渐进式康复护理对改善乳腺癌患者根治术后生命质量的作用
摘 要 目的：探讨渐进式康复护理对改善乳腺癌根治术后生命质量的作用。
方法：选取2012年11月―2014年1月乳腺癌患者97例，均行改良根治术治疗。
试验组患者于术后第1天进行第1节康复操训练，次日进行情况调查，并学习新的康复操。
依次类推，直到患者出院。
对照组患者进行常规护理，包括围术期护理、早期功能锻炼、出院指导等。
采用健康相关生命质量量表（HRQOL）评估患者健康相关生命质量情况，包括5个维度。
结果：干预前，试验组和对照组的HRQOL评分分别为（57.01±7.33）分和（57.18±8.44）分，组间差异无统计学意义（P>0.05）。
干预后，试验组和对照组的HRQOL评分分别为（32.87±9.22）分和（37.81±6.44）分，均较治疗前改善（P毕业论文网 关键词 乳腺癌 康复护理 生命质量 中图分类号：R737.9 文献标识码：A 文章编号：1006—1533（2016）16—0060—03 Effect of progressive rehabilitation nursing on the quality of life of patients with breast cancer after radical mastectomy WEI Li（Central People’s Hospital of Jian City， Jiangxi Province 343000， China） ABSTRACT Objective： To explore the effect of progressive rehabilitation nursing on the life quality of breast cancer patients after radical mastectomy. Methods： Ninety—seven cases of breast cancer that were all treated by modified radical mastectomy were selected from Nov. 2012 to Jan. 2014 and randomly divided into an experiment group with 49 cases and a control group with 48 cases. The experiment group was trained by the first section of rehabilitation exercise after operation for 1 day， the next day the condition was surveyed， and then the patients learned the new rehabilitation exercise in turn until the patients were discharged from the hospital. The control group was nursed by the routine nursing， including perioperative nursing， early function rehabilitation， discharge instruction and so on. The health—related quality of life scale （HRQOL） was used to assess the patients’ health—related quality of life. Results： Before intervention， the HRQOL in the experimental group and the control group were 57.01±7.33 and 57.18±8.44， respectively， and there were no significant differences between the two groups（P>0.05）. After intervention， the scores of the health related quality of life in the experimental group and the control group were 32.87±9.22 and 37.81±6.44， respectively， which were all improved compared with before treatment（P0.05）. The scores of physiology， relationship with the medical staff， psycho—social factor， sexual function， and marriage relation for the experiment group were lower after intervention than before intervention in the two groups（P [5] 曾莉， 陈丽琴. 乳腺癌改良根治术的康复护理路径[J]. 现代医院， 2010， 10（8）： 67—69. [6] Ferreira Laso L， López Picado A， Anto？anzas Villar F， et al. Cost—effectiveness analysis of levobupivacaine 0.5%， a local anesthetic， infusion in the surgical wound after modified radical mastectomy[J]. Clin Drug Investig， 2015， 35（9）： 575—582. [7] 季发和， 谢晓冬. 乳腺癌患者术后生活质量评估的现状及进展[J]. 临床肿瘤学杂志， 2011， 16（1）： 77—81. [8] 王玉瑛， 徐萍. 延长护理干预对乳腺癌改良根治术后患者患肢功能恢复的影响[J]. 齐鲁护理杂志， 2012， 18（17）： 12—14. [9] Kallen ME， Sim MS， Radosavcev BL， et al. A quality initiative of postoperative radiographic imaging performed onmastectomy specimens to reduce histology cost and pathology reportturnaround time[J]. Ann Diagn Pathol， 2015， 19（5）： 353—358. [10] 江端英， 侯香传， 赵霭琴. 渐进式康复操对乳腺癌上肢功能恢复的影响[J]. 临床护理杂志， 2012， 11（3）： 18—19. [11] Lu JJ， Li HA， Xiong Y. Breast cancer inpatients undergoing mastectomy from a hospital inguangzhou， china： a retrospective analysis 2004—2013[J]. Asian Pac J Cancer Prev， 2015， 16（11）： 4577—4581. [12] 贺应军. 循经按摩配合渐进式康复操改善乳腺癌术后肢体功能的研究进展[J]. 护理研究： 上旬版， 2015， 29（7）： 2311—2313. [13] Sakaguchi N， Moriya T， Yamazaki T， et al. A case of recurrent breast cancer with carcinomatous pleurisysuccessfully treated with paclitaxel and bevacizumab after radical mastectomy[J]. Gan To Kagaku Ryoho， 2015， 42（6）： 751—753.