnh nhân được tư vấn giáo dục sức khỏe và động viên trong quá trình hậu phẫu. Có 83,3% số bệnh nhân được tư vấn về chế độ ăn sau phẫu thuật. có sự thay đổi đáng kể về tỷ lệ bệnh nhân đau sau mổ chủ yếu từ đau nhiều và đau vừa chiếm 88,9% trong 24 giờ sau mổ, sau 72 giờ không còn bệnh nhau đau nặng. Kết luận: Biến chứng nhiễm trùng tại chân dẫn lưu là biến chứng hay gặp nhất. Việc chăm sóc sau phẫu thuật cắt toàn bộ tuyến vú, vét hạch nách được thực hiện tốt, theo đúng qui trình và mang lại lợi ích đối với sự hồi phục của Bệnh nhân.Evaluate the care results for breast cancer patients after radical surgery. Patients and method: A prospective descriptive study was applied. 36 patients underwent total mastectomy and axillary lymph node dissection at the Oncology Center - Thai Nguyen National Hospital from January 2023 to October 2023. Results: Tumours in the left breast have a higher rate than in the right breast, 58.3% vs. 41.7%. No cases of bilateral breast cancer were observed. Tumours cited in the upper and outer quadrants accounted for 50%. Most patients are diagnosed in stage II, accounting for 55.6%. There were no cases of infectious wounds or skin flap necrosis. 19.4% of patients were diagnosed with drainage output infection. 11.1% had fluid retention after operation. Most patients have a postoperative length of hospital stay of more than seven days, accounting for 75%. Nurses perform good handwashing and bandage change procedures when performing postoperative care of patients. 100% of patients received encouragement and consultants during the postoperative period. 83.3% of patients received advice on an appropriate diet. There is a significant change in the proportion of patients with surgical pain, mainly from severe and moderate pain, accounting for 88.9% within 24 hours after surgery. After 72 hours no cases of severe pain was observed. Conclusion: Infection of drainage output was the most prevalent surgical complication. Nursing breast cancers after modified radical mastectomy was performed by standard procedure and benefited the patient’s recovery.

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