多模式健康教育对乳腺癌患者术后患肢功能、负性情绪和生活质量的影响

Effect of multimodal health education on limb function,negative emotion and quality of life of breast cancer patients after surgery

目的探讨多模式健康教育对乳腺癌患者术后患肢功能、负性情绪和生活质量的影响。方法依据术后干预方式的不同将84例乳腺癌患者分为对照组和观察组,每组42例,对照组患者术后给予常规护理干预,观察组患者术后给予多模式健康教育。比较两组患者的患肢锻炼依从性、患肢肩关节活动度、负性情绪[抑郁自评量表(SDS)和焦虑自评量表(SAS)]、生活质量[世界卫生组织生存质量测定量表简表(WHOQOL-BREF)]和术后并发症发生情况。结果观察组患者的患肢锻炼依从性为92.86%,高于对照组患者的76.19%,差异有统计学意义(P﹤0.05)。干预后,两组患者肩关节前屈、后伸、外展、内旋和外旋活动度均小于本组干预前,但观察组患者肩关节前屈、后伸、外展、内旋和外旋活动度均大于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者SDS、SAS评分均低于本组干预前,且观察组患者SDS、SAS评分均低于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者WHOQOL-BREF量表各维度评分均高于本组干预前,且观察组患者WHOQOL-BREF量表各维度评分均高于对照组,差异均有统计学意义(P﹤0.05)。干预后,观察组患者的术后并发症总发生率为16.67%,明显低于对照组患者的42.86%,差异有统计学意义(P﹤0.01)。结论多模式健康教育可以提高患者患肢的锻炼依从性,有利于患肢功能恢复,有效缓解焦虑和抑郁等负性情绪,提高生活质量,有效减少术后并发症。

Objective To explore the effect of multimodal health education on the limb function,negative emotion and quality of life of breast cancer patients after surgery.Method A total of 84 breast cancer patients were divided into control group and observation group according to different postoperative intervention methods,with 42 cases in each group.Patients in the control group were given routine nursing intervention after the operation,and patients in the observation group were given multimode health education after the operation.The exercise compliance of the affected limb,the range of motion of the shoulder joint of the affected limb,negative emotions[selfrating depression scale(SDS),self rating anxiety scale(SAS)],quality of life[World Health Organization quality of life assessment instrument brief version(WHOQOL-BREF)],and postoperative complications were compared between the two groups.Result The compliance of patients in the observation group was 92.86%,which was higher than 76.19%in the control group(P<0.05).After the intervention,the range of motion of shoulder joint flexion,extension,abduction,internal rotation,and external rotation in the two groups were greater restricted than those before the intervention,however,the range of motion of the above joints in the observation group were greater than those in the control group,and the differences were statistically significant(P<0.05).After the intervention,the SDS,SAS scores of the two groups were lower than those before the intervention,and the above scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).After the intervention,the scores of each dimension of the WHOQOL-BREF scale were higher than those before the intervention,and the above scores in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the total incidence of postoperative complications in the observation group was 16.67%,significantly lower than 42.86%in the control group(P<0.01).Conclusion Multimode health education can improve the exercise compliance of patients with affected limbs,facilitate the functional recovery of affected limbs,effectively alleviate negative emotions such as anxiety and depression,improve the quality of life,and effectively reduce postoperative complications.