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早期量化活动训练联合延续性居家训练指导在乳腺癌术后患者中的应用价值

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目的:分析早期量化活动训练联合延续性居家训练指导在乳腺癌术后患者中的应用价值。方法:回顾性选取 2022 年 3 月—2023 年 9 月厦门大学附属第一医院收治的 100 例乳腺癌术后患者。根据不同的护理方法将其分为联合组(n=50)和对照组(n=50)。两组均给予常规护理,对照组给予延续性居家训练指导,联合组在对照组基础上给予早期量化活动训练。比较两组护理前后肩关节活动度、疼痛程度、自我效能感、生存质量及并发症。结果:护理后,联合组肩关节外展、后伸、前屈、内收活动度均高于对照组,差异有统计学意义(P<0。05)。护理后,两组视觉模拟评分法(VAS)评分均降低,联合组VAS评分低于对照组,差异有统计学意义(P<0。05)。两组并发症发生率比较,差异无统计学意义(P>0。05)。护理后,两组一般自我效能感量表(GSES)评分均升高,联合组GSES评分高于对照组,差异有统计学意义(P<0。05)。护理后,两组乳腺癌患者生存质量量表(FACT-B)评分均升高,联合组FACT-B评分高于对照组,差异有统计学意义(P<0。05)。结论:对乳腺癌术后患者实施早期量化活动训练与延续性居家训练指导,能改善肩关节活动度,减轻疼痛程度,提高自我效能、生存质量。
Application Value of Early Quantitative Activity Training Combined with Continuous Home Training Guidance in Postoperative Patients with Breast Cancer
Objective:To analyze the application value of early quantitative activity training combined with continuous home training guidance in postoperative patients with breast cancer.Method:A total of 100 postoperative patients with breast cancer treated in the First Affiliated Hospital of Xiamen University from March 2022 to September 2023 were retrospectively selected.According to different nursing methods,they were divided into a combined group(n=50)and a control group(n=50).Both groups were given routine nursing,the control group was given continuous home training guidance,and the combined group was given early quantitative activity training based on the control group.Shoulder joint motion,pain degree,self-efficacy,quality of life before and after nursing and complications were compared between the two groups.Result:After nursing,the shoulder joint abduction,back extension,anterior flexion and adduction of the combined group were higher than those of the control group,and the differences were statistically significant(P<0.05).After nursing,the visual analogue scale(VAS)score of both groups was decreased,and the VAS score of the combined group was lower than that of the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).After nursing,the general self-efficacy scale(GSES)score of both groups increased,and the GSES score of the combined group was higher than that of the control group,the differences were statistically significant(P<0.05).After nursing,the score of quality of life scale of breast cancer patients(FACT-B)in both groups increased,and the FACT-B score of the combined group was higher than that of the control group,the differences were statistically significant(P<0.05).Conclusion:Early quantitative activity training and continuous home training guidance for patients with breast cancer after surgery can improve shoulder joint motion,reduce pain degree,improve self-efficacy and quality of life.

Early quantitative activity trainingBreast cancerShoulder joint motionSelf-efficacyQuality of life

黄丽燕、胡慧娴

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厦门大学附属第一医院 福建 厦门 361000

早期量化活动训练 乳腺癌 肩关节活动度 自我效能 生存质量

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(16)