应用上肢康复操视频对乳腺癌改良根治术后患者进行生活质量干预的效果

Intervention by using upper limb rehabilitation exercise video on life quality in patients after modified radical mastectomy

【目的】探讨应用上肢康复操视频对乳腺癌改良根治术后患者进行生活质量干预的效果。【方法】选择2017年6月—2019年6月在上海市嘉定区妇幼保健院行乳腺癌改良根治术的患者160例,随机分为对照组和干预组,每组80例。对照组患者采用常规上肢康复操进行训练,干预组患者应用上肢康复操视频进行康复训练。采用乳腺癌患者生活质量测定量表和焦虑量表、抑郁量表评估患者的生命质量和焦虑抑郁状况,采用满意度及依从性量表测定患者的满意度及依从性情况。【结果】干预前,两组乳腺癌患者各项指标比较差异均无统计学意义(P>0.05);干预后,干预组在生活质量方面包括生活状况(21.43±4.83)、功能状况(19.69±4.72)、情感状况(19.83±4.36)、社会/家庭状况(19.59±3.62)以及附加关注(24.73±3.27)的得分均优于对照组;对照组干预前后差异无统计学意义(P>0.05);干预组患者的焦虑(36.37±5.64)和忧郁(37.28±4.47)分值低于对照组,差异有统计学意义(P<0.05);干预组患者的护理满意度和依从性分别为91.25%和97.50%,高于对照组的77.50%和68.75%。【结论】应用上肢康复操视频进行康复锻炼可提高乳腺癌改良根治术后患者的生活质量和护理满意度,提高康复的依从性,改善患者的焦虑抑郁状况。

[Objective]To assess the intervention effect of upper limb rehabilitation exercise video on life quality in patients after modified radical mastectomy.[Methods]A total of 160 breast cancer patients received modified radical mastectomy were from Shanghai Jiading District Maternal and Child Health Hospital from June 2017 to June 2019.They were randomly divided into control group and observation group with 80 cases in each group.The patients in the control group were trained with routine upper limb rehabilitation exercise,and the patients in the observation group were given video training for upper limb rehabilitation exercise.Quality of life(QOL),anxiety scale and depression scale were used for corresponding evaluations.Satisfaction and compliance scales were also used for evaluation.[Results]Before intervention,there was no significant difference in each index between the two groups(P>0.05).After intervention,the quality of life in the observation group was better than that in the control group,including life status(21.43±4.83),functional status(19.69±4.72),emotional status(19.83±4.36),social/family status(19.59±3.62)and additional attention(24.73±3.27).There was no statistically significant difference in these parameters before and after intervention in the control group(P>0.05).The scores of anxiety(36.37±5.64)and depression(37.28±4.47)in the observation group were lower than those in the control group,and the differences were statistically significant.The nursing satisfaction of patients in the observation group was much higher than that in the control group(91.25%vs 77.50%),and the proportion of compliance was higher than that in the control group(97.50%vs 68.75%).[Conclusion]In breast cancer patients received radical mastectomy,video-guided rehabilitation training can improve the quality of life and nursing satisfaction,compliance of rehabilitation,and condition of anxiety and depression.