Application of evidence-based nursing in home rehabilitation of elderly patients with breast cancer

Abstract

Objective To discuss the application of evidence-based nursing in home rehabilitation of elderly patients with breast cancer .Methods Eighty-six elderly patients with breast cancer were randomly divided into the control group and the observation group .The control group received conventional nursing plan after discharge , while the observation group conducted comprehensive nursing evaluation , systematic analysis , nursing intervention methods and implementation according to evidence-based nursing . Changes in living environment of home rehabilitation , social mentality , mentality and health were evaluated by Omaha system . Results The score of recognition, behavior and current situation was respectively （ 7.987 ±3.520 ）, （7.341 ±2.895） and （7.756 ±2.903） in the observation group after intervention , which were higher than （4.456 ±4.123）,（4.780 ±3.214） and（4.653 ±3.424） in the control group, and the differences were statistically significant （t=4.198,4.495,4.179,respectively;P〈0.05）.The score of clothing, eating, living, transportation and personal hygiene was respectively （88.462 ±3.132）,（96.875 ±1.990）,（92.547 ± 2.424）,（86.342 ±3.452）,（96.867 ±3.094）in the observation group, which were higher than （68.764 ± 3.098）,（70.624 ±4.252）,（66.245 ±2.870）,（73.085 ±2.094）,（68.326 ±3.021） in the control group, and the differences were statistically significant （ t =5.569,5.412,5.478,5.398,5.402, respectively;P 〈0.05）.Conclusions Evidence-based nursing is effective for home rehabilitation of elderly patients with breast cancer. Key words: Breast neoplasm; Elderly; Rehabilitation nursing; Evidence-based nursing; Omaha system