Tang Xiaoxiao
Medical Oncology 1, Xingtai People's Hospital Xingtai, China.
Am J Transl Res. 2021 Jun 15;13(6):7327-7334. eCollection 2021.
To explore the effect of multi-supportive nursing on the postoperative rehabilitation of breast cancer (BC) patients.
A total of 96 BC patients who underwent radical mastectomies in our hospital from January 2014 to January 2017 were recruited as the study cohort. The patients were equally divided into a regular group and a research group, with 48 cases in each group. The regular group underwent conventional postoperative nursing, and the research group underwent multi-supportive nursing. We compared the changes in the two groups of patients' quality of life, their psychological states, and their upper limb function before and after the nursing. The nursing satisfaction and the two groups' survival times were also analyzed after the 3-year follow-up.
The Functional Assessment of Cancer Therapy-Breast (FACT-B) and the Connor- Davidson Resilience Scale (CD-RISC) subitem scores and the activity angles of the involved shoulder joints in the two groups were increased after the nursing and were better in the research group (all P < 0.05). The involved upper limb lymphedema scores in the two groups were reduced after the nursing and the research group showed a lower level than the regular group (all P < 0.05). The nursing satisfaction was higher in the research group compared with the regular group (97.92% vs. 85.42%, P < 0.05). During the 3-year follow-up, the Progression Free Survival (PFS) in the research group was longer than it was in the regular group (P < 0.05).
Multi-supportive nursing plays a positive role in promoting patients' postoperative rehabilitation.
探讨多支持性护理对乳腺癌（BC）患者术后康复的影响。
选取2014年1月至2017年1月在我院接受根治性乳房切除术的96例BC患者作为研究队列。将患者平均分为常规组和研究组，每组48例。常规组接受术后常规护理，研究组接受多支持性护理。比较两组患者护理前后生活质量、心理状态及上肢功能的变化。3年随访后分析护理满意度及两组患者的生存时间。
护理后两组患者的癌症治疗功能评价-乳腺癌（FACT-B）和康纳-戴维森弹性量表（CD-RISC）子项评分以及患侧肩关节活动角度均升高，且研究组更佳（均P<0.05）。护理后两组患侧上肢淋巴水肿评分均降低，且研究组低于常规组（均P<0.05）。研究组护理满意度高于常规组（97.92%对85.42%，P<0.05）。3年随访期间，研究组的无进展生存期（PFS）长于常规组（P<0.05）。
多支持性护理对促进患者术后康复具有积极作用。
