延续护理对乳腺癌术后上肢功能及生活质量的影响

Impact of Transitional Nursing on the Upper Extremity Function and Quality of Life After Surgery for Breast Cancer

目的探讨对乳腺癌术后患者实施延续护理的效果。方法选取2013年1月至2014年1月在我院行乳腺癌手术的43例患者为对照组,选取2014年2月至2015年1月在我院行乳腺癌手术的43例患者为实验组。对照组患者实施常规护理,实验组患者在对照组基础上给予延续护理。比较两组的上肢功能恢复情况和生活质量评分。结果实验组肩关节活动度及手指爬墙高度明显大于对照组(P<0.05)。出院后3个月,两组生活质量各项目评分均出现下降,出院6个月,部分项目评分有一定程度的上升,实验组各个时间的生理状况、功能状况、附加关注评分及生活质量总分均显著高于对照组(P<0.05)。结论对乳腺癌术后患者实施延续护理,可促进患肢功能恢复,提高患者的生活质量,效果显著,值得推广应用。

Objective To investigate the effect of transitional nursing on patients after surgery for breast cancer. Methods 43 patients undergoing surgery for breast cancer in our hospital from January 2013 to January 2014 were set as control group, 43 patients undergoing surgery for breast cancer in our hospital from February 2014 to January 2015 were set as experimental group. The control group was given conventional nursing, the experimental group was given transitional nursing on the basis of control group. The recovery of upper extremity function and score of life quality in two groups were compared. Results The shoulder joint range of motion and finger climbing height in experimental group were significantly larger than those in control group （P〈0.05）. 3 months after discharging from hospital, the scores of each items of life quality decreased significantly, and increased to some extent 6 months after discharging from hospital, the scores of physiological status, functional status, additional attention and total score of life quality in experimental group were significantly higher than those in control group （P 〈0.05）. Conclusions Transitional nursing for patients with breast cancer surgery can promote the recovery of extremity function, improve patients＇ quality of life, with remarkable effect, which is worthy of promotion and application.