早期护理干预对乳腺癌根治术后患侧上肢水肿恢复的影响

Influence of early nursing intervention on recovery of upper limb edema after radical mastectomy

目的探讨早期护理干预对乳腺癌根治术后患侧上肢水肿的恢复的效果，以及对患者的主观舒适度和患者对护理人员的服务质量的满意度的影响。方法70例乳腺癌患者均为2007年1月至2010年1月住院患者，所有患者根据实施护理干预方法的不同随机分为观察组和对照组各35例，观察组给予综合护理，包括心理护理、抬高患肢、加强手臂功能的锻炼、进行多种形式的有氧运动，压力手套及按摩、热敷、理疗、使用弹力绷带、出院指导等方面的护理。对照组只给予常规护理。比较2组护理效果、患者的主观舒适度及对护理人员的服务质量的满意度、术后水肿减轻及消失时间以及住院时间。结果观察组的护理效果明显优于对照组，患者的主观舒适度及对护理人员的服务质量的满意度明显提高，且观察组术后水肿减轻及消失时间以及住院时间明显短于对照组。结论通过对乳腺癌根治术后患肢肿胀患者采取早期护理干预措施，提高了患者的护理满意度，促进了患侧上肢水肿的减轻，减少了住院时间。

Objective To investigate the early nursing intervention on recovery of upper limb edema after radical mastectomy, and subjective comfort of patients and satisfaction degree with the service quality of nursing staff. Methods 70 patients according to different methods of nursing intervention were randomly divided into the control group and the observation group with 35 patients in each group. The observation group was given comprehensive care, including psychological care, raising affected limb, strengthen the training arm function, conducting various forms of aerobic motion, pressure gloves and massage, hot packs, physical therapy, the use of elastic bandages, guidance and other aspects of hospital care. The con- trol group only received routine care. The nursing effect, subjective comfort degree, satisfaction degree with the service quality, time of edema alleviation and disappearance and hospitalization time of two groups were compared. Results Compared with the control group, nursing effect of the observation group was better, subjective comfort of patients and the satisfaction degree with the quality of service significantly improved, and the time of edema alleviation and hospitalization time was significantly shorter, the difference was sta- tistically significant. Conclusions Early implementation of nursing interventions for patients with limb swelling after radical operation of breast cancer can improve patients satisfaction degree, promote the recovery of upper limb edema, reduce hospital stay.