基于奥马哈系统和微信平台的延续性护理在乳腺癌患者术后康复中的应用

Effect of transitional care based on Omaha system and WeChat platform on the rehabilitation after breast cancer surgery

目的探讨基于奥马哈系统和微信平台开展的延续性护理在乳腺癌患者术后康复中的应用效果。方法98例乳腺癌实施腋窝淋巴清扫手术的患者随机分为对照组和观察组,各49例。对照组实施乳腺癌术后常规护理,观察组在对照组基础上基于奥马哈系统和微信平台开展延续性护理。观察2组出院后1、2、3个月淋巴水肿发生情况,评价术后功能锻炼依从性。结果出院后1、2、3个月时,观察组淋巴水肿发生率低于对照组(P<0.05)。功能锻炼依从性方面,出院后2、3个月,观察组身体锻炼、主动寻求建议、术后注意事项及总分均高于对照组,差异具有统计学差异(P<0.05)。结论基于奥马哈系统和微信平台开展延续性护理,有利于降低乳腺癌患者术后淋巴水肿的发生率,提高术后锻炼依从性,促进术后康复。

Objective To investigate the effect of transitional care based on Omaha system and WeChat platform on the rehabilitation after breast cancer surgery.Methods Totally 98 patients undergoing with axillary lymphadenectomy for breast cancer were selected by a convenient sampling method.Patients were randomly divided into control group and observation group,with 49 each.The control group was given routine nursing after breast cancer surgery,and the observation group was given routine nursing and transitional care based on Omaha system and WeChat platform for 3 months.Follow-up was performed before discharge,1,2 and 3 months after surgery.The upper limb circumference was measured and the exercise compliance scale was filled out.Results The rates of lymphedema in the control group in the first,second and third months were significant higher than those in the intervention group,respectively(P<0.05).At the end of second and third months after discharge from hospital,the total score of the exercise compliance scale and factor scores of physical exercise,active advice seeking,postoperative precaution were higher than those in the control group(P<0.05).Conclusion The transitional care based on the Omaha system and WeChat platform is more conducive to reducing the incidence of postoperative lymphedema in breast cancer patients,improving postoperative exercise compliance and rehabilitation after surgery.