摘要
目的探讨综合护理干预改善乳腺癌术后淋巴水肿的效果。方法选取2016年4月—2017年4月行乳腺癌根治术的患者80例,随机分组为对照组和研究组,各40例。对照组患者术后采用常规护理方法配合功能锻炼,研究组患者术后给予皮肤护理、自我功能锻炼、手法淋巴引流、压力治疗等综合护理干预方法。术后随访,对比2组上肢功能、上肢淋巴水肿发生率及程度。结果术后12月时,研究组患者上肢上举、外展、旋转功能优于对照组。术后3、6、12月时,研究组患者上肢淋巴水肿程度较对照组患者轻,其中术后12月时2组差异有统计学意义(P <0. 05)。结论综合护理干预有效降低乳腺癌术后上肢淋巴水肿程度,促进患者上肢功能恢复,对改善术后生活质量具有积极意义。
Objective To evaluate comprehensive nursing interventions on limb lymphedema after radical mastectomy for breast cancer. Methods Totally 80 patients undergoing radical mas- tectomy for breast cancer were assigned to the study group and the control group, with 40 cases in each group. Patients in the control group received routine care and functional training, and those in the study group were given comprehensive nursing interventions including skin care, functional training, manual lymphatic drainage and pressure therapy. The upper limb function and severity of lymphedema were assessed and compared between two groups at 3, 6 and 12 months after surgery. Results At 12 months after surgery, patients in the study group had a better lift, abduction and rotation function of upper limbs compared with those in the control group. There was a less severity of lymphedema in the study group than that in the controls at 3, 6 and 12 months after surgery, and a significant difference was found between two groups at 12 months after surgery （P 〈 0. 05 ）. Conclusion Comprehensive nursing interventions are effective to relieve the limb lymphedema and improve the limb function after radical mastectomy for breast cancer.
作者
仇晓溪
徐晶晶
QIU Xiaoxi1, XU Jingjing2(1. Department of Breast Surgery; 2. Wound Ostomy Clinic, Zhenjiang First People＇s Hospital, Zhenjiang, Jiangsu, 21200)
出处
《中西医结合护理（中英文）》
2018年第8期107-110,共4页
Journal of Clinical Nursing in Practice
关键词
乳腺癌
淋巴水肿
综合护理
按摩
压力治疗
上肢功能
breast cancer
lymphedema
comprehensive nursing
massage
pressure therapy
upper limb function
