量化患肢功能锻炼联合护理干预对早期乳腺癌术后患者功能训练依从性、生存质量影响研究  

Effect of Quantified Limb Functional Exercise Combined with Nursing Intervention on Functional Training Compliance and Quality of Life in Patients with Early Breast Cancer after Surgery

作　　者：黄娇凤 施林芳[1] 王文清[1] HUANG Jiaofeng;SHI Linfang;WANG Wenqing(Fujian Provincial Hospital,Fuzhou 350001,China)

机构地区：[1]福建省立医院,福建福州350001

出　　处：《中国医药指南》2022年第19期31-34,共4页Guide of China Medicine

摘　　要：目的研究量化患肢功能锻炼联合护理干预对早期乳腺癌术后患者功能训练依从性及术后生存质量的影响。方法选择2021年2~12月在本院接受手术治疗的82例早期乳腺癌患者作为研究对象,采取随机数字表法将82例患者分别纳入对照组(n=41)及观察组(n=41),对照组于围手术期内给予饮食调理、心理疏导、常规术后锻炼等护理干预,观察组在对照组基础上配合量化患肢功能锻炼。对比两组功能训练依从性,采用癌症患者生命质量核心量表(EORTC QLQ-C30)评估两组生存质量改善情况,并比较两组术后肩关节(外展、后伸、前屈、内收)活动度。结果观察组功能训练依从率为95.12%,高于对照组的75.61%(P<0.05)。与对照组相比,观察组干预后EORTC QLQ-C30躯体、角色、认知、社会功能及健康状况评分较高,术后肩关节外展、后伸、前屈、内收活动度更大(P<0.05)。结论针对早期乳腺癌术后患者,采取量化患肢功能锻炼联合护理干预能够提高其功能训练依从性,改善其肩关节功能,提升其生存质量。Objective To study the effect of quantified limb functional exercise combined with nursing intervention on functional training compliance and postoperative quality of life in patients with early breast cancer.Methods Eighty-two patients with early breast cancer who received surgical treatment in our hospital from February 2021 to December 2021 were selected as the research objects,and 82 patients were included in the control group(n=41)and the observation group(n=41),the control group was given dietary conditioning,psychological counseling,routine postoperative exercise and other nursing interventions during the perioperative period,and the observation group was given quantified limb functional exercise on the basis of the control group.The functional training compliance between the two groups was compared,and the quality of life core scale for cancer patients(EORTC QLQ-C30)was used to evaluate the improvement of the quality of life between the two groups,and the postoperative shoulder joints(abduction,extension,flexion,adduction)were compared between the two groups.Results The functional training compliance rate of the observation group was 95.12%,which was higher than that of the control group(75.61%)(P<0.05).Compared with the control group,the EORTC QLQ-C30 scores of body,role,cognition,social function and health status in the observation group after intervention were higher,and the angles of shoulder abduction,extension,flexion,and adduction were larger after surgery(P<0.05).Conclusion Quantified limb functional exercise combined with nursing intervention for patients with early breast cancer after surgery can improve their functional training compliance,improve their shoulder joint function,and improve their quality of life.

关 键 词：量化患肢功能锻炼 早期乳腺癌 癌症患者生命质量核心量表 肩关节活动度 

分 类 号：R473.73[医药卫生—护理学] R737.9[医药卫生—临床医学]