渐进式康复训练在促进乳腺癌术后患者上肢功能恢复中的应用研究

Study on the Application of Progressive Rehabilitation Training in Promoting the Recovery of Upper Limb Function after Breast Cancer Surgery

目的:分析渐进式康复训练对乳腺癌术后患者上肢功能恢复的效果。方法:选择2022年4月—2023年4月江门市妇幼保健院乳腺科收治的80例乳腺癌术后患者作为研究对象,按照入院先后顺序编号,将奇数号纳入对照组,偶数号纳入观察组,各40例。对照组给予常规康复护理,观察组在常规康复护理基础上开展渐进式康复训练。比较两组护理前、护理1个月后肩关节活动度、运动耐力、乳腺癌患者生存质量测定量表(FACT-B)评分、肩关节功能评分及术后恢复指标(下床活动时间、排便时间、排气时间)。结果:护理前,两组肩关节活动度、运动耐力指标、FACT-B评分及肩关节功能评分比较,差异无统计学意义(P>0.05)。护理1个月后,两组肩关节活动度优于护理前,运动距离长于护理前,心率恢复时间、最大心率时间短于护理前,FACT-B各项评分及肩关节功能各项评分高于护理前,且观察组肩关节活动度大于对照组,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,FACT-B各项评分及肩关节功能各项评分高于对照组,差异有统计学意义(P<0.05)。观察组术后下床活动时间、排便时间、排气时间均早于对照组,差异有统计学意义(P<0.05)。结论:乳腺癌患者术后开展渐进式康复训练可有效促进肩关节功能的恢复,还可增强患者的运动耐力并改善其生活质量。

Objective:To analyze the effect of progressive rehabilitation training on upper limb function recovery of breast cancer patients after surgery.Method:A total of 80 postoperative patients with breast cancer admitted to the Breast Department of Jiangmen Maternal and Child Health Care from April 2022 to April 2023 were selected as the study objects.According to the order of admission,the odd number was included in the control group and the even number was included in the observation group,with 40 cases in each group.The control group received routine rehabilitation nursing,and the observation group received progressive rehabilitation training on the basis of routine rehabilitation nursing.The shoulder joint motion range,athletic endurance,functional assessment of cancer therapy-breast symptom index(FACT-B)score,shoulder joint function score before and after nursing for 1 month and postoperative recovery index(getting out of bed activity time,defecation time,exhaust time)between the two groups were compared.Result:Before nursing,there were no significant differences in shoulder joint motion range,athletic endurance index,FACT-B scores and shoulder joint function scores between the two groups(P>0.05).After 1 month of nursing,the shoulder joint motion range of the two groups were better than those before nursing,exercise distance were longer than those before nursing,heart rate recovery time and maximum heart rate time were shorter than those before nursing,FACT-B scores and shoulder joint function scores were higher than those before nursing,and the shoulder joint motion range of the observation group was greater than that of the control group,exercise distance was longer than that of the control group,heart rate recovery time and maximum heart rate time were shorter than those of the control group,FACT-B scores and shoulder joint function scores were higher than those of control group,and the differences were statistically significant(P<0.05).The getting out of bed activity time,defecation time and exhaust time in observation group were earlier than those in control group,and the differences were statistically significant(P<0.05).Conclusion:Progressive rehabilitation training for breast cancer patients after surgery can effectively promote the recovery of shoulder joint function,enhance the athletic endurance of patients and improve their quality of life.