阶段性护理干预对乳腺癌术后患侧上肢功能恢复的影响

Effect of stage nursing intervention on function recovery of affected upper limbs in postoperative patients with breast cancer

目的研究阶段性护理干预对乳腺癌术后患侧上肢功能恢复的影响。方法随机选取本院30例乳腺癌根治性手术患者为本次研究对象,所有患者均成功完成手术,按照术后护理模式不同将其均分为观察组与对照组,对照组15例患者术后给予常规护理,观察组15例患者在常规护理基础上给予阶段性护理。比较2组患者术后恢复情况。结果观察组术后负压引流量、术后负压引流拔管时间、平均住院时间均少于对照组;观察组患者术后3周上肢运动功能评估量表(WMFT)评分高于治疗前及对照组(P<0.05)。结论乳腺癌术后患者在常规护理基础上给予阶段性护理能有效改善患者上肢肿胀以及上肢功能障碍。

Objective To study the effect of stage nursing intervention on functional recov- ery of affected upper limbs in patients with breast cancer. Methods Thirty patients with radical sur- gery of breast cancer were randomly selected as the study objects. All the patients were successfully performed the operation, and were equally divided into observation group and control group according to different postoperative care. The control group （ n = 15 ） was given routine care, while observation group（n = 15） was given stage care on the basis of routine care. The postoperative recovery condi- tions of two groups were compared. Results The postoperative vacuum drainage volume, extubation time of postoperative vacuum drainage, and average length of hospital stay in the observation group were less and shorter than that in the control group. WMFT scores of affected upper limbs in the obser- vation group at 3 weeks after operation were significantly higher than treatment before and that of con- trol group （P 〈 0.05 ）. Conclusion Postoperative stage nursing intervention can effectively improve swelling and dysfunction of upper limb.