乳腺癌术后患者健康管理及功能锻炼指导效果观察.pdfVIP

Health Education 健康教育 CHINA HEAL TH INDUSTRY DOI∶10.16659/j.cnki.1672-5654.2016.28.073 乳腺癌术后患者健康管理及功能锻炼指导效果观察 任静 河南省南阳市中心医院乳腺外科,河南南阳 473000 [摘要] 目的探讨乳腺癌术后患者健康管理及功能锻炼指导的临床护理效果。 方法对 105例乳腺癌术后患者进行心 理状态﹑伤口愈合情况﹑胸带佩戴指导﹑肢体活动度及并发症预防等健康管理,同时根据患者术后不同时期,制定不同 的肢体功能锻炼计划,并指导认真落实,以促进乳腺癌术后患者肢体功能恢复。 结果 105例乳腺癌术后患者经过系 统的健康管理和相应功能锻炼指导,发生切口感染4例,出血2例,皮下积液 1例,并发症发生率为6.66%；95例患者 肢体功能完全恢复,8例部分活动受限,但能满足生活需要,2例出现肌肉萎缩,功能锻炼有效率为98.1%。 结论对乳 腺癌术后患者实施系统健康管理和计划性的功能锻炼,能够促进患肢功能恢复,降低术后并发症发生率。 [关键词] 乳腺癌术后；健康管理；功能锻炼；效果观察 [中图分类号]R473.73 [文献标识码]A [文章编号]1672-5654(2016)10(a)-0073-03 ObservationonGuidanceEffectofHealthManagementandFunctionalEx- erciseonPatientsaftertheBreastCancerOperation RENJing DepartmentofBreastSurgery,NanyangCentralHospital,Nanyang,HenanProvince,473000China [Abstract]ObjectiveTostudytheclinicalnursingeffectofhealthmanagementandfunctionalexerciseonpatientsafterthe breastcanceroperation.Methods 105casesofpatientsafterthebreastcanceroperationweregiventhehealthmanagement ofmentalstate,woundhealingcondition,chestbandagewearingguidance,limbsmobilityandcomplicationprevention,and differentlimbsmobilityexerciseplansweremadeandcarefullyimplementedunderguidanceaccordingtodifferentperiods ofpatientsafteroperationinordertopromotethelimbfunctionrecovery ofpatientsafterthebreastcanceroperation. Re- sults Afterthesystematicalhealthmanagementandcorrespondingfunctionalexerciseguidance,woundinfectionwasin4 cases,bleedingwasin2cases,seromawasin1case,andtheincidencerateofcomplicationswas6.66%;thelimbfunction of95casesofpatientstotallyrecovered,partactivitylimitationwasin 8casesbutcouldsatisfythelivingneeds,muscular atrophywasin2cases,andtheeffectiverateoffunctionalexercisewas98.1%