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首页> 外文期刊>Journal of nursing scholarship: an official publication of Sigma Theta Tau International Honor Society of Nursing >Expanding the comfort of postmastectomy patients using the Papilla Gown.
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Expanding the comfort of postmastectomy patients using the Papilla Gown.

机译：使用乳头罩衣扩大乳房切除术后患者的舒适度。

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PURPOSE: To determine whether the Papilla Gown designed specifically to meet the needs of postmastectomy patients with a closed drainage system in place is more comfortable than is a typical hospital gown. BACKGROUND: The closed wound drainage system used for breast cancer patients immediately following mastectomy requires external drainage tubes that connect to a pouch. The pins that are usually used to attach the drains to a patient's gown create problems. The Papilla Gown (Papilla is the Latin term for breast) was designed with safety pouches for supporting the drains. METHODS: A convenience sample of 13 postmastectomy patients participated in this preliminary study of the gown's use. Participants were taught how to properly wear the typical hospital gown and Papilla Gown before surgery. Patients were discharged with the gowns and two questionnaires that were to be returned approximately 1 week following surgery. Thirteen of the 38 (34%) who agreed to participate submitted usable forms. The Wilcoxonsigned-ranks test was used for comparing the comfort scores of the Papilla with the hospital gown. FINDINGS: Participants reported significantly higher scores (p<.003) for the Papilla Gown on all of Comfort Questionnaire's 10 items, except one (p=.337) related to fear of pulling out the drainage tubes. Specifically, patients felt more comfortable about their appearance in the gowns, their ability to move, and the support of the drainage tubes. CONCLUSION: The newly designed Papilla Gown shows promise for meeting the purpose of increasing the comfort of postmastectomy patients with closed drainage systems. CLINICAL RELEVANCE: The Papilla Gown was designed to address the comfort, mobility, and body image issues that patients face during the first week following a mastectomy, when they are dealing with such issues as the cancer diagnosis, loss of a breast, and managing drainage tubes. Preliminary results show that nurses can improve patient satisfaction by providing clothing that is comfortable, attractive, and supports the drainage system in place during this critical time.
机译：目的：确定是否有专门为满足乳房切除术后患者的需要而设计的乳头罩衫，而该闭式引流系统就位，比典型的医院袍子更舒适。背景：乳腺癌切除术后立即用于乳腺癌患者的闭合伤口引流系统需要连接至囊袋的外部引流管。通常用于将引流管连接到患者袍子上的别针会产生问题。 Papilla礼服（Papilla是乳房的拉丁词）设计有用于支撑下水道的安全袋。方法：13名乳房切除术后患者的便利样本参加了这项礼服使用的初步研究。参与者被教导如何在手术前正确穿着典型的医院袍和乳头罩袍。手术后大约1周将患者的礼服和两份问卷出院。 38位同意参加的人中有13位（占34％）提交了可用表格。使用Wilcoxonsigned-rank检验来比较Papilla和医院工作服的舒适度得分。结果：参与者报告称，《舒适问卷》的所有10个项目中，乳头罩衫的得分均显着较高（p <.003），但其中一项（p = .337）与担心拔出引流管有关除外。具体而言，患者对礼服的外观，移动能力和引流管的支撑感到更加舒适。结论：新设计的乳头罩衫有望满足具有闭合引流系统的乳房切除术后患者增加舒适度的目的。临床意义：乳头罩衣旨在解决患者在乳房切除术后第一周面临的舒适性，活动性和身体形象问题，这些问题包括癌症诊断，乳房丢失和引流管理管。初步结果表明，护士可以通过在此关键时期提供舒适，诱人的衣服并支持引流系统来改善患者满意度。

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