改良绷带加压包扎法结合针对性护理对乳腺癌术后上肢淋巴水肿的影响  

Effect of Modified Bandage Compression Dressing Combined With Targeted Nursing on Upper Limb Lymphedema After Breast Cancer Surgery

作　　者：李叶玭 董菲妮 洪志鹏 LI Yepin;DONG Feini;HONG Zhipeng(Department of Lymphedema Treatment,Quanzhou First Hospital,Quanzhou Fujian 362000,China)

机构地区：[1]泉州市第一医院淋巴水肿治疗专科,福建泉州362000

出　　处：《中国卫生标准管理》2024年第15期170-174,共5页China Health Standard Management

基　　金：福建省自然科学基金资助项目(2023J011775)。

摘　　要：目的探讨改良绷带加压包扎法结合针对性护理对乳腺癌术后上肢淋巴水肿的影响。方法选取2020年1月—2022年12月泉州市第一医院的80例乳腺癌手术患者,按照不同护理方法将患者分为参照组与试验组,各40例。试验组采用改良绷带加压包扎法结合针对性护理,参照组予以常规消肿治疗法。比较2组患者护理干预前后患肢周径和、肩功能评分以及干预后水肿上肢周径变化情况。结果2组患者干预前患肢周径和、肩功能评分相比,差异无统计学意义(P>0.05)。干预后,2组患肢周径和、肩功能评分均显著改善(P<0.05),且试验组患肢周径和、肩功能评分改善显著优于参照组(P<0.05)。试验组患肢缩小率为(8.63±0.59)%,患肢还原率为(86.64±3.42)%,参照组为(2.58±0.37)%、(47.48±2.47)%,试验组优于参照组(P<0.05)。结论改良绷带加压包扎法结合针对性护理对乳腺癌术后上肢淋巴水肿恢复具有非常积极的影响,可有效改善患肢周径和,提高患者肩功能。Objective To investigate the effect of modified bandage compression dressing combined with targeted nursing on upper limb lymphedema after breast cancer surgery.Methods From January 2020 to December 2022,a total of 80 patients with breast cancer surgery in Quanzhou First Hospital were selected.According to different nursing methods,the patients were divided into the reference group and the experimental group,with 40 cases in each group.The experimental group was treated with modified bandage compression dressing combined with targeted nursing,and the reference group was treated with conventional detumification therapy.The circumference sum of the affected limb,the shoulder function score and the circumference changes of the edema upper limb after the intervention were compared between the two groups.Results There was no significant difference in circumference and shoulder function scores between two groups before intervention(P>0.05).After intervention,circumference sum of affected limb and shoulder function scores of two groups were significantly improved(P<0.05),and the improvement of circumference sum of affected limb and shoulder function scores in experimental group was significantly better than that in reference group(P<0.05).The reduction rate of the affected limb in the experimental group was(8.63±0.59)%,the reduction rate of the affected limb was(86.64±3.42)%,the reduction rate of the affected limb in the reference group was(2.58±0.37)%,the reduction rate of the affected limb was(47.48±2.47)%,and the change of the circumference diameter of the edema upper limb in the experimental group was significantly better than that in the reference group after intervention(P<0.05).Conclusion Modified compression bandaging combined with targeted nursing has a very positive effect on the recovery of upper limb lymphedema after breast cancer surgery,which can effectively improve the circumference sum of the affected limb and improve the shoulder function of patients.

关 键 词：改良绷带加压包扎法 针对性护理 乳腺癌 上肢 淋巴水肿 肩功能 

分 类 号：R473[医药卫生—护理学]