慢病自我管理模式应用于乳腺癌患者术后淋巴水肿中的效果评价

Evaluation of the effect of chronic disease self-management model in patients with postoperative lymphedema of breast cancer

目的探究慢病自我管理模式应用于乳腺癌患者术后淋巴水肿中的临床效果。方法选取2018年12月至2020年10月无锡市第二人民医院收治的乳腺癌术后淋巴水肿患者118例,采用随机数字表法分为两组,各59例。对照组年龄(43.35±6.50)岁,给予常规干预;观察组年龄(43.57±6.67)岁,给予慢病自我管理模式。比较两组自护能力、上肢功能与生活质量。计量资料组间比较采用独立样本t检验,组内采用配对t检验;计数资料采用卡方检验。结果干预前,两组乳腺癌术后淋巴水肿患者自护能力、上肢功能、生活质量评分比较,差异均无统计学意义(均P>0.05);干预后,观察组自护能力、生活质量评分分别为(146.52±5.60)分、(173.04±7.69)分,均明显高于对照组的(128.81±6.57)分、(153.95±5.31)分,观察组上肢功能评分为(65.27±4.20)分,明显低于对照组的(72.94±5.83)分,差异均有统计学意义(均P<0.05)。结论慢病自我管理模式应用于乳腺癌术后淋巴水肿患者中,可有效增强其自护能力,提高其上肢功能,并且能够显著改善患者的生活质量。

Objective To explore the clinical effect of chronic disease self-management model applied to postoperative lymphedema in breast cancer patients.Methods A total of 118 patients with lymphedema after breast cancer surgery who were admitted to Wuxi Second People's Hospital from December 2018 to October 2020 were selected and were divided into two groups by the random number table method,with 59 cases in each group.The control group was(43.35±6.50)years old and received routine intervention,and the observation group was(43.57±6.67)years old and received chronic disease self-management model.The self-care ability,upper limb function,and quality of life were compared between the two groups.The measurement data were compared between groups by independent sample t test and within groups by paired t test,and the count data were compared by Chi-square test.Results Before intervention,there were no statistically significant differences in the scores of self-care ability,upper limb function,and quality of life between the two groups(all P>0.05).After intervention,the scores of self-care ability and quality of life in the observation group were(146.52±5.60)points and(173.04±7.69)points,respectively,which were significantly higher than those in the control group[(128.81±6.57)points and(153.95±5.31)points],and the upper limb function score in the observation group was(65.27±4.20)points,which was significantly lower than that in the control group[(72.94±5.83)points],with statistically significant differences(all P<0.05).Conclusion The chronic disease self-management model applied to patients with lymphedema after breast cancer surgery can effectively enhance their self-care ability,improve their upper limb function,and significantly improve their quality of life.