Risk factor analysis and construction of risk model for upper limb dysfunction in breast cancer surgery patients
Objective:To analyze the risk factors of upper limb dysfunction in breast cancer surgery patients,to con-struct the risk model of the risk factors affecting upper limb dysfunction and to verify its performance.Methods:From February 2021 to February 2022,350 women who had passed 2 to 5 months after modified radical breast cancer surgery were selected for an unmatched case-control study.After assessment by Rowes rating System for Bankart repair,those with a score of＜75 points were as the case group and those with a score of≥75 points were as the control group.Lo-gistic statistical analysis was used to analyze the risk factors of upper limb dysfunction in breast cancer surgery patients,to construct the nomogram risk prediction model and to verify it internally.Results:University degree or above,satisfac-tory marital relationship and high level of self-efficacy were protective factors for upper limb dysfunction in breast canc-er surgery patients(P＜0.05).Aged 65 to 80 years,wound pain,insomnia,rarely active upper limb exercise,very fear of exercise,recurrence of breast cancer,no desire for recreational activities,and not being close to friends were the risk factors for upper limb dysfunction of breast cancer surgery patients(P＜0.05).The above factors were included and the nomogram risk prediction model was built.The results showed that intervention factors such as wound pain,ma-rital relationship,insomnia and active upper limb movement had a great impact on the risks of upper limb dysfunction in breast cancer surgery patients.Internal verification results showed that the area under the ROC curve of the model was 0.858.The calibration curve showed a good consistency between the risks of breast cancer upper limb dysfunction pre-dicted by the nomogram and the actual risks,and the C index was 0.837 after correction.Conclusion:The constructed risk model of risk factors for upper limb dysfunction in patients with breast cancer surgery has a good prediction effect.It can assist clinical medical and nursing staff to screen high risk factors affecting upper limb dysfunction,especially pain symptoms,insomnia symptoms,active movement behavior,marital relationship and other factors that can be intervened.This allows for early response measures and postoperative rehabilitation.
Breast cancerUpper limb dysfunctionRisk factorRisk model
万方数据
维普
