护理干预对控制乳腺癌手术后发生淋巴水肿的研究  

The effect of nursing intervention on the lymphedema after breast cancer surgical treatment

作　　者：王珊珊[1,2] 高红霞[2] 李峥[1] 

机构地区：[1]北京协和医学院护理学院,北京100144 [2]中国医学科学院肿瘤医院,北京100021

出　　处：《中国肿瘤临床与康复》2013年第12期1408-1410,共3页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的探讨护理干预对控制乳腺癌手术后淋巴水肿发生的作用。方法采用历史对照研究,选取64名拟接受乳腺癌改良根治术的患者为实验组,对实验组患者提供电话随访和淋巴水肿自我行为管理指导的护理干预。另选60例非同期相同手术方式乳腺癌患者为对照组,对淋巴水肿的发生情况做历史对照。结果实验组患者淋巴水肿发生率低于历史对照组,差异有统计学意义(2=4.75,P<0.05)。结论对乳癌患者在淋巴水肿亚临床期给予护理干预,可以控制淋巴水肿的发生,电话随访、自我管理手册可以促进乳腺癌术后患者淋巴水肿的自我行为管理。Objective To explore the effect of nursing intervention on the lymphedema after breast cancer surgical treatment. Methods The experimental group（ n = 64） was provided telephone follow-up, and helped establishing self management of lymphedema. The lymphedema incidence was compared with the historical control group（ n = 60）. Results The lymphedema incidence of experimental group was significantly lower than that in the control group（Х^2= 4. 75,P 0. 05）. Conclusions Nursing intervention for the subclinical phrase lymphedema demonstrated excellent outcomes. Telephone follow-up and self management brochure can promote patients＇ self management on prevention of lymphedema.

关 键 词：护理干预 乳腺肿瘤 淋巴水肿 

分 类 号：R473.73[医药卫生—护理学]