基于赋权理论的延伸护理模式对乳腺癌患者淋巴水肿的防控效果研究

Study on the prevention and control effect of lymphedema in patients with breast cancer by extended nursing mode based on empowerment theory

目的探讨基于赋权理论的延伸护理模式对乳腺癌患者淋巴水肿的防控效果。方法随机抽取在本院行乳腺癌改良根治术的患者104例,根据随机数字表法分为观察组与对照组,各52例。对照组给予物理治疗与常规护理,观察组在对照组的基础上给予基于赋权理论的延伸护理。比较2组的护理效果。结果观察组淋巴水肿的发生率显著低于对照组,且观察组显著低于对照组(P<0.05);2组护理后的腕横纹周径与虎口掌径都高于护理前,且观察组显著高于对照组(P<0.05);护理干预后观察组的肩关节活动优良率显著高于对照组(P<0.05);护理干预后观察组的功能状况、生理状况、情感状况、附加关注和总分显著高于对照组(P<0.05)。结论基于赋权理论的延伸护理模式在乳腺癌改良根治术患者中的应用能显著降低淋巴水肿的发生率,改善肩关节状况,从而提高患者的生活质量。

Objective To explore the effects of extended nursing mode based on empowerment theory on the prevention and control of lymphedema in patients with breast cancer.Methods A total of 104 case of patients who underwent radical mastectomy in our hospital were randomly selected,and the patients were divided into observation group and control group with 52 cases in each group according to the random number table method.The control group was given physical therapy and conventional nursing,the observation group was given extended nursing based on the empowerment theory on the basis of the treatment of the control group.The nursing effects of the two groups were compared.Results The incidence of lymphedema in the observation group was significantly lower than that in the control group(P<0.05);the wrist circumference and tiger palmar diameter in the observation group after nursing were higher than those in the control group(P<0.05);the excellent and good rate of shoulder joint activity in the observation group was higher than that in the control group(P<0.05).Conclusion The application of the extended-care model based on the theory of empowerment in patients with modified radical mastectomy for breast cancer can significantly reduce the incidence of lymphedema,improve the condition of shoulder joint and improve the quality of life of patients.