摘要
目的探讨中医护理技术对改善乳腺癌术后并发症的效果。方法采用随机对照的方法,将符合纳入标准的200例患者按随机数字表分为实验组与对照组,每组各100例。实验组在乳腺癌术后常规护理方法的基础上采用耳穴贴压、穴位贴敷、经络艾灸等中医护理技术进行护理,对照组采用乳腺癌术后常规护理方法进行护理。分别于术前及术后7 d测量臂围、患肢伴随症状(疼痛感、肿胀感、皮肤紧绷感)、患者睡眠情况,术后3个月测量肩关节活动度,比较两组术后皮下积液、皮瓣坏死、患肢水肿、睡眠障碍、肩关节功能障碍的发生情况。结果术后7 d皮下积液、皮瓣坏死、患肢水肿发生率的比较,差异无统计学意义(P>0.05);术后7 d患肢伴随症状(疼痛感、肿胀感、皮肤紧绷感)、睡眠情况及术后3个月肩关节功能障碍发生率的比较,实验组伴随症状、睡眠情况、肩关节功能均优于对照组,差异具有统计学意义(P<0.05)。结论中医护理技术能有效减少乳腺癌患者术后伴随症状的发生,提高患者睡眠质量,减少患者肩关节功能障碍。
Objective To explore clinical application value of Traditional Chinese Medicine nursing technology to decrease postoperative complication after breast cancer surgery. Methods Randomized controlled trial,large sample size,multicenter study design were adopted,and 200 patients who met inclusion criteria were randomly divided into the control group and the treatment group （100 cases in each group）. The control group received routine nursing methods after breast cancer surgery. The treatment group received routine nursing methods as well as Traditional Chinese Medicine nursing intervention,such as auricular application pressure,acupoint sticking,meridian moxibustion. Data of arm circumference,Athens insomnia seale（AIS）,symptom in affected arm were collected a week before and after surgery,and range of motion of shoulder joint was evaluated 3 months after surgery to compare postoperative subcutaneous effusion,skin flap necrosis,limb edema,sleep disorder and occurrence of shoulder joint dysfunction in two groups. Results The cases developed postoperative subcutaneous effusion, skin flap necrosis,limb edema were different in two groups,but the differences were not statistically significant（P〉0.05）. There were significant differences between two groups in affected arm pain, swelling, skin tension, sleep, and shoulder joint dysfunction after 3 months（P〈0.05）. Conclusion Traditional Chinese Medicine nursing technology can effectively decrease postoperative complication after breast cancer surgery.
出处
《中华护理杂志》
CSCD
北大核心
2017年第3期289-292,共4页
Chinese Journal of Nursing
基金
浙江省科技厅公益技术应用研究项目(2014C33219)
关键词
乳腺肿瘤
中医护理
手术后并发症
Breast Neoplasms
NURSEING（TCM）
Postoperative Complications
