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中华养生保健 ›› 2024, Vol. 42 ›› Issue (21): 95-99.

• 护理研究 • 上一篇    下一篇

症状康复策略在乳腺癌患者中的应用效果研究

王利珍1,*, 宋君凤1, 董哲2, 薛伟珍1   

  1. 1.梅州市人民医院乳腺外科,广东 梅州,514100;
    2.南部战区总医院肿瘤科,广东 广州,510180
  • 出版日期:2024-11-01 发布日期:2024-10-24
  • 通讯作者: * 王利珍,E-mail:mzwlz2022@163.com。
  • 作者简介:王利珍(1985—),女,汉族,籍贯:广东省梅州市,本科,主管护师,研究方向:乳腺病护理,肿瘤护理,淋巴水肿护理。
  • 基金资助:
    2020年梅州市社会发展科技计划项目(201113092050249); 2020年梅州市人民医院科研培育项目(PY-C2020025)

Effect of Symptom Rehabilitation Strategy in Breast Cancer Patients

WANG Li-zhen1,*, SONG Jun-feng1, DONG Zhe2, XUE Wei-zhen1   

  1. 1. Breast Surgery Department, Meizhou People's Hospital, Meizhou Guangdong 514100, China;
    2. Oncology Department, Southern Theater Command General Hospital, Guangzhou Guangdong 510180, China
  • Online:2024-11-01 Published:2024-10-24

摘要: 目的 探讨症状康复策略对乳腺癌术后患者康复的影响。方法 选取2023年6月—2023年8月广东省梅州市人民医院乳腺外科收治的140例乳腺癌术后患者作为研究对象,应用随机数表法将其分为观察组与对照组,每组70例。对照组采取常规护理,观察组在常规护理基础上采用症状康复策略,应用上肢功能评定(DASH简表)、Constant-Murley 肩关节评分问卷、并发症登记表评价并比较两组患者护理前后上肢活动能力、肩关节功能障碍程度、并发症发生情况。结果 观察组上肢功能评定(DASH简表)评分低于对照组,差异有统计学意义(P<0.05);观察组疼痛、肩关节活动范围、肌力、日常生活能力、局部形态方面的肩关节功能评分高于对照组,差异有统计学意义(P<0.05);观察组淋巴水肿、皮下积液、腋网综合征、伤口愈合不良等并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论 症状康复策略可改善乳腺癌手术患者的上肢活动能力,提高肩关节功能,减少并发症发生,值得临床应用。

关键词: 乳腺癌, 症状管理, 康复, 护理

Abstract: Objective To explore the impact of symptom rehabilitation strategies on the recovery of postoperative breast cancer patients. Methods From June to August 2023, 140 postoperative breast cancer patients at Meizhou People's Hospital in Guangdong Province were randomly assigned to an observation group or a control group, with 70 patients each. The control group received routine care, while the observation group received additional symptom rehabilitation strategies. The Disabilities of the Arm, Shoulder, and Hand (DASH) score, Constant-Murley Shoulder Score Questionnaire, and a complication registration form were used to assess and compare upper limb mobility, shoulder joint dysfunction, and complication incidence before and after care in both groups. Results The observation group had significantly lower DASH scores and higher shoulder function scores for pain, range of motion, muscle strength, daily living ability, and local morphology compared to the control group (P<0.05). The incidence of complications such as lymphedema, subcutaneous effusion, axillary web syndrome, and poor wound healing was significantly lower in the observation group (P<0.05). Conclusion Symptom rehabilitation strategies effectively improve upper limb mobility and shoulder joint function while reducing complication rates in breast cancer surgery patients, making them valuable for clinical practice.

Key words: breast cancer, symptom management, rehabilitation, nursing

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