多元化延续性干预在乳腺癌术后上肢淋巴水肿康复中的应用效果  

Application effect of diversified continuous intervention on the rehabilitation of upper limb lymphedema after breast cancer surgery

作　　者：张俊霞[1] 张小红[2] 汪云朋[3] 王鹏[4] ZHANG Junxia#;ZHANG Xiaohong;WANG Yunpeng;WANG Peng(Department of Image Center,the First Affiliated Hospital of He’nan University of Science and Technology,Luoyang 471000,He’nan,China;Department of General Surgery,the First Affiliated Hospital of He’nan University of Science and Technology,Luoyang 471000,He’nan,China;Department of Rehabilitation Center,the First Affiliated Hospital of He’nan University of Science and Technology,Luoyang 471000,He’nan,China;Community Nursing Teaching and Research Group,School of Nursing,Zhengzhou University,Zhengzhou 450000,He’nan,China)

机构地区：[1]河南科技大学第一附属医院影像中心,河南洛阳471000 [2]河南科技大学第一附属医院普外科,河南洛阳471000 [3]河南科技大学第一附属医院康复中心,河南洛阳471000 [4]郑州大学护理学院社区护理教研组,郑州450000

出　　处：《癌症进展》2024年第1期76-78,83,共4页Oncology Progress

基　　金：河南省二〇二三年科技发展计划(232102311231)。

摘　　要：目的分析多元化延续性干预在乳腺癌患者术后上肢淋巴水肿康复中的应用效果。方法根据干预方法的不同将96例乳腺癌手术患者分为对照组(n=47)和研究组(n=49),对照组患者采用常规干预,研究组患者在对照组的基础上采用多元化延续性干预。比较两组患者的满意度、上肢功能活动情况[臂肩手功能障碍评估表(DASH)]、上肢淋巴水肿情况。结果研究组患者的总满意度为97.96%,明显高于对照组患者的80.85%,差异有统计学意义(P﹤0.01)。干预后,两组患者DASH评分均明显低于本组干预前,研究组患者DASH评分明显低于对照组,差异均有统计学意义(P﹤0.01)。干预后,研究组患者上肢淋巴水肿情况优于对照组(P﹤0.05)。结论多元化延续性干预可减轻乳腺癌患者术后上肢淋巴水肿,促进患者上肢功能恢复,提高满意度,值得临床推广应用。Objective To analyze the application effect of diversified continuous intervention on the rehabilitation of upper limb lymphedema after breast cancer surgery.Method A total of 96 patients with breast cancer after surgery were divided into control group(n=47)and study group(n=49)according to different intervention methods.The control group was received conventional intervention,and the study group was received diversified continuous intervention on the basis of the control group.The satisfaction,upper limb functional activity[disability of arm,shoulder and hand(DASH)]and upper limb lymphedema were compared between the two groups.Result The total satisfaction rate of the study group was 97.96%,which was significantly higher than 80.85%of the control group,and the difference was statistically significant(P<0.01).After intervention,the DASH scores of the both groups were significantly lower than those before intervention,the DASH score of the study group was significantly lower than that of the control group,and the differences were statistically significant(P<0.01).After intervention,the upper limb lymphedema in the study group was better than that in the control group(P<0.05).Conclusion Diversified continuous intervention can reduce upper limb lymphedema after breast cancer surgery,promote the recovery of upper limb function and improve the satisfaction of patients,which is worthy of clinical application.

关 键 词：多元化延续性干预 乳腺癌 上肢淋巴水肿 康复 

分 类 号：R737.9[医药卫生—肿瘤]