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复合护理干预对乳腺癌术后淋巴水肿发生率的影响分析

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目的 分析乳腺癌患者术后康复中开展复合护理干预的价值.方法 回顾性选取2023年1-12月中国医学科学院北京协和医学院肿瘤医院收治的103例乳腺癌患者的临床资料,以护理方式的不同分为观察组与对照组,对照组(n=51)接受常规护理干预,观察组(n=52)接受复合护理干预.比较两组患者淋巴水肿发生率、患肢淋巴水肿体积、上肢功能、自我护理能力.结果 观察组淋巴水肿发生率[5.77%(3/52)]低于对照组[19.61%(10/51)],差异有统计学意义(χ2=4.471,P<0.05);观察组术后1个月、2个月、3个月患肢淋巴水肿体积均小于对照组,差异有统计学意义(P均<0.05);观察组上肢功能评分高于对照组,自我护理能力高于对照组,差异有统计学意义(P均<0.05).结论 腹乳腺癌术后康复中开展复合护理干预措施可减轻水肿体积,降低淋巴水肿发生率,达到改善上肢功能及自我护理能力的目的,值得临床借鉴.
Analysis of the Effect of Compound Nursing Intervention on Incidence of Lymphedema after Breast Cancer Surgery
Objective To analyze the value of compound nursing intervention in postoperative rehabilitation of breast cancer patients.Methods The clinical data of 103 breast cancer patients admitted to the Chinese Academy of Medical Sciences and Peking Union Medical College from January to December 2023 were retrospectively selected.The pa-tients were divided into observation group and control group according to different nursing methods.The control group(n=51)received routine nursing intervention,and the observation group(n=52)received compound nursing interven-tion.The incidence of lymphedema,volume of lymphedema,upper limb function and self-care ability were compared between patients in two groups.Results The incidence of lymphedema in the observation group[5.77%(3/52)]was lower than that in the control group[19.61%(10/51)],and the difference was statistically significant(χ2=4.471,P<0.05).The volume of lymphedema in the observation group was smaller than that in the control group at 1 month,2 months and 3 months after operation,and the differences were statistically significant(all P<0.05).The upper limb function score of the observation group was higher than that of the control group,and the self-care ability was higher than that of the control group,the differences were statistically significant(both P<0.05).Conclusion The comprehen-sive nursing intervention measures in the postoperative rehabilitation of abdominal breast cancer can reduce the vol-ume of edema,reduce the incidence of lymphedema,and achieve the purpose of improving upper limb function and self-care ability,which is worthy of clinical reference.

Compound nursing interventionBreast cancerLymphedemaUpper limb functionSelf care abilityTargeted therapy

赵芳、周彦君、朱姗姗、董卉谊、要彬、王佳妮、付恩锋

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国家癌症中心,国家肿瘤临床医学研究中心,中国医学科学院北京协和医学院肿瘤医院内科,北京 100021

国家儿童医学中心,首都医科大学附属北京儿童医院护理部,北京 100045

复合护理干预 乳腺癌 淋巴水肿 上肢功能 自我护理能力 靶向治疗

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(21)