摘要
目的探讨出院后电话延续护理对乳腺癌术后淋巴水肿患者治疗有效性及生活质量的影响。方法采用便利抽样法,选取2017年10月-2019年10月江苏省无锡市妇幼保健院妇科收治的85例乳腺癌术后淋巴水肿患者为研究对象,根据双盲原则,将入选对象分为研究组(n=43)和对照组(n=42),研究组患者出院后采取电话随访方式,对照组患者出院后采取常规随访方式,对比不同方式对乳腺癌术后淋巴水肿患者生活质量及治疗有效性的影响。结果研究组患者随访后双上肢周径差值低于对照组,差异有统计学意义(P<0.01),肩关节前屈度、肩关节外展度高于对照组,差异有统计学意义(P<0.01),研究组患者的治疗总有效率高于对照组,差异有统计学意义(P<0.01),除生理职能外,研究组患者随访后生活质量各方面评分高于对照组,差异有统计学意义(P<0.05)。结论乳腺癌术后淋巴水肿患者出院后应用电话延续护理可延伸护理服务、促使患者肩关节功能恢复、保证治疗有效性、提高患者的生活质量,适宜临床推广应用。
Objective To explore effects of telephone transitional nursing after discharge from hospital on treatment effectiveness and quality of life of patients with lymphedema after breast cancer surgery.Methods According to the convenient sampling method,a total of 85 patients with lymphedema after breast cancer surgery who were admitted to Department of Gynecology in Wuxi Maternal and Child Health Care Hospital from October 2017 to October 2019 were selected as research objects.According to the double-blind principle,the selected objects were divided into the study group(n=43)and the control group(n=42).After discharge from hospital,patients in the study group were given telephone follow-up while patients in the control group were given routine follow-up.The effects of different methods on the quality of life and treatment effectiveness of patients with lymphedema after breast cancer surgery were compared.Results After the follow-up,the difference in circumference of upper limbs of the study group was lower than that of the control group,and the difference was statistically significant(P<0.01).The anterior flexion and abduction of the shoulder joint of the study group were higher than those of the control group,and the differences were statistically significant(P<0.01).The total effective rate of treatment in the study group was higher than that in the control group,and the difference was statistically significant(P<0.05).After follow-up,except for role-physical,the quality of life scores in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions The application of telephone transitional nursing after discharge from hospital in patients with lymphedema after breast cancer surgery can extend the nursing service,promote the recovery of shoulder joint function,ensure the effectiveness of treatment and improve the quality of life of patients,which is suitable for clinical promotion and application.
作者
葛永勤
钱琴
于巧萍
吕亚
陈霞
詹丽丽
Ge Yongqin;Qian Qin;Yu Qiaoping;Lyu Ya;Chen Xia;Zhan Lili(Department of Gynecology,Wuxi Maternal and Child Health Care Hospital,Jiangsu Province,Wuxi 214001,China)
出处
《中华现代护理杂志》
2020年第29期4104-4107,共4页
Chinese Journal of Modern Nursing
基金
无锡市卫生计生委科研项目(S201834)。
关键词
乳腺肿瘤
淋巴水肿
延续护理
生活质量
有效性
Breast neoplasms
Lymphedema
Transitional nursing
Quality of life
Effectiveness
