摘要
目的探讨体验式健康教育对乳腺癌患者术后功能锻炼依从性和生活质量的影响。方法选取北京市某三甲医院普外科2017年3月1日-2019年3月31日的114例行乳腺癌改良根治术的患者,采用非同期对照的类实验性研究设计连续入组的方法分为对照组和实验组,2017年3月1日-2018年3月31日的55例为对照组,2018年4月1日-2019年3月31日的59例为实验组。对照组根据临床路径进行传统健康教育,实验组在采取传统健康教育的基础上,增加体验式健康宣教。比较两组患者功能锻炼依从性、生活质量和并发症发生率。结果出院两周复查时,实验组功能锻炼依从性得分为(54.86±2.23)分,对照组为(38.25±4.62)分,出院时实验组生活质量评定为(105.86±11.58)分,对照组为(92.64±15.43)分。出院6个月后实验组功能锻炼依从性得分为(60.13.±2.49)分,对照组为(39.33±6.97)分,实验组生活质量评定为(123.57±3.61)分,对照组为(100.20±16.70)分。实验组术后并发症皮下积液、淋巴水肿和肩关节活动障碍发生率分别为16.9%、6.8%、6.8%,对照组分别为36.5%、16.4%、18.2%。两组比较,差异具有统计学意义(p<0.05)。结论体验式健康教育能够降低乳腺癌术后并发症发生率,提高患者患肢功能锻炼的依从性,提高患者生活质量,值得推广。
Objective To explore the effect of experiential health education on the compliance and quality of life of postoperative functional exercise in breast cancer patients.Methods 114 cases of patients with breast cancer modified radical surgery in a grade 3 and first-class hospital general surgery in Beijing from March 1 st, 2017 to March 31 st, 2019 wereselected and divided into control group and experimental group, 55 cases from March 1 st 2017 to March 31 st 2018 were in control group, 59 cases from April 1 st, 2018 to March 31 st, 2019 were in experimental group.The control group received traditional health education according to the clinical pathway, and the experimental group added experiential health education on the basis of traditional health education. Functional exercise compliance, quality of life and complication rate were compared between the two groups.Results Two weeks after discharge, the compliance of functional exercise in the experimental group was 54.86±2.23,38.25±4.62 in the control group, 105.86±11.58 in the experimental group and 92.64±15.43 in the control group, Functional exercise compliance was 60.13±2.49 in the experimental group and 39.33±6.97 in the control group 6 months after discharge. The life quality of the experimental group was 123.57±3.61, and that of the control group was 100.20±16.70. The incidence rates of postoperative complications of subcutaneous effusion, lymphedema and shoulder joint movement disorder were 16.9%, 6.8% and 6.8% in the experimental group, respectively, and 36.5%, 16.4% and 18.2% in the control group, respectively. The difference between the two groups was statistically significant(P<0.05). Conclusion Experiential health education can improve the compliance and quality of life of breast cancer patients.
作者
张丹丹
耿晓莉
王欣然
Zhang Dandan;Geng Xiaoli;Wang Xinran(General Surgery,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;不详)
出处
《中国病案》
2020年第8期89-92,共4页
Chinese Medical Record
关键词
乳腺癌
体验式健康教育
功能锻炼依从性
生活质量
Breast cancer
Experiential health education
Functional exercise compliance
Quality of life
