摘要
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.
出处
《中国医药导报》
CAS
2011年第17期57-58,共2页
China Medical Herald
关键词
乳腺癌
患肢康复
护理干预
Breast cancer
The upper limb rehabilitation
Nursing intervention