摘要
目的评价渐进式康复护理对行乳腺癌根治术患者的应用价值。方法回顾性分析2019年9月至2021年6月在宁德师范学院附属宁德市医院行乳腺癌根治术的90例患者的临床资料,按护理方法的不同分为对照组(46例)、观察组(44例),分别采用常规康复护理、渐进式康复护理。比较2组的术后并发症发生率、癌因性疲乏程度、上肢功能恢复情况和护理满意率。结果观察组的并发症总发生率(6.82%)低于对照组(21.74%,P<0.05)。术后1个月、3个月和6个月,2组患者的多维度疲乏症状量表简表评分均低于同组干预前(P均<0.05),且观察组均低于同期对照组(P均<0.05)。术后3个月和6个月,2组患者患侧肢体前屈、后伸、内收、外展、内旋、外旋的角度均大于干预前(P均<0.05),且观察组均大于同期对照组(P均<0.05);术后6个月,2组的上述角度均大于术后3个月(P均<0.05)。观察组的护理总满意率高于对照组(P<0.05)。结论渐进式康复护理对行乳腺癌根治术患者术后并发症发生率的降低、癌因性疲乏程度的缓解、患侧上肢功能的恢复和护理满意率的提升均具有积极作用。
Objective To evaluate the application value of progressive rehabilitation nursing in the patients undergoing radical mastectomy for breast cancer.Methods The clinical data of 90 breast cancer patients who underwent radical mastectomy at Ningde Municipal Hospital of Ningde Normal University from September 2019 to June 2021 were retrospectively analyzed.They were allocated into two groups according to different nursing methods,with 46 patients in the control group receiving conventional rehabilitation nursing and 44 patients in the observation group receiving progressive rehabilitation nursing.The incidence of postoperative complications,cancer-related fatigue,upper limb function recovery,and nursing satisfaction rate were compared between the two groups.Results The overall incidence of complications in the observation group(6.82%)was lower than that in the control group(21.74%,P<0.05).At 1,3,and 6 months after surgery,the scores of the Multidimensional Fatigue Symptom Inventory-Short Form in both groups were lower than those before the intervention(all P<0.05),and the scores of the observation group were lower than those of the control group on the corresponding period(all P<0.05).At 3 and 6 months after surgery,the ranges of flexion,extension,adduction,abduction,internal rotation,and external rotation of the affected limbs in both groups were greater than those before the intervention(all P<0.05),and the above ranges of the observation group were greater than those of the control group on the corresponding period(all P<0.05).At 6 months after surgery,the above ranges in both groups were greater than those at 3 months after surgery(all P<0.05).The nursing satisfaction rate in the observation group was higher than that in the control group(P<0.05).Conclusion Progressive rehabilitation nursing has a positive impact on the reduction of postoperative complications,the relief of cancer-related fatigue,the recovery of upper limb function,and the improvement of nursing satisfaction in patients undergoing radical mastectomy for breast cancer.
作者
赵雪枝
周敏霞
薛菊凤
ZHAO Xuezhi;ZHOU Minxia;XUE Jufeng(Department of Surgical Oncology,Ningde Municipal Hospital of Ningde Normal University,Ningde,Fujian,352100,China)
出处
《中西医结合护理（中英文）》
2022年第5期46-49,共4页
Journal of Clinical Nursing in Practice
关键词
乳腺癌根治术
渐进式康复护理
上肢功能恢复
癌因性疲乏
radical mastectomy for breast cancer
progressive rehabilitation nursing
upper limb function recovery
cancer-related fatigue
