摘要
目的探讨思维导图联合上肢运动操在乳腺癌术后功能锻炼中的应用效果.方法采用随机数字表法将90例乳腺癌根治术患者分为对照1组、对照2组、观察组,每组30例.对照1组患者术后接受常规功能锻炼指导,对照2组患者术后接受思维导图功能锻炼,观察组患者术后接受思维导图功能锻炼联合上肢运动操.比较3组患者健康教育知识掌握程度、患肢肩关节活动度和淋巴水肿情况.结果术后,对照2组和观察组患者健康知识问卷评分均明显高于对照1组患者,差异均有统计学意义(P﹤0.01).术后1、2、3个月,观察组患者患肢肩关节外展、前屈、后伸角度均大于对照1组和对照2组患者,且对照2组患者患肢肩关节外展、前屈、后伸角度均大于对照1组患者,差异均有统计学意义(P﹤0.05).术后3个月,观察组淋巴水肿发生率低于对照1组和对照2组患者,且对照1组患者淋巴水肿发生率高于本组术后1个月,差异有统计学意义(P﹤0.05).结论思维导图可明显提高乳腺癌术后功能锻炼患者健康教育知识的掌握程度,联合上肢运动操可提高患肢术后功能锻炼的康复效果,降低淋巴水肿的发生率.
Objective To study the value of an integrated functional exercise strategy incorporating mind map and upper limb exercise as applied in the postoperative training after breast cancer surgery. Method Ninety patients with breast cancer were included and randomized as control group 1, control group 2, and study group, with 30 cases in each, respectively. The control group 1 was given routine functional training, and the control group 2 was additionally given mind map intervention, besides, the study group was administered with upper limb exercise in addition to routine functional training and mind map intervention. The knowledge of breast cancer, shoulder range of motion, and incidence of lymphedema were compared among the three groups. Result After operation, the scores of knowledge regarding breast cancer in control group 2 and study group were all higher than that in control group 1, showing statistically significant difference (P<0.01). In 1, 2 and 3 months after operation, the angle of abduction, anterior and posterior extension of the affected shoulder were larger in study group than that in control group 1 and 2, while those in the control group 2 were larger compared to control group 1, with statistically significant differences noted (P<0.05). In 3 months after surgery, the incidence of lymphedema in the study group was significantly lower than that in the two control groups, furthermore, in control group 1, the incidence of lymphedema decreased in 1 month after surgery compared to that before treatment, demonstrating statistical significance (P<0.05). Conclusion The application of mind map in the functional exercise after breast cancer surgery can significantly improve the knowledge of patients with breast cancer in regard to health education, also, the combination of upper limb exercise may facilitate the rehabilitation of patients and reduce the incidence of lymphedema.
作者
周峦
祝丹妮
刘艳屏
ZHOU Luan;ZHU Danni;LIU Yanping(Department of Recovery, Fifth Hospital of Wuhan, Wuhan 430050, Hubei, China;Department of Oncology, Fifth Hospital of Wuhan, Wuhan 430050, Hubei, China)
出处
《癌症进展》
2019年第14期1733-1736,共4页
Oncology Progress
关键词
乳腺癌
淋巴水肿
功能锻炼
思维导图
上肢运动操
breast cancer
lymphedema
functional exercise
mind map
upper limb exercise
