分阶段康复护理对乳腺癌手术患者上肢功能与生活质量的影响  

Effect of Staged Rehabilitation Nursing on Upper Limb Function and Quality of Life of Breast Cancer Patients

作　　者：尹梅 翟宏伟[1] 王静 田娟 YIN Mei;ZHAI Hongwei;WANG Jing;TIAN Juan(Surgery Department,the Second Hospital of Traditional Chinese Medicine,Tai'an,Shandong Province,271000 China)

机构地区：[1]泰安市中医二院外科,山东泰安271000

出　　处：《中外医疗》2021年第11期146-148,152,共4页China & Foreign Medical Treatment

摘　　要：目的探讨分阶段康复护理对乳腺癌手术患者上肢功能与生活质量的影响。方法便利选择2017年1月—2019年12月于该院行乳腺癌根治术的患者90例,以随机数表法将其分为两组,其中对照组45例采取常规护理,研究组45例在此基础上应用分阶段康复护理。对比两组术后3个月时患侧上肢运动功能、术后并发症,并通过乳腺癌生活质量测量表(FACT-B)对比术前与术后3个月时的生活质量。结果研究组术后3个月时后伸角(156.6±5.3)°、旋内角(45.3±5.9)°与内收肌力(150.6±30.7)N均高于对照组(130.6±5.0)°、(30.5±6.3)°、(108.3±30.3)N,差异有统计学意义(t=23.937、11.502、6.578,P<0.001)。研究组术后总并发症发生率为8.89%低于对照组28.89%,差异有统计学意义(χ^(2)=5.874、P<0.05)。术前,研究组FACT-B量表评分(98.6±25.0)分与对照组(98.0±26.7)分对比差异无统计学意义(t=0.110,P>0.05);术后3个月时,研究组FACT-B量表评分(98.5±20.3)分高于对照组(82.6±18.8)分,差异有统计学意义(t=3.855,P<0.001)。结论分阶段康复护理可以有效改善乳腺癌手术患者的上肢功能,降低术后并发症概率,保障其生活质量,适于临床推广。Objective To explore the effect of staged rehabilitation nursing on upper limb function and quality of life of breast cancer patients.Methods conveniently selected 90 patients who underwent radical mastectomy for breast cancer in the hospital from January 2017 to December 2019,and divided them into two groups by random number table.Among them,45 cases in the control group received routine care and 45 cases in the study group,applied staged rehabilitation nursing.The motor function of the affected upper limbs and postoperative complications were compared between the two groups at 3 months after the operation,and the quality of life before and at 3 months after the operation was compared with the breast cancer quality of life measurement table(FACT-B).Results The extension angle(156.6±5.3)°,internal rotation angle(45.3±5.9)°and adductor strength(150.6±30.7)N of the study group were higher than those of the control group(130.6±5.0)°,(30.5±6.3)°,(108.3±30.3)N at 3 months after operation,the difference was statistically significant(t=23.937,11.502,6.578,P<0.001).The total postoperative complication rate of the study group was 8.89%lower than that of the control group 28.89%,the difference was statistically significant(χ^(2)=5.874,P<0.05).Before operation,there was no statistically significant difference between the FACT-B scale score(98.6±25.0)points of the study group and the control group(98.0±26.7)points(t=0.110,P>0.05);at 3 months after operation,the score of FACT-B scale in the study group(98.5±20.3)points was higher than that of the control group(82.6±18.8)points,and the difference was statistically significant(t=3.855,P<0.001).Conclusion Staged rehabilitation nursing can effectively improve the upper limb function of patients undergoing breast cancer surgery,reduce the probability of postoperative complications,and ensure their quality of life.It is suitable for clinical promotion.

关 键 词：分阶段康复护理 乳腺癌 手术 上肢功能 生活质量 

分 类 号：R47[医药卫生—护理学]