复合护理干预在乳腺癌术后淋巴水肿治疗效果的研究.docxVIP

? ? 复合护理干预在乳腺癌术后淋巴水肿治疗效果的研究 ? ? 【Summary】目的 探讨复合护理干预在乳腺癌术后淋巴水肿治疗中的应用效果。方法 研究对象60例乳腺癌病人以随机双盲法分为对照（n=30）、观察（n=30）两组，且均于2021年1月－2022年1月期间在我院接受手术治疗，并予以对照常规护理干预，观察组复合护理干预，随访6个月对比两组术后淋巴水肿发生率。结果 术后1周两组淋巴水肿发生率差异较小，对比无统计学意义（P＞0.05）。术后1、3、6个月观察组较对照组淋巴水肿发生率均更低，且病人对护理服务的满意度更高，对比有统计学意义（P〈0.05）。结论 复合护理的应用有着降低乳腺癌病人术后淋巴水肿发生概率，从而积极影响手术预后及病人生活质量，并赢得病人对护理服务的高度认可，具备临床推广价值。 【Keys】复合护理干预；乳腺癌；淋巴水肿 [Abstract] Objective To explore the effect of compound nursing intervention in the treatment of lymphedema after breast cancer.Methods The subjects of 60 patients with breast cancer were randomized double-blind into control (n=30) and observation (n=30), both received surgical treatment in our hospital from January 2021 to January 2022, and received routine care intervention, compound care intervention, and compared the incidence of postoperative lymphoedema between the two groups after 6 months of follow-up.Results The incidence of lymphedema varied slightly at 1 week after surgery (P 0.05).The incidence of lymphoedema was lower at 1,3 and 6 months after the observation group, and patients were more satisfied with nursing services, which was statistically significant (P 0.05).Conclusion The application of compound nursing reduces the probability of postoperative lymphedema in breast cancer patients, which actively affects the surgical prognosis and the quality of life of patients, and wins the high recognition of nursing services by patients, which has clinical promotion value. [Key words] composite nursing intervention; breast cancer; lymphedema?? 乳腺癌作为一种恶性肿瘤，需要积极展开手术治疗才可以有效改善疾病预后水平。但是术后病人经常出现淋巴水肿现象，会导致病情康复遭受障碍，从而降低术后的疗效，同时降低病人生活的质量，不利于疾病与手术预后[1]。因此，就必须给予乳腺癌术后病人必要的术后护理干预措施，以减少淋巴水肿发病率。而本次主要就复合护理的应用效果展开研究，以探究其应用可行性，现做如下报告： 1 资料和方法 1.1一般资料 2021年1月－2022年1月期间的医学研究对象60例为经临床诊断确诊，且具有手术治疗指征的女性乳腺癌病人，并以随机双盲法分为对照（n=30）、观察（n=30）两组。同时排除合并手术禁忌证、精神疾病病人。其中对照组年龄38-61岁，均值（48.56±3.33）岁；受教育年限7-20年，均值（15.88±3.50）年。观察组年龄40-64岁，均值（48.96±3.71）岁；教育年限5-19年，均值（15.82±3.37）年。一般资料对比差异无统计学意义（P＞0.05）。 1.2 护理方法 予以对照组术后常