系统化护理干预预防乳腺癌手术加放疗后上肢并发症56例效果观察  

Observation on the effect of systematic nursing intervention on preventing from the complication in the upper limb of patients with radiotherapy after breast cancer surgery

作　　者：卢秀霞[1] 

机构地区：[1]菏泽市立医院,山东菏泽274031

出　　处：《齐鲁护理杂志（下半月刊）（外科护理）》2008年第10期12-14,共3页Journal of Qilu Nursing

摘　　要：目的：探讨系统化护理干预预防乳腺癌手术加放疗后上肢并发症的效果方法：对56例乳腺癌手术加放疗患者入院后实施系统化护理干预，包括前期健康教育、术后1～14d功能锻炼指导，中期手法按摩加肩关节功能锻炼操．后期依美国护理网站提供的降低淋巴水肿指导原则社区跟踪服务结果：术后2周实验组患侧上肢水肿及眉关节运动障碍症状、体征与对照组比较无显著性差异，1年后再次评价实验组上肢水肿及肩关节运动障碍症状、体征与对照组比较均有显著性差异（P〈0．05）结论：系统化护理干预可减轻乳腺癌手术加放疗后患侧上肢水肿及肩关节运动障碍的症状、体征，提高远期生活质量。Objective： To study the effect of systematic nursing intervention on preventing from the complication in the upper limb of patients with radiotherapy after breast cancer surgery. Methods ：Systematie nursing intervention was applied to 56 patients with radiotherapy, such as preoperative health edueation. postoperative functional training, manipulation of massages and joints rehabilitation and tracking service in community. Results： The symptoms of edema on the operated side of upper limb and shoulder movement disorder in 2 weeks after operation were not found significantly diffrences between experimental group and control group. But the significant differences were fondd in the comparison of the symptoms mentioned above between the 2 groups in a year after operation （ P 〈 0.05 ） . Conclusion ： Systematic nursing intervention can alleviate the edema on the operated side of upper limb and shoulder movement disorder and increase long - term quality of life of the patients.

关 键 词：乳腺肿瘤 乳昧癌手术 放射疗法 淋巴水肿 护理 

分 类 号：R473.6[医药卫生—护理学]