乳腺癌手术患者绘画训练主导的功能锻炼研究

目的探讨绘画训练主导的功能锻炼对乳腺癌术后患者负性情绪、患侧肢体功能和淋巴水肿的影响。方法将90例乳腺癌手术患者按随机数字表法分为对照组和干预组各45例。对照组实施乳腺癌常规护理,干预组在常规护理基础上进行绘画训练主导的功能锻炼。结果干预14d后,干预组肩关节前屈、后伸、外展、内收角度显著高于对照组,激惹、抑郁和焦虑得分显著低于对照组(P<0.05,P<0.01);两组淋巴水肿程度比较,差异无统计学意义(P>0.05)。结论绘画训练主导的功能锻炼能有效缓解乳腺癌术后患者的负性情绪,改善肩关节活动度,但对淋巴水肿的效果需延长时间进一步观察。

Application of painting interventions to functional training in breast cancer surgery patients

Objective To explore the effects of painting interventions applied in functional training on negative emotions,recovery of limb function and lymphedema in breast cancer surgery patients.Methods Ninety patients having breast cancer surgery were randomly assigned to two groups,with 45 in each.The control group was given routine care after breast cancer surgery,while the intervention group received additional painting interventions during functional training.Results After 14 days of intervention,the intervention group had greater shoulder range of motion during flexion,extension,abduction and adduction,whereas lower scores of irritability,depression and anxiety compared with the control group(P<0.05,P<0.01).There was no significant difference in lymphedema severity between the two groups(P>0.05).Conclusion Implementation of painting interventions in functional training for breast cancer surgery patients can effectively alleviate negative emotions and improve shoulder range of motion,but the effect on lymphedema requires long-time observations.