循证护理模式对乳腺癌术后放射治疗上肢功能的影响  

Effect of evidence- based nursing on upper limb function in breast cancer patients with postoperative radiotherapy

作　　者：赵帅[1] 侯妮娜[2] 

机构地区：[1]中国医科大学附属第一医院放射治疗科,110001 [2]中国医科大学附属第一医院康复医学科,辽宁沈阳110001

出　　处：《实用临床医药杂志》2015年第18期45-47,51,共4页Journal of Clinical Medicine in Practice

摘　　要：目的探讨循证护理模式在乳腺癌术后放疗上肢功能恢复的可行性及价值。方法设立乳腺癌术后放疗的循证护理模式,对循证护理组(83例)及对照组(83例)进行前瞻性病例对照研究,对比UCLA评分、Mayo肘关节评分、上肢淋巴水肿(SOCA)、SDS评分差异。结果干预3个月、6个月及12个月后,循证护理组UCLA评分高于对照组;干预12个月后,循证护理组Mayo评分高于对照组(P<0.05);干预3个月、6个月及12个月后,循证护理组SOCA、SDS评分低于对照组(P<0.01)。结论循证护理模式在乳腺癌术后放疗上肢功能恢复和抑郁控制方面是安全有效的。Objective To discuss the feasibility and value of evidencebased nursing on upper limb function rehabilitation in breast cancer patients with postoperative radiotherapy. Methods Evidencebased nursing model was constructed, prospective cases study was carried out in evidencebased group（83 patients） and control group（83 patients）. UCLA score, Mayo elbow function score, upper limb lymph edema（SO（A）, selfrating depression scale （SDS） was compared. Results UCLA score in evidencebased group was higher than that in control group after 3 months, 6 months and 12 months intervention （P 〈 0.05）. Mayo score in evidence - based group after 12 months intervention was higher than that in the control group（P〈0.05）. SOCA and SDS in evidencebased group after 3 months, 6 months and 12 months intervention was lower than that in control group（P 〈 0.01）. Conclusion Evidencebased nursing in breast cancer patients with postoperative radiotherapy was safe and effective in upper limb function rehabilitation and depression control.

关 键 词：循证护理 乳腺癌 淋巴水肿 

分 类 号：R473.73[医药卫生—护理学]