循证护理在乳腺癌术后患者康复训练中的应用效果

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中文摘要：目的:观察循证护理在乳腺癌术后患者康复训练中的应用效果.方法:回顾性分析 2021 年 1 月至 2022 年 12 月该院收治的 100 例乳腺癌术后患者的临床资料,按照护理方法不同将其分为观察组和对照组各 50 例.对照组采用常规护理,观察组在对照组基础上采用循证护理,比较两组护理后上肢功能障碍[上肢功能评定量表(DASH)]评分、肩关节活动度达标率和生命质量[乳腺癌生命质量测定量表(FACT-B)]评分.结果:护理3个月后,两组DASH评分均低于术后24 h,且观察组低于对照组,差异有统计学意义(P＜0.05);观察组肩关节前屈、后伸、外收、外旋、内收、内旋活动度达标率均高于对照组,差异有统计学意义(P＜0.05);护理 3 个月后,观察组生理状况、社会/家庭状况、功能状况、情感状况、附加关注等FACT-B评分和总分均高于对照组,差异有统计学意义(P＜0.05).结论:在常规护理基础上采用循证护理可提高乳腺癌术后患者肩关节活动度达标率和生命质量评分,降低上肢功能障碍评分,效果优于单纯常规护理.

外文标题：Application effects of evidence-based nursing in rehabilitation training of postoperative patients with breast cancer

外文摘要：Objective:To observe application effects of evidence-based nursing in rehabilitation training of postoperative patients with breast cancer.Methods:The clinical data of 100 patients with breast cancer treated in this hospital from January 2021 to December 2022 were retrospectively analyzed.According to different nursing methods,they were divided into observation group and control group,50 cases in each group.The control group was given routine nursing,while the observation group was given evidence-based nursing on the basis of the control group.The scores of upper limb dysfunction[disabilities of the arm,shoulder,and hand(DASH)],the compliance rate of shoulder joint range of motion after the nursing,and the quality of life[functional assessment of cancer therapy-breast(FACT-B)]after the nursing were compared between the two groups.Results:After 3 months of nursing,the DASH scores of the two groups were lower than those 24 h after the surgery,that in the observation group was lower than that in the control group,and the differences were statistically significant(P＜0.05).The compliance rates of shoulder flexion,extension,adduction,external rotation,adduction and internal rotation in the observation group were higher than those in the control group,and the differences were statistically significant(P＜0.05).Further,after 3 months of nursing,the FACT-B scores of physiological status,social/family status,functional status,emotional status and additional attention and the total score in the observation group were higher than those in the control group,and the differences were statistically significant(P＜0.05).Conclusions:On the basis of the routine nursing,the evidence-based nursing can improve the compliance rate of shoulder joint range of motion and the quality of life scores,and reduce the scores of upper limb dysfunction in the postoperative patients with breast cancer.Moreover,it is superior to simple routine nursing.

外文关键词：

Evidence-based nursingAfter breast cancer surgeryShoulder jointRange of motionQuality of lifeUpper limb dysfunction

作者：

高彬

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作者单位：

南阳市第一人民医院甲状腺乳腺外科,河南南阳 473000

关键词：

循证护理乳腺癌术后肩关节活动度生命质量上肢功能障碍

出版年：

2024

DOI：