以患者病情为基础的运动康复方案在乳腺癌患者根治术后康复中的应用OA
Application of exercise rehabilitation program based on patient's condition in the rehabilitation of patients with breast cancer after radical mastectomy
目的 考察以患者病情为基础的运动康复方案在乳腺癌患者根治术后康复中的应用效果.方法 选取2021年6月至2023年5月在徐州医科大学附属医院行根治术治疗的乳腺癌患者(96例),按随机数字表法分成2组.对照组(48例)给予常规护理方法,观察组(48例)给予以患者病情为基础的运动康复方案,比较2组的干预效果.结果 相较于术后1 d和1个月,2组在术后3个月的肩关节活动度均更大、癌性疲乏量表评分和匹兹堡睡眠质量指数均更低、Constant-Murley评分和乳腺癌患者生活质量量表评分均更高,且术后1个月相较于术后1 d也均更优;观察组在术后1个月、3个月的以上指标和评分相较于同期对照组均更优,术后并发症总发生率相较于对照组更低,结果均有统计学差异(P均<0.05).结论 以患者病情为基础的运动康复方案有助于改善乳腺癌患者术后的肩关节活动度和睡眠质量,缓解其癌性疲乏程度,提高其生活质量和肩关节功能,并降低并发症发生率.
Objective To investigate the effect of exercise rehabilitation program based on patient's condition in the rehabilitation of patients with breast cancer after radical mastectomy.Methods A total of 96 breast cancer patients who underwent radical mastectomy at the Affiliated Hospital of Xuzhou Medical University from June 2021 to May 2023 were selected and divided into two group according to the random number table.The control group(48 cases)was given routine nursing methods,while the observation group(48 cases)was given exercise rehabilitation program based on the patient's condition.The intervention effects of the two groups were compared.Results Compared with 1 day and 1 month after surgery,both groups had greater shoulder joint range of motion,lower scores on the Cancer-Related Fatigue scale and Pittsburgh Sleep Quality Index,and higher scores on the Constant-Murley Score and Functional Assessment of Cancer Therapy-Breast at 3 months after surgery.The above indicators and scores of both groups were also better at 1 month after surgery than at 1 day after surgery.The observation group had better indicators and scores at 1 and 3 months after surgery compared to the control group during the same period,and the total incidence of postoperative complications in the observation group was lower than that in the control group,with statistical differences(all P<0.05).Conclusion The exercise rehabilitation program based on the patient's condition can help improve the shoulder joint mobility and sleep quality of patients with breast cancer after surgery,alleviate their cancerous fatigue,improve their quality of life and shoulder joint function,and reduce the incidence of complications.
樊娅;李冉;张瑾;王娅
徐州医科大学附属医院,江苏徐州,221000
临床医学
乳腺癌根治术以病情为基础运动康复方案肩关节功能生活质量
radical mastectomy for breast cancerbased on the condition of the illnessexercise rehabilitation programshoulder joint functionquality of life
《中西医结合护理(中英文)》 2024 (005)
21-24 / 4
徐州医科大学附属医院院级科研项目(2022ZH04)
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