Department of Nursing, Taichung Veterans General Hospital, Taichung, Taiwan; Doctoral Program, Department of Nursing, College of Nursing, National Yang Ming Chiao Tung University, Taipei, Taiwan.
Doctoral Program, Department of Nursing, College of Nursing, National Yang Ming Chiao Tung University, Taipei, Taiwan; School of Nursing, National Quemoy University, Quemoy, Taiwan.
Semin Oncol Nurs. 2023 Dec;39(6):151512. doi: 10.1016/j.soncn.2023.151512. Epub 2023 Oct 10.
This study aims to investigate the effectiveness of an upper limb rehabilitation program on the quality of life in patients who had been first diagnosed breast cancer and subsequently underwent mastectomy.
This randomized controlled trial enrolled 48 breast cancer patients who underwent mastectomy at a medical center in Taiwan. The patients were randomly assigned to either the intervention group (n = 24) or control group (n = 24). The patients in the intervention group participated in a 12-week upper limb rehabilitation program involving face-to-face upper limb rehabilitation education and once-a month monitoring of their upper extremity activity. The control group received standard nursing care. Quality of life was assessed through EORTC QLQ-C30 and QLQ-BR 23 questionnaires at baseline and weeks 4, 8, and 12 after enrollment.
Both the intervention and control groups had significantly improved their levels of functioning, symptoms, and quality of life from baseline to week 12 after enrollment. The intervention group showed greater improvements in functioning and symptom levels after the intervention compared to the control group; however, no statistically significant differences were found. Additionally, the levels of global health status/quality of life in both groups gradually increased from baseline to week 12 CONCLUSION: An upper limb rehabilitation program is effective in improving the functioning and symptoms of breast cancer patients who have undergone mastectomy.
Patients are encouraged to undergo upper limb rehabilitation in order to improve their functioning, symptoms and quality of life.
本研究旨在探讨上肢康复方案对首次被诊断为乳腺癌并随后接受乳房切除术的患者生活质量的影响。
这是一项随机对照试验，共纳入了 48 名在台湾某医疗中心接受乳房切除术的乳腺癌患者。患者被随机分为干预组（n=24）和对照组（n=24）。干预组患者参加了为期 12 周的上肢康复计划，包括面对面的上肢康复教育和每月一次的上肢活动监测。对照组接受标准护理。在基线和入组后第 4、8 和 12 周，通过 EORTC QLQ-C30 和 QLQ-BR23 问卷评估生活质量。
干预组和对照组在基线至入组后第 12 周时，功能、症状和生活质量均显著改善。与对照组相比，干预组在干预后功能和症状水平有更大的改善，但无统计学差异。此外，两组的总体健康状况/生活质量水平均从基线逐渐增加到第 12 周。
上肢康复方案可有效改善接受乳房切除术的乳腺癌患者的功能和症状。
鼓励患者进行上肢康复以提高他们的功能、症状和生活质量。
