Hilt G
Dtsch Med Wochenschr. 1985 Nov 22;110(47):1808-11. doi: 10.1055/s-2008-1069092.
The effectiveness of rehabilitation measures in acute in-patient clinics was assessed by questioning 220 women who had had a mastectomy. As criteria were used: function of the shoulder-arm region on the operated side; prevention of oedema and infection on the operated side; emotional support; supply of an external breast prosthesis. The results indicate that rehabilitation measures need to be improved. Deficiencies in counselling and supervision were noted with regard to oedema and infection prevention in 71%, emotional support in 69%, and supply of a prosthesis in 56%. The interviews also revealed that rehabilitation depended primarily on personal engagement of the medical personnel, less on the size and type of clinic. Increasing importance is ascribed to subsequent (long-term) medical care and supervision, as is provided in the FRG under insurance regulations.
通过对220名接受乳房切除术的女性进行询问，评估了急性住院诊所康复措施的有效性。采用的标准如下：患侧肩臂区域的功能；预防患侧水肿和感染；情感支持；提供外部乳房假体。结果表明，康复措施需要改进。在预防水肿和感染方面，71%的人指出咨询和监督存在不足；在情感支持方面，69%的人指出存在不足；在假体供应方面，56%的人指出存在不足。访谈还显示，康复主要取决于医务人员的个人投入，而较少取决于诊所的规模和类型。后续（长期）医疗护理和监督的重要性日益增加，这在联邦德国根据保险规定提供。
