中西医结合护理对乳腺癌根治术后患肢功能恢复的效果观察  

Effect of integrated traditional Chinese and western medicine nursing on recovery of limb function after radical mastectomy for breast cancer

作　　者：郑兰飞 程卫珍 金月娥 许敏华 陈海连 沈军 ZHENG Lanfei;CHENG Weizhen2;JIN Yuee;XU Minhua;CHEN Hailian;SHEN Jun(Second Department of Surgery,Jinhua Traditional Chinese Medicine Hospital in Zhejiang Province,Jinhua 321017,China;Department of Nursing,Jinhua Traditional Chinese Medicine Hospital in Zhejiang Province,Jinhua 321017,China;Department of Integrated Traditional Chinese and Western Medicine Oncology,Jinhua Traditional Chinese Medicine Hospital in Zhejiang Province,Jinhua 321017,China;Department of Otolaryngology,Jinhua Traditional Chinese Medicine Hospital in Zhejiang Province,Jinhua 321017,China)

机构地区：[1]浙江省金华市中医医院外二科,浙江金华321017 [2]浙江省金华市中医医院护理部,浙江金华321017 [3]浙江省金华市中医医院中西医结合肿瘤科,浙江金华321017 [4]浙江省金华市中医医院耳鼻喉科,浙江金华321017

出　　处：《中国现代医生》2019年第1期136-139,共4页China Modern Doctor

基　　金：浙江省中医药科技计划(2016ZA199)

摘　　要：目的分析和观察中西医结合护理对乳腺癌根治术后患肢功能恢复的效果。方法本次研究对象选取我院2016年1月～2018年4月收治的100例乳腺癌根治术后患者,随机分为对照组和实验组两组,对照组实施常规护理,实验组实施中西医结合护理,术后比较两组肩关节活动度及患肢功能锻炼依从性。结果干预前,两组患者的肩关节活动度比较差异不显著;干预后,两组患者的上述指标比较差异具有统计学意义(P<0.05),其中,实验组患者干预后的伸、屈、内旋、外展及外旋角度分别显著高于对照组。实验组患者的依从率为98.0%,显著高于对照组的依从率(72.0%)(P<0.05)。结论对乳腺癌根治术后患肢实施中西医结合护理干预,有利于提高锻炼依从性,促进患肢功能的恢复。Objective To analyze and observe the effect of integrated traditional Chinese and western medicine nursing on the recovery of limb function after radical mastectomy for breast cancer.Methods 100 patients with radical mastectomy were enrolled in our hospital from January 2016 to April 2018.They were randomly divided into control group and experimental group.The control group received routine nursing and the experimental group received traditional Chinese and western medicine nursing.The postoperative joint mobility and functional compliance of the affected limbs were compared between the two groups.Results Before the intervention,there was no significant difference in shoulder mobility between the two groups.After the intervention,the difference in the above indicators between the two groups was statistically significant(P<0.05).The angles of flexion,internal rotation,abduction and external rotation in the experimental group were significantly higher than those of the control group.The compliance rate of the experimental group was 98.0%,which was significantly higher than that of the control group(72.0%)(P<0.05).Conclusion The implementation of integrated Chinese and Western medicine nursing intervention on the affected limb after radical mastectomy is beneficial to improve exercise compliance and promote the recovery of limb function.

关 键 词：乳腺癌根治术 中西医结合护理 肩关节活动度 依从性 

分 类 号：R473[医药卫生—护理学]