乳腺癌术后患肢康复护理效果评价

Evaluation of postoperative limb rehabilitation for breast cancer care

目的:观察乳腺癌术后康复护理干预对患者患肢的康复作用。方法:将66例乳腺癌根治术后的患者随机分为观察组和对照组,每组各33例;观察组术后进行心理护理干预,并根据患肢功能锻炼计划进行个性化辅导;对照组进行常规术后康复护理。结果:观察组的上肢功能障碍4例,对照组12例,两组比较,差异有统计学意义(χ2=6.82,P<0.05);观察组淋巴结消肿发生2例,对照组9例,两组比较,差异有统计学意义(χ2=5.35,P<0.05);观察组患侧上肢活动度恢复内收、外展、前屈、后伸分别为(33.25±3.12)°、(103.53±18.67)°、(118.38±18.55)°、(41.27±1.38)°,对照组为(30.01±2.16)°、(72.71±10.24)°、(92.35±13.67)°、(25.37±1.22)°,两组比较,差异有统计学意义(t=2.893、3.947、4.235、3.547,均P<0.05)。结论:乳腺癌根治术后进行康复护理干预,有益患肢的功能恢复,帮助患者实现躯体、心理和社会上的整体恢复。

Objective： To evaluate rehabilitation after breast cancer care and rehabilitation intervention for patients with limb function.Methods： 66 patients after radical mastectomy were randomly divided into treatment group and control group,33 patients in each group;observation group after psychological intervention,and limb functional training plan based on individual counseling;the control group routine postoperative rehabilitation care.Results： The group of upper limb dysfunction in 4 cases,12 patients in the control group,there was a significant difference（χ2=6.82,P〈0.05）;the observation group of lymph node swelling occurred in 2 cases,9 cases of the control group,there was a significant difference（χ2=5.35,P〈0.05）;the observation group patients side of the upper extremity activity recovery adduction,abduction,flexion,extension was（33.25±3.12）°,（103.53±18.67）°,（118.38±18.55）°,（41.27±1.38）°,control group was（30.01±2.16）°,（72.71±10.24）°,（92.35±13.67）°,（25.37±1.22）°,there were significant differences（t=2.893,3.947,4.235,3.547,all P〈0.05）.Conclusion： Rehabilitation after radical mastectomy for nursing intervention,useful limb functional recovery,helping patients to achieve physical,psychological and social overall recovery.