综合护理在乳腺癌术后上肢淋巴水肿中的应用效果  

Application effect of integrated care in upper limb lymphedema after breast cancer surgery

作　　者：余鸿[1] 王海燕 YU Hong;WANG Haiyan(Department of Pancreatic Surgery,the First Affiliated Hospital of Xinjiang Medical University,Xinjiang Uygur Autonomous Region,Urumqi 830001,China;Department of Breast Surgery,Digestive Vascular Surgery Center,the First Affiliated Hospital of Xinjiang Medical University,Xinjiang Uygur Autonomous Region,Urumqi 830001,China)

机构地区：[1]新疆医科大学第一附属医院胰腺外科,新疆乌鲁木齐830001 [2]新疆医科大学第一附属医院消化血管外科中心乳腺外科,新疆乌鲁木齐830001

出　　处：《妇儿健康导刊》2024年第18期115-118,126,共5页JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE

基　　金：新疆医科大学第一附属医院“青年科研起航”专项基金项目(2022YFY-QNRC-14);新疆护理学会科研课题(2023XH021)。

摘　　要：目的探讨综合护理在乳腺癌术后上肢淋巴水肿中的应用效果。方法选取2021年12月至2023年3月新疆医科大学第一附属医院收治的136例女性乳腺癌术后上肢淋巴水肿患者,按照随机数字表法分为两组,每组68例。对照组采取常规护理,观察组采取综合护理,比较两组上肢淋巴水肿知识知晓程度、护理依从性、术后3个月上肢淋巴水肿缓解情况,以及上肢运动能力、上肢疼痛、生活质量评分和满意度。结果观察组上肢淋巴水肿知识知晓优良率较对照组更高(P<0.05);观察组护理总依从率较对照组更高(P<0.05);观察组术后3个月上肢淋巴水肿缓解总有效率较对照组更高(P<0.05);护理后观察组上肢运动能力评分、生活质量评分较对照组更高,上肢疼痛评分较对照组更低(P<0.05);观察组护理总满意率较对照组更高(P<0.05)。结论综合护理在乳腺癌术后上肢淋巴水肿中应用,能够提高患者上肢淋巴水肿知识知晓程度、依从性及护理满意度,缓解上肢淋巴水肿,改善上肢运动能力与生活质量。Objective To investigate the application effect of integrated care in upper limb lymphedema after breast cancer surgery.Methods A total of 136 female patients with upper limb lymphedema after breast cancer surgery admitted to the First Affiliated Hospital of Xinjiang Medical University from December 2021 to March 2023 were selected and divided into two groups according to the random number table method,with 68 cases in each group.The control group was given routine nursing,and the observation group was given integrated care.Knowledge awareness degree of upper limb lymphedema,compliance of nursing,relief of upper limb lymphedema at 3 months postoperatively,and the scores of upper limb motor ability,upper limb pain,and quality of life and satisfaction were compared between the two groups.Results The excellent and good rate of knowledge awareness of upper limb lymphedema in the observation group was higher than that in the control group(P<0.05).The total nursing compliance rate of the observation group was higher than that of the control group(P<0.05).The total effective rate of upper limb lymphedema relief at 3 months postoperatively in the observation group was higher than that in the control group(P<0.05).After nurs ing,the scores of upper lim b motor ability and quality of life in the observation group were higher than those in the control group,and the score of upper limb pain was lower than that in the control group(P<0.05).The total nursing satisfaction rate of the observation group was higher than that of the control group(P<0.05).Conclusion The application of integrated care in upper limb lymphedema after breast cancer surgery can improve the patients’knowledge awareness degree of upper limb lymphedema,compliance,and nursing satisfaction,relieve upper limb lymphedema,and improve the upper limb motor ability and quality of life.

关 键 词：综合护理 乳腺癌 上肢淋巴水肿 

分 类 号：R473.6[医药卫生—护理学]