综合护理干预预防乳腺癌术后淋巴水肿的临床疗效观察

The Effect of Comprehensive Nursing to Prevent Breast Cancer Related Lymphedema

目的观察综合护理干预预防乳腺癌术后淋巴水肿的临床疗效观察。方法将60例乳腺癌术后患者按照随机数字表随机分为治疗组和对照组,每组患者各30例。治疗组患者予以综合护理干预,对照组患者予以空气波治疗联合康复训练,分别观察两组患者术后上肢淋巴水肿发生例数、淋巴水肿程度和日常生活质量。结果 (1)治疗组患者在术后1周、术后2周及术后1个月时,与对照组术后上肢淋巴水肿发生例数比较,差异无统计学意义(P>0.05),但治疗组患者在术后6个月时,上肢淋巴水肿发生例数少于对照组,差异具有统计学意义(P<0.05);(2)两组患者术后1个月、术后6个月时淋巴水肿程度比较,差异无统计学意义(P>0.05);(3)术后6个月时,治疗组患者FACT-B总分较治疗前明显改善,差异具有统计学意义(P<0.05),对照组患者术后6个月时,与治疗前相比,差异无统计学意义(P>0.05),两组术后6个月组间比较,治疗组患者FACT-B总分优于对照组,差异具有统计学意义(P<0.05)。结论综合护理干预能够有效的减少患者术后淋巴水肿的发生和提高患者的日常生活质量。

Objective To investigate the effect of of comprehensive nursing to prevnet breast cancer related lymphedema. Methods 60 cases of postoperative breast cancer patients were randomly divided into treatment group and control group, 30 cases of patients in each group. The patients in the treatment group weregiven comprehensive nursing intervention, the patients in the control group were treated with air wave therapy combined with rehabilitation training. The number of cases of lymphedema, the degree of lymphedema and the quality of daily life were observed in the two groups. Results （1） There was no signifcant difference in the number of upper extremity lymphedema between the treatment group and the control group at 1 week, 2 weeks and 1 month after operation （P〉0.05）. But the patients in the treatment group after 6 months of surgery, upper limb lymphedema were less than the control group, the difference was statistically significant （P 〈 0.05）; （2） the two groups of patients after 1 month and 6 months after operation of lymph edema, there was no statistically signifcant difference （P 〉 0.05）; （3） the total score of FACT-B in the treatment group was significantly improved at 6 months after the operation, and the difference was statistically signifcant （P 〈 0.05）. In the control group, there was no signifcant difference between the two groups at 6 months after operation （P 〉 0.05）. In the two groups after 6 months, the total score of FACT-B in the treatment group was better than that of the control group, and the difference was statistically significant （P 〈 0.05）. Conclusion Comprehensive nursing intervention can effectively reduce the incidence of postoperative lymphedema and improve the quality of daily life of the patients.