中西医结合护理联合细节护理对预防乳腺癌术后患侧上肢水肿的效果

Effect of integrated traditional Chinese and western medicine nursing combined with detail nursing on the prevention of postoperative upper limb edema on the affected side of breast cancer

目的分析中西医结合护理联合细节护理在乳腺癌患者术后的应用效果。方法选取2016年1月1日至2020年12月30日在南通市第二人民医院行乳腺癌根治术的80例患者作为研究对象,并按简单随机抽样法分入对照组(40例)和观察组(40例)。对照组实施细节护理,观察组实施细节护理联合中西医结合护理。比较2组的患侧上肢水肿发生率、上肢功能恢复情况、上肢相关指标及生活质量。结果观察组的患侧上肢水肿发生率低于对照组(P<0.05),上肢功能恢复优良率高于对照组(P<0.05)。与干预前相比,2组在干预2周及1个月后的上肢淋巴流量均增加,上肢体积差、上肢周径差均减小(P均<0.05);相较于同期对照组,观察组的上述指标均更优(P均<0.05)。与干预前相比,2组在干预1个月后的总体健康状况、功能领域评分均升高,症状领域、单一项目评分均降低(P均<0.05);观察组的上述评分均优于对照组(P均<0.05)。结论中西医结合护理联合细节护理对预防乳腺癌术后患侧上肢水肿的效果显著,且能够改善上肢相关指标水平,提高患肢功能和生活质量。

Objective To analyze the application effect of integrated traditional Chinese and western medicine nursing combined with detail nursing in patients after breast cancer surgery.Methods A total of 80 patients who underwent radical mastectomy for breast cancer in the Second People's Hospital of Nantong from January 1,2016 to December 30,2020 were enrolled and divided into a control group(40 cases)and an observation group(40 cases)by simple random sampling.The control group received detail nursing,while the observation group received detail nursing combined with integrated traditional Chinese and western medicine nursing.The incidence of upper limb edema of the affected side,recovery of upper limb function,related indicators of upper limbs,and quality of life were compared between the two groups.Results The incidence of upper limb edema on the affected side in the observation group was lower than that in the control group(P<0.05),and the excellent and good rate of upper limb function recovery was higher than that in the control group(P<0.05).Compared with before the intervention,the lymphatic flow of the upper limb in the two groups was increased,and the upper limb volume difference and upper limb circumference difference were decreased after 2 weeks and 1 month of intervention(all P<0.05).The above indicators in the observation group were better than those in the control group(all P<0.05).Compared with before the intervention,the global health status and functional domain scores of the two groups were increased,and the symptom domain and single item scores were decreased after 1 month of intervention(all P<0.05).The above scores of the observation group were better than those of the control group(all P<0.05).Conclusion Integrated traditional Chinese and western medicine nursing combined with detail nursing has a significant effect on preventing the postoperative upper limb edema on the affected side of breast cancer,and can improve the related indicators and function of the upper limbs and the quality of life of patients.