Zirui Zhang, Lizhi Zhou, Yang Wang, Meijie Luo, Jiwei Hu, Aijun Du, Luyan Guo, Yijing Fan, Huiqian Xu
North China University of Science and Technology, Tangshan, 063210, China.
Tangshan People's Hospital, Tangshan, 063000, China.
Support Care Cancer. 2025 Jun 4;33(7):535. doi: 10.1007/s00520-025-09606-3.
To explore the effect of Kinect comprehensive training prescription on upper limb functional rehabilitation of breast cancer patients after surgery.
From February 2023 to October 2023, 76 patients with breast cancer who underwent modified radical surgery in the breast surgery department of Tangshan People's Hospital were included. The patients were randomly assigned to two groups; the control group was given routine nursing, and the experimental group was given routine nursing + comprehensive training prescription of Kinect. Two intervention stages were included, each lasting 7 days. Rewe shoulder function assessment criteria and simplified McGill pain scale scores were collected before intervention, after intervention stages 1 and 2, and at follow-up, and the differences between the two groups were compared.
(1) Shoulder function: The total Rewe score was higher in the experimental group than that in the control group after intervention (P < 0.05). (2) Pain: After the first intervention stage, the Pain Assessment Index score was lower in the experimental group than that in the control group (P < 0.05). There were no significant differences in the total score of the simplified McGill pain scale and scores for all dimensions between the two groups at stage 2 and follow-up (P > 0.05).
Kinect comprehensive training prescription can significantly improve the upper limb function and relieve early pain of patients after breast cancer surgery. This method is interesting in operation, novel in form, and has high patient compliance, which lays a foundation for future development and innovative intervention modes.
探讨Kinect综合训练处方对乳腺癌术后患者上肢功能康复的影响。
选取2023年2月至2023年10月在唐山市人民医院乳腺外科行改良根治术的76例乳腺癌患者。将患者随机分为两组；对照组给予常规护理，试验组给予常规护理+Kinect综合训练处方。包括两个干预阶段，每个阶段持续7天。在干预前、干预第1阶段和第2阶段后以及随访时收集Rewe肩关节功能评估标准和简化McGill疼痛量表评分，并比较两组之间的差异。
（1）肩关节功能：干预后试验组Rewe总分高于对照组（P<0.05）。（2）疼痛：在第一个干预阶段后，试验组疼痛评估指数评分低于对照组（P<0.05）。在第2阶段和随访时，两组简化McGill疼痛量表总分及各维度评分比较，差异均无统计学意义（P>0.05）。
Kinect综合训练处方可显著改善乳腺癌术后患者的上肢功能并缓解早期疼痛。该方法操作趣味性强、形式新颖，患者依从性高，为未来发展及创新干预模式奠定了基础。
