乳腺癌术后上肢淋巴水肿的综合护理干预

Zhongxiyi Jiehe Huli (Zhong-Yingwen Ban)

仇晓溪¹ 

关键词: 乳腺癌;    淋巴水肿;    综合护理;    按摩;    压力治疗;    上肢功能;   

DOI  :  10.11997/nitcwm.201808032

学科分类：护理学

来源: Shanghai Jiao Tong University Press

【 摘 要 】

Abstract：Objective To evaluate comprehensive nursing interventions on limb lymphedema after radical mastectomy for breast cancer. Methods 〓Totally 80 patients undergoing radical mastectomy for breast cancer were assigned to the study group and the control group, with 40 cases in each group. Patients in the control group received routine care and functional training, and those in the study group were given comprehensive nursing interventions including skin care, functional training, manual lymphatic drainage and pressure therapy. The upper limb function and severity of lymphedema were assessed and compared between two groups at 3, 6 and 12 months after surgery. Results 〓At 12 months after surgery, patients in the study group had a better lift, abduction and rotation function of upper limbs compared with those in the control group. There was a less severity of lymphedema in the study group than that in the controls at 3, 6 and 12 months after surgery, and a significant difference was found between two groups at 12 months after surgery(P<0.05). Conclusion 〓Comprehensive nursing interventions are effective to relieve the limb lymphedema and improve the limb function after radical mastectomy for breast cancer.

【 授权许可】

CC BY-NC