开展乳腺课堂对改善乳腺癌患者术后功能锻炼依从性的效果观察  

Effect observation on improvement of postoperative functional exercise compliance of patients with breast cancer by performing breast classes

作　　者：许柳琴[1] 王擎[2] 万德培[3] 郭日昌[3] 宁琴荣 

机构地区：[1]广东省东莞市厚街医院普外科,广东东莞523945 [2]广东省东莞市厚街医院整形外科,广东东莞523945 [3]广东省东莞市厚街医院乳腺科,广东东莞523945

出　　处：《中国当代医药》2016年第17期177-179,182,共4页China Modern Medicine

基　　金：广东省医学科研基金立项课题(A2014846)

摘　　要：目的探讨开展乳腺课堂对改善乳腺癌患者术后功能锻炼依从性的影响。方法选取2010年1月~2012年12月共43例患者作为对照组,采用提供图册、健康教育单等书面材料进行常规健康宣教;选取2013年1月~2015年12月共45例患者作为观察组,从术前干预开始,通过乳腺课堂上授课、角色扮演、同伴教育和微信课堂等方式与患者进行互动学习,评价两组患者术后功能锻炼依从性、肩关节和肌力的恢复程度,并对结果进行统计学分析。结果经过乳腺课堂的互动学习,观察组的功能锻炼依从性、肩关节活动度和肌力恢复分别为95.6%、84.5%、91.0%,高于对照组的86.1%、72.1%、84.0%,差异有统计学意义（P〈0.05）。结论乳腺课堂的开展有利于提高乳腺癌患者术后功能锻炼依从性,降低患肢活动功能障碍发生率和提高生活质量。Objective To discuss the influence of performing breast classes on improvement of postoperative functional exercise compliance of patients with breast cancer.Methods 43 patients from January 2010 to December 2012 were selected as control group,and were given routine health education of written materials such as photo album,health education sheets,etc.45 patients from January 2013 to December 2015 were selected as observation group,and were given breast classes from preoperative intervention,including give lessons,role play,peer education and We Chat classes.The postoperative functional exercise compliance rates,and recovery degrees of shoulder joint and muscle force of two groups were evaluated and analyzed.Results By interactive learning of breast classes,the functional exercise compliance rate,and recovery rates of shoulder joint and muscle force were 95.6%,84.5%,and 91.0%,respectively,in the observation group,which were significantly higher than the 86.1%,72.1%,and 84.0% in the control group（P〈0.05）.Conclusion Performing breast classes can improve the postoperative functional exercise compliance of patients with breast cancer,reduce incidence of movement dysfunction of affected limb,and improve life quality of patients.

关 键 词：乳腺课堂 乳腺癌 功能锻炼 依从性 

分 类 号：R737.9[医药卫生—肿瘤]