乳腺癌改良根治术后饮食指导与康复护理体会  

Dietary Guidance and Rehabilitation Nursing Experience after Modified Radical Mastectomy for Breast Cancer

作　　者：赵天阳 ZHAO Tianyang(The Second People's Hospital of Fuxin City(Fuxin Obstetrics and Gynecology Hospital),Fuxin 123000,China)

机构地区：[1]辽宁省阜新市第二人民医院(阜新市妇产医院),辽宁阜新123000

出　　处：《中国医药指南》2021年第25期175-176,179,共3页Guide of China Medicine

摘　　要：目的观察在改良根治术后对乳腺癌患者实施饮食指导及康复护理的临床效果。方法选取74例来我院行改良根治术的乳腺癌患者为例,将其分为对照组、观察组,分组方法为随机数字表法。接受常规护理者为对照组,在此基础上加用术后饮食指导及康复护理者为观察组。对比并评价两组患者的护理效果。结果①肩关节活动度方面,两组患者护理后前屈、后伸、内旋及外旋活动度相比于护理前明显升高,且观察组上升的幅度要更大一些,与对照组比较,P<0.05。②术后并发症(包括上肢水肿及皮下积液等)的发生率,观察组、对照组分别为5.41%、21.62%,两组比较,P<0.05。③生活质量方面,观察组护理后各项指标评分均显著高于对照组(P<0.05)。结论在乳腺癌患者行改良根治术后,给予患者针对性的饮食指导,并加强康复护理干预,不但可促进患者肩关节活动度的改善,而且还可预防并发症,有效提高患者的术后生活质量。Objective To observe the clinical effect of dietary guidance and rehabilitation nursing for breast cancer patients after modified radical operation.Methods Select 74 breast cancer patients who came to our hospital for modified radical mastectomy as an example,divided into control group and observation group,grouping method was random number table method.Those who received routine nursing were the control group,and those who received postoperative dietary guidance and rehabilitation nursing were the observation group.Compare and evaluate the nursing effect of the two groups of patients.Results(1)Shoulder range of motion,the two groups of patients after nursing flexion,extension,internal rotation and external rotation activity significantly increased compared with before nursing,and the observation group increased to a greater extent,compared with the control group,P<0.05.(2)The incidence of postoperative complications(including upper limb edema and subcutaneous effusion,etc.)was 5.41% in the observation group and 21.62% in the control group,respectively,P<0.05.(3)In terms of quality of life,the scores of all indicators in the observation group were significantly higher than those in the control group(P<0.05).Conclusion After modified radical surgery for breast cancer patients,giving targeted dietary guidance and strengthening rehabilitation nursing intervention can not only promote the improvement of shoulder range of motion of patients,but also prevent complications and actively improve the postoperative quality of life of patients.

关 键 词：乳腺癌 改良根治术 饮食指导 康复护理 

分 类 号：R473.73[医药卫生—护理学]