上海护理2024，Vol.24Issue(10)：30-35,6.DOI:10.3969/j.issn.1009-8399.2024.10.006
基于中医护理门诊的个案管理对乳腺癌术后淋巴水肿的干预效果
Intervention Effect of Case Management in Combination with TCM Clinic Nursing on Lymphedema After Breast Cancer Surgery
摘要
Abstract
Objective To explore the intervention effect of case management in combination with TCM clinic nursing on lymphedema after breast cancer surgery,aiming to provide a reference for refining transitional care and enhancing patients'quality of life.Methods A total of 60 patients with lymphedema after breast cancer surgery were selected by convenience sampling who were admitted to Shanghai Baoshan Hospital of Integrated Traditional Chinese and Western Medicine from June 2022 to June 2023.They were grouped according to the order of admission.Specifically,patients admitted from June to December 2022 were divided into the control group(n=30)to receive routine nursing in combination with breast cancer nursing at a TCM clinic for 6 months;patients admitted from January to June 2023 were divided into the observation group(n=30)to receive case management in combination with the interventions in the control group for 6 months.The following were compared between the two groups:edema of the affected limbs 1-2 days after admission,3 months after discharge and 6 months after discharge;TCM syndrome scores,Exercise of Self-Care Agency(ESCA)scores and Functional Assessment of Cancer Therapy-Breast(FACT-B)scores 1-2 days after admission and 6 months after discharge.Results Three and six months after discharge,the differences in bilateral arm circumferences in the observation group were significantly lower than those in the control group(P<0.05).Six months after discharge,the TCM syndrome scores in the observation group were lower than those in the control group(P<0.05)and the ESCA and FACT-B scores were higher than those in the control group(P<0.05).Conclusion Combining case management with breast cancer nursing at a TCM clinic ensures patients receive consistent and effective professional care during their transition from hospital to home.This approach helps reduce lymphedema after breast cancer surgery and relieves related discomfort symptoms,thereby enhancing patients'self-care ability and quality of life.关键词
乳腺癌/手术/淋巴水肿/个案管理/中医/护理门诊Key words
Breast cancer/Surgery/Lymphedema/Case management/TCM/Nursing clinic分类
医药卫生引用本文复制引用
金玉兰,葛燕萍,程琳,陈雅芳,蒋玉婕..基于中医护理门诊的个案管理对乳腺癌术后淋巴水肿的干预效果[J].上海护理,2024,24(10):30-35,6.基金项目
2022年上海市宝山区科学技术委员会医学卫生项目(21-E-56) （21-E-56）
上海中医药大学"杏林学者-护理青年"人才项目(2022HLXL06). （2022HLXL06）
