线上线下康复干预对改善乳腺癌术后乳房重建者上肢功能和体像自评的效果  

Effect of online and offline rehabilitation intervention on upper limb function and body image of patients with breast reconstruction after breast cancer surgery

作　　者：彭翠娥[1] 李赞[2] 毛煌兴 吕春柳[2] 周波[2] 宋达疆[2] 伍鹏 王青霞 彭文[2] 蔡歆[2] PENG Cuie;LI Zan;MAO Huangxing;LYU Chunliu;ZHOU Bo;SONG Dajiang;WU Peng;WANG Qingxia;PENG Wen;CAI Xin(Cancer Case Management Centre,Hunan Cancer Hospital,Changsha,410013,China)

机构地区：[1]湖南省肿瘤医院肿瘤个案管理中心,长沙市410013 [2]湖南省肿瘤医院乳腺肿瘤整形外科(头颈外三科),长沙市410013 [3]湖南省肿瘤医院肿瘤整形外科研究室,长沙市410013

出　　处：《中国护理管理》2020年第11期1637-1642,共6页Chinese Nursing Management

基　　金：2019年度湖南省自然科学基金项目(2019JJ80023);2018年度湖南省自然科学基金项目(2018JJ2242);湖南省卫生计生委2018年度科研计划课题(C20180353)。

摘　　要：目的:评价线上线下的康复干预对改善乳腺癌术后乳房重建者上肢功能和体像自评的效果。方法:便利选取2017年1月至2019年1月在乳腺肿瘤整形外科接受手术的117例乳腺癌术后乳房重建者为研究对象,采用随机分组法分为干预组(n=59)和对照组(n=58)。对照组患者接受常规护理;干预组在常规护理基础上实施线上线下康复干预模式。于术后2周、术后12个月时采用DASH简式上肢功能评定表评估患者的上肢功能,采用乳腺癌术后患者体像自评问卷和乳腺癌专用生活质量量表评估患者的体像水平和生活质量。结果:术后12个月干预组上肢功能、生活质量和体像自评情况均明显优于对照组,差异有统计学意义(P<0.05)。结论:线上线下康复干预促进了乳腺癌术后乳房重建者上肢功能康复,提高了患者体像水平和生活质量,值得推广。Objective:To investigate the effect of online and offline rehabilitation intervention on the function of upper limb and body image among patients with breast reconstruction after breast cancer surgery.Methods:Convenience sampling was applied and a total of 117 cases of postoperative breast reconstruction patients who underwent surgery in the department of plastic surgery for breast cancer were recruited from January 2017 to January 2019.Potential participants were randomly divided into the intervention group(n=59)or control group(n=58).Patients in the control group received routine nursing care.The intervention group received online and offline rehabilitation intervention mode on top of routine nursing practice.The DASH simple upper limb function assessment scale was used to evaluate the upper limb function of the patients,and the body image self-rating scale and quality of life scale for breast cancer patients were used to evaluate the body image and quality of life of the patients.Data collection were conducted at 2-week and 12-month after surgery.Results:The results showed that 12 months after the operation,the upper limb function,quality of life and self-evaluation of body image in the intervention group were significantly improved than those in the control group,with statistically significant differences(P<0.05).Conclusion:The online and offline rehabilitation intervention can promote the rehabilitation of upper limb function,and improve the body image level and quality of life of patients with breast reconstruct io n patients after breast cancer surgery.

关 键 词：乳房重建 生活质量 体像 个案管理 上肢功能 

分 类 号：R47[医药卫生—护理学]