摘要
目的 针对乳腺癌术后患肢淋巴水肿患者实施治疗,分析集束化护理的应用优势和实施对策。方法针对80例乳腺癌术患者为对象,疾病就诊时间为2021年1月截止于2022年9月的患者,可以通过1:1的方式分组,对照组为常规护理,观察组为集束化护理,对比治疗成果。结果 观察组患者术后患肢淋巴水肿率低于对照组,具有统计学意义(P<0.05)。同时,在不良情绪对比中,观察组得分低于对照组,差异显著(P<0.05)结论 采用集束化护理对于乳腺癌术后患肢淋巴水肿有一定的预防效果,且有助于安抚患者情绪,加强对生活质量的关注与管理,值得推广。
关键词: 乳腺癌术;患肢淋巴水肿;集束化护理;效果评价
Abstract
Objective To implement the treatment of patients with affected limb lymphedema after breast cancer surgery, and to analyze the application advantages and implementation countermeasures of cluster nursing. Methods For 80 patients with breast cancer, patients treated between January 2021 and September 2022, respectively, they can be divided by 1:1, control group is routine care, and observation group is cluster care, and compare the treatment results. Results The postoperative lymphedema rate was lower than that of the control patients (P <0.05). At the same time, in the comparison of bad emotions, the score of the observation group was lower than that of the control group, with a significant difference (P <0.05). Conclusion Using cluster care has a certain preventive effect on the affected limb lymphedema after breast cancer surgery, and helps to calm patients' emotions and strengthen the attention and management of quality of life, which is worth promoting.
Key words: breast cancer surgery; affected limb lymphedema; cluster care; effect evaluation
参考文献 References
[1] 黄梅.梯度压力治疗仪联合预见性护理在乳腺癌术后患肢淋巴水肿中的作用[J].中外医学研究,2022,20(14):114-117.
[2] 张慧珍,张丽娟,钟巧玲,罗庆华,李金兰,刘凤,唐海林.乳腺癌术后患肢淋巴水肿象皮样肿伴1级肌力的个性化综合护理[J].当代护士(下旬刊),2022,29(04):124-127.
[3] 岳雪梅.早期护理干预对乳腺癌术后患肢功能康复及对淋巴水肿发生率的影响[J].黑龙江科学,2021,12(24):94-96.
[4] 熊倩. 康复联合护理模式对乳腺癌改良根治术后患肢功能状态的影响[D].重庆医科大学,2021.
[5] 刘英,李群,吕大鹏,黄颖,王婷婷.有氧运动联合康复护理干预在乳腺癌术后淋巴水肿的应用效果[J].中华损伤与修复杂志(电子版),2021,16(02):170-174.
[6] 王蓓,安海燕,王莉莉,王开慧,杜艳鸣,廖妍妍.乳腺癌术后患者患肢水肿的护理干预[J].护理学杂志,2017,32(22):20-23.
[7] 张惠婷,钟巧玲,张慧珍,刘琳妃,刘莉丽,张丽娟,唐海林.七步综合消肿疗法对乳腺癌术后上肢淋巴水肿的效果[J].中国康复理论与实践,2017,23(09):1015-1020.
[8] 季英.乳腺癌患者术后患肢功能锻炼与预防淋巴水肿康复护理效果分析[J].实用临床护理学电子杂志,2017,2(31):131+139.
[9] 张丽桃.综合消肿治疗乳腺癌术后患肢淋巴水肿1例的护理[J].广东医学,2016,37(03):474.
[10] 王宁.复合护理干预对乳腺癌术后患肢淋巴水肿改善程度的效果观察[J].临床医药文献电子杂志,2015,2(36):7481+7484.