摘要
目的 探讨渐进性患肢循证护理锻炼对乳腺癌术后患者康复的效果。方法 选取2019年1月至2020年6月空军军医大学第一附属医院接受乳腺癌手术治疗的98例患者为研究对象,采用随机数字表法将其分为对照组和观察组,各49例。对照组采用常规护理模式,观察组在常规护理基础上联合实施渐进性循证护理,比较两组术后24 h、术后2周的后肩关节活动度、上肢功能及感染情况。结果 术后2周,两组肩关节活动情况和上肢功能评分均高于术后24 h,且观察组高于对照组,差异有统计学意义(P<0.05);观察组患肢感染率低于对照组,差异有统计学意义(P<0.05)。结论 将渐进性患肢循证护理锻炼用于乳腺癌术后患者的护理中,可以改善患者术后上肢肩关节活动度,降低患者的感染概率。
Objective To analyze the effect of progressive evidence-based nursing exercise of affected extremity on rehabilitation of patients after breast cancer Surgery.Methods A total of 98 patients admitted to the First Affiliated Hospital of the Air Force Military Medical University for breast cancer surgery from January 2019 to June 2020 were selected.They were divided into control group and observation group by random number table method,with 49 cases in each group.The control group adopted the routine nursing,and the observation group was combined with progressive evidence-based nursing on the basis of routine nursing.Posterior shoulder range of motion,upper limb function’and infection were compared at 24 h and two weeks after surgery between the two groups.Results Two weeks after surgery,the shoulder joint activity and upper limb function scores of the two groups were higher than those at 24 h after surgery,and the observation group was higher than the control group,the differences were statistically significant(P<0.05).The infection rate of the affected limb in the observation group was lower than that in the control group,and the difference was statistically significant(P <0.05).Conclusion Progressive evidence-based nursing exercise of affected extremity can improve the degree of shoulder joint activity and reduce the risk of infection.
作者
王亚妮
高姣
陈燕
WANG Yani;GAO Jiao;CHEN Yan(Surgical Operating Room,the First Affiliated Hospital of Air Force Military Medical University,Shaanxi Province,Xi’an710032,China;Anesthesia and Perioperative Operating Room,the First Affiliated Hospital of Air Force Military Medical University,Shaanxi Province,Xi’an710032,China)
出处
《中国医药导报》
CAS
2023年第2期160-163,176,共5页
China Medical Herald
基金
陕西省社会发展科技攻关项目(S2018-YF-YBSF-0581)。
关键词
乳腺癌术后
渐进性锻炼
功能锻炼
循证护理
Postoperative breast cancer
Progressive exercise
Functional exercise
Evidence-based nursing
