微波理疗联合康复运动护理干预对乳腺癌患者康复效果和生命质量的影响

Effect of Microwave Physiotherapy Combined with Rehabilitation Exercise Nursing Intervention on Rehabilitation Effect and Quality of Life in Patients with Breast Cancer

目的研究微波理疗联合康复运动护理干预对乳腺癌(BC)患者康复效果及生命质量的影响。方法将2019年2月-2022年2月天津市肿瘤医院空港医院收治的106例乳腺癌患者纳入本次研究,采用随机数字表法分为对照组(53例)与观察组(53例)。对照组给予常规护理干预,观察组在其基础上开展微波理疗联合康复运动护理干预。比较两组康复效果(首次下床时间、患侧肿胀消退时间、住院时间)、肩关节活动度(前屈、外展)、并发症、生命质量[乳腺癌患者生活质量测定量表(FACT-B)评分]。结果观察组首次下床时间、患侧肿胀消退时间、住院时间均短于对照组(P<0.05);观察组干预后肩关节活动度大于对照组(P<0.05)。观察组并发症发生率低于对照组(P<0.05)。观察组干预后FACT-B生理、情感、附加关注评分低于对照组,FACT-B功能、社会/家庭评分高于对照组(P<0.05)。结论微波理疗联合康复运动护理可增强乳腺癌患者的康复效果,缩短其术后恢复时间,改善肩关节活动度,降低并发症风险,提高生命质量。

Objective To study the effect of microwave physiotherapy combined with rehabilitation exercise nursing intervention on rehabilitation effect and quality of life in patients with breast cancer(BC).Methods From February 2019 to February 2022,106 patients with breast cancer admitted to Tianjin Cancer Hospital Airport Hospital were included in this study.They were divided into control group(53 patients)and observation group(53 patients)by random number table method.The control group was given routine nursing intervention,and the observation group was given microwave physiotherapy combined with rehabilitation exercise nursing intervention on the basis of the control group.The rehabilitation effect(first time to get out of bed,swelling regression time of the affected side,hospitalization time),shoulder joint activity(flexion,abduction),complications and quality of life[breast cancer patients quality of life measurement scale(FACT-B)score]were compared between the two groups.Results The first time of getting out of bed,the time of swelling on the affected side and the time of hospitalization in the observation group were shorter than those in the control group(P<0.05).The range of motion of shoulder joint in the observation group was greater than that in the control group after intervention(P<0.05).The incidence of complications in the observation group was lower than that in the control group(P<0.05).After intervention,the scores of FACT-B physiology,emotion and additional attention in the observation group were lower than those in the control group,and the scores of FACT-B function and social/family were higher than those in the control group(P<0.05).Conclusion Microwave physiotherapy combined with rehabilitation exercise nursing can enhance the rehabilitation effect of breast cancer patients,shorten their postoperative recovery time,improve shoulder joint mobility,reduce the risk of complications and improve the quality of life.