康复护理对乳腺癌患者术后康复的影响  

Effect of Rehabilitation Nursing on Postoperative Rehabilitation of Patients with Breast Cancer

作　　者：符鸿飞 林文霞[1] 吴美华[1] 彭风云[1] 

机构地区：[1]广东省湛江市第四人民医院手术室,广东湛江524008

出　　处：《中国医药科学》2017年第6期105-107,共3页China Medicine And Pharmacy

摘　　要：目的探讨乳腺癌患者应用心理干预联合有氧运动对术后康复效果的影响。方法选取在2015年4月~2016年5月就诊于我院的80例乳腺癌患者,并均分为观察组与对照组各40例。对照组用常规护理,观察组在常规护理的基础上使用心里干预和有氧运动等康复护理。记录两组乳腺癌患者术后的SAS、SDS、患肢肌力、ROM、肺活量及生活质量状况等。结果经过护理后观察组的SAS和SDS评分均显著高于对照组,比较差异具有统计学意义(P<0.05)。A组的ROM显著高于对照组,且A组肺活量的增长幅度显著高于对照组,比较差异均具有统计学意义(P<0.05)。观察组术后的生理状况、情感状况、附加关注、社会及家庭状况、功能状况等评分均显著高于对照组,比较差异具有统计学意义(P<0.05)。结论心理干预联合有氧运动可以有效的恢复术后乳腺癌患者的患肢关节活动度,明显改善患肢功能,提高了的预后、生活质量、心理健康水平及免疫水平。值得推广。Objective To explore the effect of psychological intervention combined with aerobic exercise on postoperative rehabilitation of patients with breast cancer. Methods In this study, 80 patients with breast cancer who were treated in our hospital from April 2015 to May 2016 were selected and divided into the observation group and the control group, with 40 in each. The control group was given routine nursing while the observation group was used rehabilitation nursing such as psychological intervention and aerobic exercise at the basis of routine nursing. Postoperative self-rating anxiety scale（SAS）, self -rating depressing scale（SDS）, limb muscle strength, range of motion（ROM）, vital capacity, quality of life and so on of patients with breast cancer in two groups were recorded. Results After nursing, SAS score and SDS score of the observation group were significantly higher than those of the control group. The difference was significant and of statistical significance（P 〈 0.05）. ROM of A group was significantly higher than that of the control group and increasing range of vital capacity was also significantly higher than that of the control group. The difference was significant and of statistical significance（P 〈 0.05）. Postoperative physiological status, emotional status, additional attention, social and family＇ s status, functional status and other scores of the observation group were significantly higher than those of the control group. The difference was significant and of statistical significance（P 〈 0.05）. Conclusion Psychological intervention combined with aerobic exercise can effectively restore postoperative range of joint motion and significantly improve limb function. In addition, it can improve prognosis, quality of life, mental health status and immunity level and it is worthy of promotion.

关 键 词：心理干预 有氧运动 乳腺癌患者 术后生活质量 

分 类 号：R473.73[医药卫生—护理学]