Effect of Group Intervention Combined with Massage Nursing on Patients with Lymphedema

Objective:To evaluate and analyze the clinical effect of group intervention combined with massage nursing in patients with lymphedema.Methods:The time span of this study was selected from October 2017 to December 2020.A total of 496 patients with lymphedema after breast cancer surgery were included.They were divided into study group and control group according to the difference of nursing intervention scheme.The control group was given basic nursing,and the study group was given Satya group intervention combined with massage nursing.The indicators of the two groups were compared and analyzed.Results:Compared with the two groups at different time points,the study group had more advantages(P<0.05).Compared with the recurrence rate of lymphedema in the two groups,the study group had more advantages(P<0.05);Compared with the sads score and SES score after nursing intervention,the study group had more advantages(P<0.05).Conclusion:The clinical effect of group intervention combined with massage nursing in patients with lymphedema is significant,which can be promoted in all levels of medical institutions.

Analysis of the Risk Factors of Upper Limb Lymphedema after Breast Cancer Surgery and Nursing Care

Objective:To evaluate and analyze the influencing factors of upper limb lymphedema after breast cancer surgery,and to study effective nursing intervention measures.Methods:500 cases of early breast cancer patients from October 2017 to December 2020 were selected,all patients underwent surgical intervention,retrospectively analyzed the basic clinical data of patients,and statistically analyzed the influencing factors of upper limb lymphedema.All patients with upper extremity lymphedema received high-quality nursing intervention,and the specific nursing effect was analyzed.Results:Logistic regression analysis showed that the risk factors of upper limb lymphedema after breast cancer surgery included hypertension,postoperative upper limb functional exercise,delayed healing of incision,radiotherapy and so on.After nursing intervention,the patients*12*5 elbow 10cm,elbow 10cm,wrist size value and VAS score were better than those before nursing(P<0.05).The quality of life score of patients after nursing intervention was significantly better than that before nursing(P<0.05).Conclusion:Hypertension,postoperative upper limb functional exercise,delayed healing of incision,radiotherapy and other factors can induce upper limb lymphedema after breast cancer surgery.Effective nursing intervention can alleviate the condition of patients with upper limb lymphedema and improve their quality of life,which is worthy of comprehensive promotion.

Photoredox/palladium-cocatalyzed enantioselective alkylation of secondary benzyl carbonates with 4-alkyl-1,4-dihydropyridines

A photoredox/palladium-cocatalyzed enantioselective alkylation of racemic secondary carbonates with 4-alkyl-1,4-dihydropyridines under visible light irradiation has been developed. The present study provides a method for the preparation of optically active diarylalkanes from racemic diarylmethyl carbonates by a dynamic kinetic asymmetric transformation(DYKAT).This photoredox/palladium dual catalysis strategy expands the scope of the asymmetric Pd-catalyzed benzylic substitution reaction and serves as its potential alternative and complement.