基于微信的延续护理模式对乳腺癌术后淋巴水肿的预防研究  

Study on the Prevention of Lymphedema after Breast Cancer Operation Based on WeChat Extended Care Model

作　　者：唐友娟 喻爱芳 郑小玲[2] 

机构地区：[1]桂林医学院护理学院,广西桂林541000 [2]桂林医学院附属医院,广西桂林541000

出　　处：《大众科技》2020年第5期76-79,共4页Popular Science & Technology

基　　金：广西高校中青年教师基础能力提升项目(2017KY0485)。

摘　　要：研究目的:探讨基于微信的延续护理模式对预防乳腺癌术后患者上肢淋巴水肿的效果。研究方法:采用便利抽样选取在桂林市3所三甲医院就诊的180名乳腺癌术后患者,随机分为实验组和对照组各90例。对照组给予常规出院护理及宣教,保持电话回访,实验组在常规护理基础上,以微信形式每周发送淋巴预防及监测的内容,同时保持延续护理小组成员与患者微信联系,对患者病情进行及时检测和反馈。分别于术后1个月、3个月、6个月对两组患者患肢周径进行测量,比较两组淋巴水肿发生率。研究结果:随时间推移,两组淋巴水肿发生率逐渐升高;实验组与对照组术后1个月患肢淋巴水肿的发生率无统计学差异(P>0.05);术后3个月、6个月实验组患肢淋巴水肿发生率明显低于对照组,差异有统计学意义(P<0.05)。研究结论:基于微信的延续护理为乳腺癌术后出院患者提供实时帮助及病情反馈途径,能够提高患者对院外功能锻炼的依从性,降低乳腺癌患者术后上肢淋巴水肿发生率。Objective:To explore the effect of the extended care based on WeChat on prevention of lymphedema in upper extremity of patients with breast cancer after operation.Method:180 cases of breast cancer patients who were treated in 3 top hospitals of Guilin were selected by convenient sampling and randomly divided into experimental group and control group with 90 cases each.The control group was given routine discharge care and education,and maintained telephone return visits.The experimental group was sent lymphatic prevention and monitoring content on WeChat weekly,while maintaining continuation of the care team members'contact with the patient's WeChat to timely monitor the patient's condition and feedback.The circumference of the affected limb was measured at 1,3,and 6 months after surgery,and the incidence of lymphedema in the two groups was compared..Results:Over time,the incidence of lymphedema in the two groups increased gradually;there was no statistical difference in the incidence of lymphedema in the affected limb at 1 month after the operation between the two group(P>0.05);The incidence of lymphedema in the experimental group was significantly lower than that of the control group,and the difference was statistically significant(P<0.05)..Conclusions:The extended care based on WeChat can provide real-time help and disease feedback for patients discharged from hospital after breast cancer operation,improve the compliance of patients with out of hospital functional exercise,and reduce the incidence of lymphedema of upper extremity after breast cancer operation.

关 键 词：乳腺癌 延续护理 淋巴水肿 干预性研究 

分 类 号：R737[医药卫生—肿瘤]