SWOT分析法在乳腺癌术后康复中的应用

Application of SWOT Analysis in Postoperative Rehabilitation of Breast Cancer

目的探讨SWOT分析法对乳腺癌术后有氧锻炼患者日常生活活动能力、肩关节活动度和生活质量的影响。方法 2017年1月至2017年12月,本院乳腺外科住院的乳腺癌改良根治术后患者共80例,按随机数字表法分为对照组和观察组各40例。两组术后均进行患肢有氧锻炼。观察组利用SWOT分析法评估有氧锻炼方案的内部优、劣势和外部环境的机会、威胁因素并加以细化分析,从而制订相应对策,指导术后患者进行患肢功能锻炼。术后3 d、4周及8周,采用日常生活活动能力量表(ADL)、肩关节活动度和乳腺癌患者生命质量测定量表(FACT-B)进行评价。结果术后3 d,两组ADL评分、肩关节活动度和FACT-B评分无显著性差异(t<0.23, P>0.05)。术后4周和8周,观察组ADL评分、肩关节活动度和FACT-B评分均显著优于对照组(t>6.14, P<0.001)。结论采用SWOT分析法对有氧锻炼进行分析,指导术后患者进行患肢功能锻炼,有利于患者术后康复,可提高患者的日常生活活动能力、肩关节活动度和生活质量。

Objective To analyze the effect of SWOT analytical method on the activities of daily living,shoulder mobility and quality of life of patients with aerobic training after oncoplastic breast surgery.Methods From January to December 2017,80 patients after modified radical mastectomy for breast cancer in the breast surgery of our hospital were randomly divided into control group and observation group,with 40 cases in each group.Both groups were performed aerobic training of the affected extremity,and the observation group were performed with evaluations and detailed analysis on the internal strengths and weaknesses,and the external opportunities and threats using SWOT analytical method,so that the corresponding solutions to the rehabilitation exercise of the affected extremity could be used to instruct postoperative patients.They were assessed with Activities of Daily Living Scale(ADL),shoulder mobility and Functional Assessment of Cancer Therapy(FACT)three days,four weeks and eight weeks after operation.Results Three days after operation,there was no significant difference in the scores of ADL,shoulder mobility and quality of life between two groups(t<0.23,P>0.05).Four weeks and eight weeks after operation,the scores of ADL,shoulder mobility and quality of life were significantly better in the observation group than in the control group(t>6.14,P<0.001).Conclusion The application of SWOT analytical method in the analysis and guidance on the rehabilitation exercise of the affected extremity is beneficial to the postoperative rehabilitation of patients,in aspects of activities of daily living,shoulder mobility and quality of life.