摘要
目的 探究并分析个体化护理干预对乳腺癌术后患者患肢功能锻炼康复效果的影响。方法 抽取2019年至2021年期间，曾在本院接受乳腺癌手术的患者，邀其参加此项实验。根据护理方法的不同，将患者进行分组，分为对照组和观察组。后分别对比两组患者的焦虑以及抑郁的情况，进行心理上的一个评测，相关数据包括在手术过后患者出现上肢淋巴水肿的概率和术后患肢功能锻炼的自主性大小以及在护理前后生活质量的评分，均需要进行对比并整合相关数据。结果 实施个体化护理干预患者的SAS和SDS评分显著的下降、术后患肢功能锻炼的自主性显著提升，促使手术后出现上肢淋巴水肿的数量有所降低，且发现采用个体化护理干预的患者无论是生理、心理、环境还是社会关系评分均比另一组显优势P<0.05实验价值显现。结论 个体化护理对于患者术后恢复情况大有帮助，可以有效缓解患者的不良情绪，另此种护理方法也可以有效的减少术后上肢淋巴水肿出现的频率，提升自主锻炼意识，进而改善其预后，对此建议提倡。
关键词： 乳腺癌根治术；个体化护理；患肢功能锻炼康复效果
Abstract
Objective: To explore and analyze the effect of individualized nursing intervention on the rehabilitation effect of functional exercise of affected limbs in patients with breast cancer after surgery. Methods Patients who had undergone breast cancer surgery in our hospital from 2019 to 2021 were selected and invited to participate in this experiment. According to different nursing methods, the patients were divided into control group and observation group. Then, the anxiety and depression of the two groups of patients were compared respectively, and a psychological evaluation was carried out. The relevant data included the probability of upper limb lymphedema after the operation, the autonomy of the postoperative functional exercise of the affected limb, and the quality of life before and after nursing. Scores need to be compared and relevant data integrated. Results: The SAS and SDS scores of the patients who implemented individualized nursing intervention were significantly decreased, and the autonomy of functional exercise of the affected limbs after operation was significantly improved, which led to a decrease in the number of upper limb lymphedema after surgery. Whether the scores of physical, psychological, environmental or social relations of the patients were significantly superior to the other group, P<0.05, the experimental value showed. Conclusion Individualized nursing is of great help to patients' postoperative recovery, and can effectively relieve patients' negative emotions. In addition, this nursing method can also effectively reduce the frequency of postoperative upper limb lymphedema, enhance the awareness of self-exercise, and improve its prognosis. , which is recommended.
Key words： Radical Mastectomy For Breast Cancer, Individualized Care, Rehabilitation Effect Of Functional Exercise of Affected Limbs
参考文献 References
[1] 孟娜，张媛，唐小英，等.应用循证护理干预对乳腺癌患者术后功能锻炼依从性与生活质量的影响研究.[J].贵州医药,2020，44（07）：1175-1176
[2] 李伟.个体化护理干预乳腺癌术后患者患肢功能锻炼康复效果的影响[J].中国医药指南.2020(25):226-227
[3] 邱慧,刘均娥,韩静,等.乳腺癌术后康复者上肢淋巴水肿患病体验的质性研究[J].中华现代护理杂志,2019,25(13): 1641-1645.
[4] 岳朝丽,徐海萍,孙莉,等.“互联网+”护理模式在乳腺癌患者术后淋巴水肿干预中的应用[J].中国护理管理,2020, 20(5):670-676.
[5] 方姣姣.循证护理对乳腺癌患者术后生活质量和功能锻炼依从性影响[J]．安徽卫生职业技术学院学报，2020,19(03):135-136,138.
[6] 李金兰,刘凤,罗庆华,钟巧玲,张丽娟.徒手淋巴引流联合功能锻炼在乳腺癌患者术后的应用[J].当代护士(下旬刊).2021(09):123-126
[7] 余玲霞,王倩.分级心理护理模式应用于乳腺癌术后上肢淋巴水肿患者中的效果观察[J].国际护理学杂志.2022(03):464-467
[8] 刘鲜平.早期综合护理对乳腺癌腋窝淋巴结清扫术后水肿的预防效果分析[J].中国药物与临床,2020,20(7): 1225-1226.
[9] 叶同梅,任俊玲,周映红,等.参与式可读性护理模式在乳腺癌改良根治术后功能锻炼中的应用[J].皖南医学院学报,2020,39(3):287-290.
[10] 殷秀玲,黄丽,胡倩倩.不同护理干预方法对乳腺癌术后上肢淋巴水肿的影响[J].当代护士(上旬刊),2020,27(8): 68-69.
[11] 李金兰，张丽娟，张慧珍，等.乳腺癌术后患肢淋巴水肿并发淋巴管炎发生的原因及对策分析[J].当代护士(下旬刊),2020,27(5):1-4.
[12] 张静文.多学科团队协作护理在乳腺癌术后放疗患者中的应用效果[J].当代护士(中旬刊),2020,27(8):64-66.
[13] 周丽华,高洁,黄燕华,等.延续性护理对乳腺癌患者术后负情绪及生活质量的影响[J].广东医学,2020,41(9): 921-924.
[14] 任海侠,盖焕妮.全过程个体化心理护理在乳腺癌根治术围术期中的应用效果[J].临床医学研究与实践,2019,4(8): 176-177.
[15] 王玮，王晓春，黄求进，等.慢性伤口患者自我感受负担及影响因素的分析[J].中华现代护理杂志，2020，32（11）：84-88