Zhuang Yufen, Pan Zhaoyan, Li Minxiang, Liu Zan, Zhang Yudan, Huang Qian
Department of Surgery, Donghu Branch of The Second Affiliated Hospital of Hainan Medical University Haikou 570100, Hainan, China.
Department of Thyroid and Breast Surgery/Department of Gastrointestinal Tumor Surgery, The Second Affiliated Hospital of Hainan Medical University Haikou 570311, Hainan, China.
Am J Transl Res. 2021 Apr 15;13(4):3626-3633. eCollection 2021.
This study explored and analyzed the effect of evidence-based nursing program of progressive exercise on patients with breast cancer-related lymphoedema.
78 breast cancer patients who underwent breast cancer surgery in our hospital from January to December 2018 were chosen as the control group, and 83 patients enrolled from January to December 2019 with the same condition were selected as the observation group. The control group was given routine nursing measures after surgery, while the observation group was given the evidence-based nursing (EBN) program of progressive functional exercise on affected limbs after breast cancer surgery. The postoperative lymphedema, function recovery of upper limb, score of quality life and the satisfaction of patients to nursing were compared between the two groups.
The degree of lymphedema in the observation group was significantly lower than that in the control group 4 weeks after surgery (P<0.05). The limb lifting function, abduction function and rotatory function of the observation group were significantly superior to those of the control group (P<0.05). The scores of physiological status, emotional status, functional status and additional concerns in the observation group were significantly higher than those in the control group 4 weeks after operation (25.46±3.97 vs. 16.95±4.17; 24.74±3.11 vs. 17.42±2.86; 25.48±1.69 vs. 25.48±1.69; 24.51±4.12 vs. 18.32±2.56) (P<0.05). There was no significant difference in social/family status scores between the two groups (P>0.05). Additionally, the satisfaction of patients in the observation group to nursing care was also significantly higher than that in control group (P<0.05).
The evidence-based nursing program of progressive exercise can effectively reduce the lymphedema of patients after breast cancer surgery, improve their postoperative upper limbs function, and effectively promote the quality of life and nursing satisfaction, which is worthy of clinical promotion.
本研究探讨并分析渐进性运动循证护理方案对乳腺癌相关淋巴水肿患者的影响。
选取2018年1月至12月在我院行乳腺癌手术的78例患者作为对照组，选取2019年1月至12月收治的83例病情相同的患者作为观察组。对照组术后给予常规护理措施，观察组在乳腺癌手术后给予患侧肢体渐进性功能锻炼的循证护理（EBN）方案。比较两组术后淋巴水肿情况、上肢功能恢复情况、生活质量评分及患者对护理的满意度。
术后4周，观察组淋巴水肿程度显著低于对照组（P<0.05）。观察组的肢体抬高功能、外展功能和旋转功能显著优于对照组（P<0.05）。术后4周，观察组的生理状况、情感状况、功能状况和其他关注点得分显著高于对照组（25.46±3.97 vs. 16.95±4.17；24.74±3.11 vs. 17.42±2.86；25.48±1.69 vs. 25.48±1.69；24.51±4.12 vs. 18.32±2.56）（P<0.05）。两组社会/家庭状况评分无显著差异（P>0.05）。此外，观察组患者对护理的满意度也显著高于对照组（P<0.05）。
渐进性运动循证护理方案可有效减轻乳腺癌术后患者的淋巴水肿，改善其术后上肢功能，有效提高生活质量和护理满意度，值得临床推广。
