护理延伸服务在乳腺癌患者术后康复指导中的应用  

Application of extended care services in the rehabilitation guidance after breast cancer operation

作　　者：何世银 崔灵灵 赵士琴 何磊 文刚 

机构地区：[1]安徽医科大学第三附属医院乳腺外科, 合肥230061

出　　处：《中华现代护理杂志》2014年第7期749-752,共4页Chinese Journal of Modern Nursing

基　　金：合肥市重大科技项目（2008-28）

摘　　要：目的：探讨护理延伸服务对乳腺癌患者术后功能锻炼依从性的影响。方法将69例行乳腺癌改良根治术的患者，按随机数字表法分为干预组35例和对照组34例，对照组采用常规健康宣教方法，干预组在此基础上开展护理延伸服务，比较两组患者功能锻炼依从性、锻炼效果及患者满意度。结果干预组患者患侧上肢上抬高度、外展及旋转功能优于对照组，差异均有统计学意义（χ2分别为20．886，22．104；P＜0．01）；干预组中患肢功能锻炼完全依从患者占80．0％，对照组占14．7％，两组比较差异有统计学意义（χ2＝33．223，P＜0．01）；干预组患者满意度100．0％，对照组91．1％，两组比较差异有统计学意义（χ2＝25．880，P＜0．01）。结论对乳腺癌改良根治术后的患者采取护理延伸服务，可提高患者功能锻炼效果，使患者能正确、主动进行患侧上肢功能锻炼，促进患者康复，提高患者满意度。Objective To explore the compliance , efficacy and patients ’ satisfaction of application of extended care services in the rehabilitation guidance for patients after breast cancer operation .Methods A total of 69 cases of cancer patients were randomly divided into two groups;35 cases in the experimental group and the 34 cases in the control group .The patients in the control group received conventional health education method , and the experimental group received the routine method and extended care services .The functional exercise compliance , efficacy and patients ’ satisfaction were compared between groups .Results The lift height of upper limb and the function of abduction and rotation were significantly better in the experimental group than those in the control group （χ2 =20.886, 22.104, respectively; P 〈0.01）.The complete compliance rate in the experimental group and the control group were 80.0% and 14.7%, respectively, which was significantly different （χ2 =33.223, P〈0.01）.The satisfaction rate of patients in the experimental group was better than that in the control group （χ2 =25.880, P〈0.01）.Conclusions The extended care services can improve the effect of rehabilitation exercise in patients after modified radical mastectomy .Patients can correctly take the initiative to upper extremity function exercise .Thus, the extended care services can promote the rehabilitation of patients and improve patients ’ satisfactory degree .

关 键 词：乳腺肿瘤 康复护理 护理延伸服务 功能锻炼 依从性 

分 类 号：R473.73[医药卫生—护理学]