乳腺癌术后护理干预对患肢功能锻炼康复的影响

Influence by postoperative nursing intervention after breast cancer operation on functional training rehabilitation in affected extremity

目的探讨乳腺癌术后护理干预对患肢功能锻炼康复的影响。方法 71例行乳腺癌手术患者,将其随机分为对照组(35例)和观察组(36例)。对照组患者予以常规护理,观察组患者在此基础上进行术后护理干预,观察两组患者的护理效果。结果观察组肩关节前屈、后伸、内收、外展、内旋、外旋活动度明显优于对照组,差异具有统计学意义(t=11.56、9.84、5.78、7.75、5.68、7.15,P<0.05);观察组生理功能、身体疼痛、总体健康、活力、情感职能、心理健康等生活质量评分均明显优于对照组,差异具有统计学意义(t=5.32、11.69、7.02、7.35、9.06、6.10,P<0.05)。结论乳腺癌术后护理干预能够有效促进患肢功能锻炼康复,提高生活质量,值得推广。

Objective To investigate influence by postoperative nursing intervention after breast cancer operation on functional training rehabilitation in affected extremity. Methods A total of 71 patients in breast cancer operation were randomly divided into control group（35 cases） and observation group（36 cases）. The control group received conventional nursing, and the observation group received additional postoperative nursing intervention on nursing in the control group. Nursing effects were observed in the two groups. Results The observation group had obviously higher shoulder range of motion in antexion, posterior extension, adduction, abduction, internal rotation and external rotation than the control group, and their difference had statistical significance（t=11.56, 9.84, 5.78, 7.75, 5.68, 7.15, P〈0.05）. The observation group had all much better quality of life scores in physiological function, body pain, general health, vitality, affection function, and mental health than the control group（t=5.32, 11.69, 7.02, 7.35, 9.06, 6.10, P〈0.05）. Conclusion Postoperative nursing intervention after breast cancer operation can effectively enhance functional training rehabilitation in affected extremity and improve quality of life. This method is worth promoting.