智能康复锻炼器改善乳腺癌术后患者自我效能感及患肢功能的观察  

Observation on improving self-efficacy and affected limb function after breast cancer operation with intelligent rehabilitation exercise device

作　　者：朱云[1] 钱红燕[2] 余秋燕 ZHU Yun;QIAN Hongyan;YU Qiuyan(Department of Breast Diseases,Jiaxing Hospital of Traditional Chinese Medicine,Jiaxing 314000,Zhejiang,China;Nursing Department,Jiaxing Hospital of Traditional Chinese Medicine,Jiaxing 314000,Zhejiang,China)

机构地区：[1]嘉兴市中医医院乳腺病科,浙江嘉兴314000 [2]嘉兴市中医医院护理部,浙江嘉兴314000

出　　处：《中国现代医生》2024年第21期47-50,61,共5页China Modern Doctor

基　　金：浙江省医药卫生科技计划项目(2021PY079)。

摘　　要：目的探讨应用智能康复锻炼器在提升乳腺癌患者术后自我效能感、促进术后患肢功能恢复中的作用及改善术后上肢水肿的效果。方法选取2022年1月至2023年4月在嘉兴市中医医院行乳腺癌根治术+腋窝淋巴结清扫术的患者60例,根据随机数字表法将患者分为对照组(30例)和试验组(30例),对照组患者采用传统方法进行术后上肢功能锻炼,试验组患者采用智能康复锻炼器进行功能锻炼,比较两组患者术后3个月的自我效能感、功能锻炼依从性及术后1个月、3个月的肩关节活动度和上肢水肿发生率。结果术后3个月试验组患者的自我效能感、功能锻炼依从性均高于对照组(P<0.05);术后1个月和3个月试验组患者的肩关节活动度比较优于对照组(P<0.05);术后1个月试验组患者的上肢水肿发生率低于对照组,但差异无统计学意义(P>0.05),术后3个月试验组患者的上肢水肿发生率低于对照组,差异有统计学意义(P<0.05)。结论智能康复锻炼器可提升乳腺癌术后患者的自我效能感,提高功能锻炼依从性,促进患肢的功能恢复,防治术后上肢水肿,值得临床推广。Objective To explore the effect of intelligent rehabilitation exercise device on improving postoperative self-efficacy of breast cancer patients,promoting postoperative functional recovery of affected limbs and improving postoperative upper limb edema.Methods A total of 60 postoperative breast cancer patients in Jiaxing Hospital of Traditional Chinese Medicine were selected from January 2022 to Apil 2023,all of them underwent axillary dissection.The patients were randomly divided into control group(30 cases)and experimental group(30 cases)according to random number method.The patients in control group were treated with postoperative upper limb functional exercise,and the patients in experimental group were treated with intelligent rehabilitation exercise device after breast cancer surgery.Self-efficacy and functional exercise compliance at 3 months after operation,shoulder range of motion and incidence of upper limb edema 1 month and 3 months after operation were compared between two groups.Results After 3 months of surgery,the self-efficacy and functional exercise compliance of patients in experimental group were higher than those in control group(P<0.05);After surgery 1 month and 3 months,the shoulder joint range of motion of patients in experimental group was better than that in control group(P<0.05);The incidence of postoperative upper limb edema in experimental group was lower than that in control group 1 month after surgery,and the difference was not statistically significant(P>0.05).The experimental group was lower than control group 3 months after surgery,and the difference was statistically significant(P<0.05).Conclusion Intelligent rehabilitation exercise device after breast cancer operation can improve patients’self-efficacy,improve patients’compliance with functional exercise,promote functional recovery of affected limbs,prevent and treat postoperative upper limb edema,which is worthy of clinical promotion.

关 键 词：智能康复锻炼器 自我效能感 乳腺癌 上肢水肿 功能锻炼 

分 类 号：R605[医药卫生—外科学]