摘要
目的探讨系统性健康教育对老年乳腺癌患者术后上肢功能恢复和生存质量的影响。方法将136例择期行手术治疗的老年乳腺癌患者随机分为观察组和对照组,每组各68例。对照组采用传统健康教育,观察组采用心理康复、上肢康复锻炼、营养饮食及用药指导等系统性健康教育。比较分析患者术后上肢功能恢复情况比较及生活质量改变。结果 术前两组患者日常生活能力评定(ADL)结果无显著性差异(t=0.13,P>0.05);术后4周,观察组患者进食、梳头、洗脸、刷牙方面的ADL评定结果显著优于对照组(x^2值分别为9.92、7.81、6.81、3.97,均P<0.05)。系统性健康教育后,观察组生活质量各维度(躯体、角色、情绪、认知、社会功能)得分均高于对照组(t值分别为5.38、3.12、5.92、6.29、5.91,均P<0.05)。结论 系统性健康教育可促进老年乳腺癌术后的心理健康,有助于上肢功能恢复,提高术后生存质量。
Objective To investigate the influence of systemic health education on the postoperative functional recovery of upper limb and life quality of elderly patients with breast cancer. Methods A total of 136 cases of elderly patients with breast cancer who scheduled for operation were randomly divided into two groups. The control group （n = 68 ） was given traditional health education, and the observation group（ n = 68 ） was given systemic health education including psychological rehabilitation, upper limbs rehabilitation exercise, diet and medication guide. The recovery of upper limb function and quality of life between two groups were compared and analyzed. Results There was no significant difference in the assessment of ability of daily life（ADL） for affected limb between two groups before operation（ t = 0.13, P 〉 0.05 ） , while 4 weeks after operation the ADL assessment on eating, combing hair, washing face and brushing in the observation group was significantly superior to that of the control group（x2 value was 9.92, 7.81, 6.81 and 3.97, respectively, all P 〈 0.05）. Score of every dimension （body, role, emotion, cognition and social function） on life quality after systemic health education was significantly higher in the observation group than that in the control group （ t value was 5.38, 3.12, 5.92, 6.29 and 5.91, respectively, all P 〈 0.05 ）. Conclusion Systemic health education can promote the psychological health of the elderly breast cancer patients, help them restore upper limb function and improve their quality of life.
出处
《中国妇幼健康研究》
2013年第4期597-599,共3页
Chinese Journal of Woman and Child Health Research
关键词
乳腺癌
老年
系统性健康教育
上肢功能
生活质量
breast cancer
elderly
systemic health education
upper limb function
life quality
