乳腺癌术后患肢康复护理效果评价 .pdf

乳腺癌术后患肢康复护理效果评价

邢进

【摘要】目的:观察乳腺癌术后康复护理干预对患者患肢的康复作用.方法:将66例

乳腺癌根治术后的患者随机分为观察组和对照组,每组各33例;观察组术后进行心

理护理干预,并根据患肢功能锻炼计划进行个性化辅导;对照组进行常规术后康复护

理.结果:观察组的上肢功能障碍4例,对照组12例,两组比较,差异有统计学意义

(χ2=6.82,P＜0.05);观察组淋巴结消肿发生2例,对照组9例,两组比较,差异有统计

学意义(χ2=5.35,P＜0.05);观察组患侧上肢活动度恢复内收、外展、前屈、后伸分

别为(33.25±3.12)°、(103.53±18.67)°、(118.38±18.55)°、(41.27±1.38)°,对照

组为(30.01±2.16)°、(72.71±10.24)°、(92.35±13.67)°、(25.37±1.22)°,两组比

较,差异有统计学意义(t=2.893、3.947、4.235、3.547,均P＜0.05).结论:乳腺癌根

治术后进行康复护理干预,有益患肢的功能恢复,帮助患者实现躯体、心理和社会上

的整体恢复.%Objective:Toevaluaterehabilitationafterbreastcancercare

andrehabilitationinterventionforpatientswithlimbfunction.Methods:66

patientsafterradicalmastectomywererandomlydividedintotreatment

groupandcontrolgroup,33patientsineachgroup;observationgroup

afterpsychologicalintervention,andlimbfunctionaltrainingplanbased

onindividualcounseling;thecontrolgrouproutinepostoperative

rehabilitationcare.Results:Thegroupofupperlimbdysfunctionin4cases,

12patientsinthecontrolgroup,therewasasignificantdifference

(x2=6.82,P＜0.05);theobservationgroupoflymphnodeswellingoccurred

in2cases,9casesofthecontrolgroup.therewasasignificantdifference

(x2=5.35,P＜0.05);theobservationgrouppatientssideoftheupper

extremityactivityrecoveryadduction,abduction,flexion,extensionwas

(33.25±3.12)°.(103.53±18.67)°,(118.38±18.55)°,(41.27±1.38)°.control

groupwas(30.01±2.16)°,(72.71±10.24)°.(92.35±13.67)°.(25.37±1.22)°,

thereweresignificantdifferences(t=2.893,3.947.4.235,3.547,allP＜0.05).

Conclusion:Rehabilitationafterradicalmastectomyfornursing

intervention,usefullimbfunctionalrecovery,helpingpatientstoachieve

physical,psychologicalandsocialoverallrecovery.

【期刊名称】《中国医药导报》

【年(卷),期】2011(008)017

【总页数】2页(P57-58)

【关键词】乳腺癌;患肢康复;护理干预

【作者】邢进

【作者单位】辽宁医学院附属第三医院康复科,辽宁锦州,121001

【正文语种】中文

【中图分类】R737.901

乳腺癌是世界上高发肿瘤之一，