护理干预在乳腺癌患者术后患肢功能锻炼中的作用(1)
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[摘要] 目的 探讨护理干预对乳腺癌患者术后患肢功能锻炼依从性的影响。 方法 选择乳腺癌术后患者40例为研究对象，随机分为护理干预组和常规护理组，比较两组患肢功能锻炼依从性，随访6个月，观察患肢功能恢复情况。结果 护理干预组对功能锻炼基本知识的掌握情况优于对照组，随访6个月，护理干预组患肢肩关节外展程度和患肢肌力均显著优于对照组，功能锻炼的依从性优于对照组(P均 < 0.05)。 结论 护理干预能够提高乳腺癌术后患者患肢功能锻炼的依从性，提高功能锻炼的效果。
[关键词] 乳腺癌；功能锻炼；依从性；护理干预
[中图分类号] R473.73 [文献标识码] B [文章编号] 1673-9701(2012)30-0088-02
Effect of nursing intervention on limb function exercise compliance after breast cancer operation
ZHU Qunhua
Department of General Surgery ， the First People’s Hospital of Huaihua City in Hunan Province， Huaihua 418000， China
[Abstract] Objective To discuss the effect of nursing intervention on limb function exercise compliance after breast cancer operation. Methods All of 40 cases after breast cancer operation were selected and divided into nursing intervention group and routine nursing group. Limb function exercise compliance was compared between two groups. Follow-up 6 months， limb function recovery were compared. Results Mastery of limb function exercise knowledge in nursing intervention group was better than routine nursing group (P < 0.05). Follow-up 6 months， the exhibition shoulder level and muscle strength in nursing intervention group were better than routine nursing group(P < 0.05). Conclusion Nursing intervention can improve limb function exercise compliance and effect of the functional exercise.
[Key words] Breast cancer； Function exercise； Compliance； Nursing intervention
乳腺癌是女性排名第一的常见恶性肿瘤，发病率呈逐年上升趋势。手术切除是乳腺癌主要的治疗手段，但术后可导致患侧肢体水肿、功能障碍等并发症，影响患者的生活质量，也给患者造成心理负担[1]。乳腺癌患者术后患肢的功能锻炼能够改善患肢功能障碍情况，但因多种原因，患者常常依从性较差，难以坚持功能锻炼。我科根据具体情况采用护理干预提高患者的依从性，现报道如下。
1 资料与方法
1.1 一般资料
选择2011年1月～2011年12月入住我科的乳腺癌术后患者40例为研究对象，均为女性，年龄34～59岁，平均(46.3±19.4)岁。其中保乳根治术11例、改良根治术20例、经典根治术9例。随机分为护理干预组和常规护理组各20例，两组一般资料比较差异无统计学意义(P > 0.05)，具有可比性。见表1。 ......
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