抗阻运动康复训练配合自制压力垫在乳腺癌术后上肢淋巴水肿患者中的应用效果  

Application effect of resistance exercise rehabilitation training combined with self-made pressure pad in the rehabilitation nursing of patients with upper limb lymphedema after breast cancer surgery

作　　者：邵娟 张玉婷 丁志娟 程晓丹[1] 殷飞飞 刘丽娜 SHAO Juan;ZHANG Yuting;DING Zhijuan;CHENG Xiaodan;YIN Feifei;LIU Lina(The Third Department of Breast Surgery,Jiangxi Cancer Hospital,Jiangxi Province,Nanchang330029,China;The First Department of Gynecology and Oncology,Jiangxi Cancer Hospital,Jiangxi Province,Nanchang330029,China)

机构地区：[1]江西省肿瘤医院乳腺外科三病区,江西南昌330029 [2]江西省肿瘤医院妇瘤一病区,江西南昌330029

出　　处：《中国当代医药》2024年第31期162-165,170,共5页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202211000)。

摘　　要：目的探究抗阻运动康复训练配合自制压力垫在乳腺癌术后上肢淋巴水肿患者康复护理中的应用效果。方法选取2022年4月至2023年5月江西省肿瘤医院收治的74例乳腺癌术后上肢淋巴水肿患者作为研究对象,按照随机数字表法将其分为对照组(n=37)和观察组(n=37)。对照组采用自制压力垫进行干预,观察组在对照组的基础上进行抗阻运动康复训练。比较两组患者上肢功能、上肢淋巴水肿程度、肩关节活动度及生存质量。结果观察组上肢功能评分高于对照组,上肢淋巴水肿严重程度轻于对照组,差异有统计学意义(P<0.05);观察组肩关节前屈、后伸、内旋、外旋、内收、外展活动度大于对照组,差异有统计学意义(P<0.05);观察组乳腺癌患者生命质量测定量表(FACT-B)评分高于对照组,差异有统计学意义(P<0.05)。结论抗阻运动康复训练配合自制压力垫能够有效改善乳腺癌术后上肢淋巴水肿患者的上肢功能,增大其肩关节活动度,减轻其上肢淋巴水肿程度,提高其生存质量。Objective To explore the application effect of resistance exercise rehabilitation training combined with self-made pressure pad in rehabilitation nursing of upper limb lymphedema patients after breast cancer surgery.Methods A total of 74 patients with upper limb lymphedema after breast cancer surgery admitted to Jiangxi Cancer Hospital from April 2022 to May 2023 were selected as the study objects,and they were divided into control group(n=37)and observation group(n=37)according to random number table method.The control group was treated with self-made pressure pad,and the observation group received resistance exercise rehabilitation training on the basis of the control group.The upper limb function,upper limb lymphedema degree,shoulder joint motion and quality of life were compared between the two groups.Results The upper limb function score of observation group was higher than that of control group,and the severity of upper limb lymphedema was less than that of control group,the differences were statistically significant(P<0.05).The motion degrees of shoulder flexion,extension,internal rotation,external rotation,adduction and abduction in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The functional assessment of cancer therapy-breast(FACT-B)scores of breast cancer patients in observation group were higher than those in control group,the differences were statistically significant(P<0.05).Conclusion Resistance exercise rehabilitation training combined with self-made pressure pad can effectively improve the upper limb function of patients with upper limb lymphedema after breast cancer surgery,increase their shoulder joint motion,reduce the degree of upper limb lymphedema,and improve their quality of life.

关 键 词：乳腺癌 上肢淋巴水肿 自制压力垫 抗阻运动康复训练 肩关节活动度 上肢功能 生存质量 

分 类 号：R473[医药卫生—护理学]