Application Effect of High-quality Nursing Intervention in Preventing Upper Limb Lymphedema of Breast Cancer Patients after Operation

Abstract

Abstract: Objective To explore the preventive effect of high-quality nursing intervention on upper limb lymphedema in breast cancer patients after operation. Methods One hundred and fifty breast cancer patients in Chifeng Hospital from March 2020 to September 2021 were retrospectively selected and divided into two groups according to nursing methods, with 75 cases in each group. The upper limb lymphedema, nursing effect, quality of life, negative psychology and nursing satisfaction of the two groups were statistically analyzed. Results The incidence of upper limb lymphedema in high quality nursing intervention group was lower than that in routine nursing intervention group (P<0.05); The excellent and good nursing rate of patients in the high-quality nursing intervention group was higher than that in the routine nursing intervention group (P<0.05); After nursing intervention, the scores of material life, physical function, mental health and social function of patients in both groups were higher than those before nursing intervention, and the difference was statistically significant (P<0.05); Before nursing intervention, the scores of material life, physical function, mental health and social function were not statistical significantly different between the two groups (P>0.05). After nursing intervention, the scores of material life, physical function, mental health and social function of patients in high-quality nursing intervention group were higher than those in routine nursing intervention group, and the difference was significant (P<0.05). Before nursing, there was no statistical significant difference in the proportion of drug resistance, fear, inferiority and other negative psychology between the two groups (P>0.05). After nursing, the proportion of drug resistance, fear, inferiority and other negative psychology in the evidence-based nursing group was lower than that in the routine nursing group, and the difference was significant (P<0.05). Conclusion Compared with routine nursing intervention, postoperative high-quality nursing intervention for breast cancer patients can effectively prevent lymphedema of upper limbs, and has better nursing effect. It can effectively improve patients' quality of life, reduce patients' negative psychology and improve patients' nursing satisfaction, which is worthy of clinical application.

Key words: breast cancer, postoperative, routine nursing intervention, quality nursing intervention, lymphedema of upper limb

CLC Number:

R473.5

WANG Ling. Application Effect of High-quality Nursing Intervention in Preventing Upper Limb Lymphedema of Breast Cancer Patients after Operation[J]. ZHONGHUA YANGSHENG BAOJIAN, 2022, 40(9): 17-20.

References

[1] Moisin A,Manda G,Bratu D G,et al.Efficiency of modified radical mastectomy in the therapeutic conduct of breast cancer[J].Rom Biotechnol Lett,2021,26(1):2331-2339.
[2] 马淑云,刘薇薇,赵娜,等.乳腺癌根治术后上肢淋巴水肿的护理体会[J].陕西医学杂志,2017,46(8):1149-1150.
[3] 何文华. 优质护理服务对乳腺癌患者护理干预中康复及生活质量的影响[J].黑龙江医药科学,2020,43(5):132-133.
[4] 中国中西医结合学会肿瘤专业委员会,北京乳腺病防治学会中西医结合专业委员会,北京中西医慢病防治促进会乳腺癌整合防治全国专家委员会.乳腺癌中西医结合诊疗共识[J].中国医学前沿杂志(电子版),2021,13(7):44-64.
[5] 周薇,蔡燕燕,单海侠,等.乳腺癌手术患者采取全程优质护理的价值分析[J].医学美学美容,2020,29(21):168.
[6] 佟阳,金咏梅,邱霖,等.乳腺癌术后上肢淋巴水肿患者社会支持与自我护理能力的关系:链式中介效应分析[J].上海护理,2021,21(8):20-24.
[7] 张慧珍,张丽娟,钟巧玲,等.手法引流综合消肿治疗在乳腺癌术后上肢淋巴水肿患者中的应用[J].中国医药导报,2021,18(22):176-179.
[8] Weng C H,Okawa E R,Roberts M B,et al.Breast cancer risk in postmenopausal women with medical history of thyroid disorder in the women's health initiative[J].Thyroid,2020,30(4):519-530.
[9] Olsson H L,Olsson M L.The menstrual cycle and risk of breast cancer:a review[J].Frontiers in Oncology,2020,10:21-24.
[10] 鲁雅琴,邢文婷,葛永桂,等.负压淋巴回流促进系统和徒手淋巴引流治疗乳腺癌术后上肢淋巴水肿的疗效比较[J].中华物理医学与康复杂志,2021,43(2):165-169.
[11] 国玉红,孙郑颖,胥蕾,等.早期护理干预对乳腺癌术后患肢淋巴水肿预防的研究[J].中国实用护理杂志,2021,37(14):1078-1083.
[12] 夏芳,陈静.针对医护人员和患者的健康行为管理在乳腺癌术后上肢淋巴水肿预防中的应用分析[J].山西医药杂志,2021,50(23):3319-3322.
[13] 李一桔,倪启超,陆丽华,等.基于智慧医疗系统的医护患一体化管理模式在预防乳腺癌术后淋巴水肿中的应用[J].中国实用护理杂志,2021,37(10):768-774.
[14] 刘艳飞,刘均娥,麦艳华,等.乳腺癌康复者预防上肢淋巴水肿运动处方的设计与实施[J].中国护理管理,2021,21(2):181-186.
[15] 袁琛烨. 乳腺癌术后患者行CDT治疗依从性的影响因素及护理对策[J].国际护理学杂志,2021,40(4):609-613.
[16] 吴亚琴,郭凌云.医护一体化责任制护理对乳腺癌患者术后并发症的影响[J].中国药物与临床,2021,21(8):1446-1447.
[17] 李菲菲,王静,陈宛婷,等.康复护理及功能锻炼在乳腺癌术后的应用效果观察[J].山西医药杂志,2021,50(15):2368-2371.