康复小组干预模式在乳腺癌患者术后上肢淋巴水肿康复护理中的应用

Hospital Rehabilitation Group Intervention Mode Rehabilitation Nursing Effect of Breast Cancer Patients Postoperative Upper Limb Lymphedema

目的：探讨医院康复小组干预模式下乳腺癌患者术后上肢淋巴水肿的康复护理效果。方法：选择2009年12月～2013年5月在桌市桌三甲医院行乳腺癌改良根治术后出现患侧上肢淋巴水肿的61例患者为研究对象，随机分成对照组31例和实验组30例。对照组采取患侧肢体功能锻炼、应用弹力绷带及手法按摩等复合干预模式。实验组在对照组所采用的复合护理干预方式的基础上增加了医院康复护理小组的指导。在采取干预措施后15天、30天及60天分别对研究对象的患侧上肢周径进行评估测量，共3次。采取干预措施60天后对患者患侧上肢功能进行评估。结果：2组患者惠侧上肢周径均较干预前缩小，患者患肢功能均有明显改善。改善程度实验组效果优于对照组。结论：医院康复小组参与下的干预模式，能加快了患者患肢功能的康复，提高乳腺癌患者手术后生存期的生活质量。

Objective ： Hospital rehabilitation group intervention mode rehabilitation nursing effect of breast cancer patients postoperaire upper limb lymphedema. Methods： Select in December 2009 to May 2009 in the city a line 3 armour hospital breast cancer modified radical surgery in 61 cases of bilateral upper limb lymphedema patients as the research object, and randomly divided into control group and experimental group 30 cases. Control group take side limb function exercise, application of elastic bandage and compound intervention model such as massage. The experimental group in the control group adopted by way of compound nursing intervention on the basis of in- creased hospital rehabilitation nursing group guidance. In 15 days after the intervention, 50 days and 60 days respectively to the research object of upper extremities to evaluate weeks diameter measurement, a total of 3 times. Intervention in 60 days to evaluate patients suffer- ing from upper extremities function. Results ： Week of two groups of patients suffering from upper diameter are narrow, compared with be- fore, in patients with limb function were improved significantly. Improve the degree of the experimental group is better than the control group. Conclusion： Hospital rehabilitation team to participate in the intervention model, improves the patient rehabilitation of limb function, improve the quality of life of breast cancer surgery patients survival.