量化活动方案实施对乳腺癌术后患者上肢功能恢复及生活质量的影响

Effects of quantitative activity program implementation on the upper limb function recovery and life quality of patients with breast cancer after operation

目的探讨量化活动方案实施对乳腺癌术后患者上肢功能恢复及生活质量的影响。方法选择2018年10月至2020年9月行乳腺癌根治术患者120例,随机分为2组,对照组(n=60,常规康复指导)和观察组(n=60,给予量化活动方案)。对比2组患者干预前、干预1个月上肢功能恢复(肩关节活动度)、运动耐力(运动距离、心率恢复时间、最大心率时间)、生活质量(生命质量测定量表)。结果干预前,2组患者外展、内收、后伸、前屈肩关节活动度差异无统计学意义(P>0.05);干预1个月,外展、内收、后伸、前屈活动度均较干预前变大,且观察组活动度大于对照组(P<0.05)。干预前,2组患者运动距离、心率恢复时间、最大心率时间差异无统计学意义(P>0.05);干预1个月,2组患者运动距离延长,心率恢复时间、最大心率时间缩短,且观察组运动距离长于对照组、心率恢复时间、最大心率时间短于对照组(P<0.05)。干预前,2组患者乳腺癌患者生活质量量表评分差异无统计学意义(P>0.05);干预1个月,2组患者生活质量量表评分较干预前提高,且观察组高于对照组(P<0.05),观察组较对照组下床活动时间延长、排便时间和排气时间缩短(P<0.05)。结论量化活动方案实施在乳腺癌术后患者中,能够促使上肢功能恢复,提高生活质量,延长运动距离,提高运动耐性,加快术后康复,值得推广。

Objective To investigate the effects of quantitative activity program implementation on the upper limb function recovery and life quality of patients with breast cancer after operation.Methods A total of 120 patients with breast cancer who were treated by radical mastectomy in our hospital from October 2018 to September 2020 were enrolled in the study,who were randomly divided into control group(conventional rehabilitation guidance)and observation group(quantitative activity plan),with 60 cases in each group.Before intervention and at 1 month after intervention,the upper limb function recovery status(shoulder range),exercise endurance(exercise distance,heart rate recovery time,maximum heart rate time),and quality of life(quality of life measurement scale)were observed and compared between the two groups.Results Before intervention,there were no significant differences in the range of motion of abductor,adductor,extensor and flexor shoulder joints between the two groups(P>0.05).After 1-month intervention,the angles of abduction,adduction,posterior elongation and anterior flexion in both groups were increased,moreover,which in observation group were significantly larger than those in control group(P<0.05).Moreover the exercise distances in both groups were lengthened,but,the heart rate recovery time and maximum heart rate time in both groups were shortened,moreover,the change degree in observation group was more significant than that in control group(P<0.05).Before intervention,there were no significant differences in life quality scores between the two groups(P>0.05).After 1-month intervention,the life quality scores in both groups were increased,which in observation group were significantly higher than those in control group(P<0.05).In addition the activity time of getting out of bed,defecating time and exhaust time in observation group were significantly shorter than those in control group(P<0.05).Conclusion The implementation of quantitative activity program for the patients with breast cancer after operation can promote the recovery of upper limb function,improve the quality of life,extend the exercise distance,improve exercise tolerance,and speed up postoperative rehabilitation,therefore,it is worthy of promotion in clinical practice.