互联网+延续护理服务对乳腺癌术后淋巴水肿患者康复进程的影响  

The impact of Internet+continuous nursing services on the rehabilitation process of patients with lymphedema after breast cancer surgery

作　　者：王琳[1] 袁明珠 李艳红 权雅杰 魏金波 马燕 赵莉 马文娟[3] Wang Lin;Yuan Mingzhu;Li Yanhong;Quan Yajie;Wei Jinbo;Ma Yan;Zhao Li;Ma Wenjuan(Department of Lymphatic Edema Nursing Specialty Outpatient,Gansu Province Cancer Hospital,Lanzhou 730050,China;Lintao County Taoyang Town Central Health Center,Gansu Province,Lintao 730500,China;Department of Head and Neck,Gansu Province Cancer Hospital,Lanzhou 730050,China)

机构地区：[1]甘肃省肿瘤医院淋巴水肿护理专科门诊,兰州730050 [2]甘肃省临洮县洮阳镇中心卫生院,临洮730500 [3]甘肃省肿瘤医院头颈肿瘤一科,兰州730050

出　　处：《中国肿瘤临床与康复》2024年第9期578-584,共7页Chinese Journal of Clinical Oncology and Rehabilitation

基　　金：甘肃省卫生健康行业科研计划项目(GSWSHL2023-33)。

摘　　要：目的探讨互联网+延续性护理服务对乳腺癌术后上肢淋巴水肿患者康复进程的影响。方法选择2022年1—12月期间160例乳腺癌术后上肢淋巴水肿患者为研究对象,根据不同护理方式分为对照组和研究组,每组80例。对照组患者给予常规护理,研究组患者给予互联网+延续护理服务,对比2组患者的水肿改善情况和生活质量评分。结果护理后,研究组患者的双上肢周径差值为(5.74±1.70)mm,较对照组更小[(10.33±2.47)mm,P<0.001];研究组肩关节前屈度、爬墙高度增量和肩关节外展度为(99.88±9.47)°、(36.49±4.11)cm和(93.48±8.58)º,均优于对照组[(77.44±8.52)°、(27.49±4.16)cm和(75.49±8.49)°,均P<0.001]。护理后,研究组患者的各项生活质量(情感职能、社会功能、精神健康、躯体疼痛、总体健康、生理职能、生理功能和活力)评分均高于对照组,差异有统计学意义(P<0.001)。结论上肢淋巴水肿是乳腺癌全切根治术后的常见并发症,对患者的生活质量影响较大,互联网+延续护理服务的应用实施不仅能改善患者症状,促进患者康复进程,还有助于提高患者的整体生活质量。Objective To investigate the impact of Internet+continuity care services on the rehabilitation process of breast cancer patients with postoperative upper limb lymphedema.Methods A total of 160 breast cancer patients with postoperative upper limb lymphedema,treated between January 2022 and December 2022,were selected as subjects.They were divided into a control group and a study group based on different nursing approaches,with 80 patients in each group.The control group received routine care,while the study group received Internet Plus continuity care services.The improvement in edema and quality of life scores were compared between the two groups.Results After nursing intervention,the difference in upper limb circumference between the two arms in the study group was(5.74±1.70)mm,which was significantly smaller than that of the control group[(10.33±2.47)mm,P<0.001].The shoulder flexion degree,wall climbing height,and shoulder abduction degree in the study group were(99.88±9.47)°,(36.49±4.11)cm,and(93.48±8.58)°,respectively,all of which were significantly better than those in the control group[(77.44±8.52)°,(27.49±4.16)cm,and(75.49±8.49)°;all P<0.001].Additionally,the quality of life scores(emotional role,social functioning,mental health,bodily pain,general health,physical role,physical functioning,and vitality)in the study group were all higher than those in the control group,with statistically significant differences(P<0.001).Conclusions Upper limb lymphedema is a common complication following total mastectomy for breast cancer and has a significant impact on patients'quality of life.The implementation of internet+continuity care services not only improves patient symptoms and promotes the rehabilitation process but also contributes to enhancing the overall quality of life for patients.

关 键 词：延续性护理 互联网 乳腺癌 上肢淋巴水肿 康复 

分 类 号：R473.73[医药卫生—护理学]