乳腺癌患者改良根治术后癌因性疲乏状况及对患侧肢体功能康复的影响  

Cancer Related Fatigue in Breast Cancer Patients After Modified Radical Mastectomy and Its Effect on Functional Rehabilitation of Affected Limbs

作　　者：郭丽萍 GUO Liping(Department of General Surgery,the First People's Hospital of Zhumadian,Zhumadian 464300,China)

机构地区：[1]驻马店市第一人民医院普外科,河南驻马店464300

出　　处：《河南医学研究》2025年第2期305-309,共5页Henan Medical Research

摘　　要：目的探讨乳腺癌患者改良根治术后癌症相关性疲乏(癌因性疲乏)状况,并分析其对患侧肢体功能康复的影响。方法采用前瞻性研究方法,选取2021年1月至2023年12月于驻马店市第一人民医院拟行改良根治术治疗的160例乳腺癌患者作为研究对象。患者出院时使用Piper疲乏修订量表(RPFS)评估其癌因性疲乏水平,于术后3个月时使用上肢功能评定量表(DASH)评估患者的患侧肢体功能水平,并统计患者临床资料,分析不同临床特征患者DASH评分差异以及癌因性疲乏对患侧肢体功能康复的影响。结果本研究共纳入160例患者,DASH评分为(38.52±5.21)分,其中日常生活维度得分为(28.51±3.11)分,上肢症状维度得分为(10.15±2.41)分;出现癌因性疲乏155例,发生率96.88%,其中轻度疲乏111例,中度疲乏31例,重度疲乏13例。不同年龄、癌因性疲乏程度、家庭关怀、受教育程度、自我接纳评分、应对方式、心理韧性评分患者DASH评分对比,差异有统计学意义(P<0.05);多元线性回归检验显示,年龄、癌因性疲乏程度、受教育程度、家庭关怀、自我接纳水平、应对方式、心理韧性是影响经改良根治术治疗的乳腺癌患者患侧肢体功能康复的影响因素(P<0.05)。结论乳腺癌患者改良根治术后癌因性疲乏问题较为突出,尤其是影响患侧肢体功能康复的重要因素,不仅如此,年龄、家庭关怀、受教育程度、自我接纳、应对方式、心理韧性也能影响患侧肢体功能康复情况。Objective To investigate the status of cancer related fatigue(cancer related fatigue)in breast cancer patients after modified radical mastectomy,and analyze its impact on the functional rehabilitation of affected limbs.Methods A prospective study was conducted to select 160 patients with breast cancer who were scheduled to undergo modified radical mastectomy in the First People's Hospital of Zhumadian from January 2021 to December 2023.The revised Piper fatigue scale(RPFS)was used to evaluate the level of cancer-related fatigue at discharge,and the disability of arm-shoulder hand(DASH)was used to evaluate the level of limb function at 3 months after operation.The clinical data of patients were statistically analyzed to analyze the difference of DASH scores in patients with different clinical characteristics and the effect of cancer related fatigue on the rehabilitation of limb function.Results A total of 160 patients were included in this study,with a DASH score of(38.52±5.21)points,including a daily life dimension score of(28.51±3.11)points and an upper limb symptom dimension score of(10.15±2.41)points.One hundred and fifty-five cases of cancer related fatigue occurred,with an incidence rate of 96.88%,including 111 cases of mild fatigue,31 cases of moderate fatigue,and 13 cases of severe fatigue.The DASH scores of patients with different ages,cancer related fatigue,family care,education,self-acceptance scores,coping styles,and psychological resilience scores were statistically significant(P<0.05).The multiple linear regression test showed that age,cancer related fatigue,education,family care,self-acceptance,coping style,and psychological resilience were the influencing factors for the functional rehabilitation of affected limbs of breast cancer patients treated with modified radical mastectomy(P<0.05).Conclusion Cancer related fatigue is a prominent problem in patients with breast cancer after modified radical mastectomy,which is an important factor affecting the functional rehabilitation of affected limbs.In

关 键 词：乳腺癌 改良根治术 癌症相关性疲乏 肢体功能 

分 类 号：R655.8[医药卫生—外科学]