| 早期功能锻炼对乳腺癌术后患肢功能恢复的效果评价 |
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| 引用本文： | 刘卉. 早期功能锻炼对乳腺癌术后患肢功能恢复的效果评价[J]. 中华全科医学, 2016, 14(9): 1598-1600. DOI: 10.16766/j.cnki.issn.1674-4152.2016.09.054 |
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| 作者姓名： | 刘卉 |
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| 作者单位： | 阜阳市人民医院普外科, 安徽 阜阳 236000 |
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| 摘 要： | 目的 探讨早期功能锻炼配合围手术期心理干预对乳腺癌术后患肢功能恢复的效果。 方法 选择阜阳市人民医院普外科自2012年12月—2015年6月行手术治疗的女性乳腺癌患者40例，均成功施行乳腺癌改良根治术，按护理方式不同，将该40例患者分为对照组和观察组各20例，对照组患者术后采用常规功能锻炼指导及心理干预，而观察组在常规功能锻炼指导的基础上采取早期功能锻炼配合心理干预。术后1个月对患肢功能恢复情况进行评价，用统计学方法分析比较2组患者在依从性、肩关节活动度(ROM)方面的差异。 结果 对照组20例乳腺癌手术患者经过常规功能锻炼指导及心理干预，患者依从性为85%，观察组20例乳腺癌手术患者经过常规功能锻炼、心理干预及早期功能锻炼后，患者依从性为95%，2组乳腺癌患者在依从性方面差异无统计学意义(P＞0.05)，而经过早期功能锻炼，观察组患者20例中有19例的ROM达标(95%)，而对照组患者20例中仅有14例达标(70%)，2组患者在肩关节活动度方面差异具有统计学意义(P＜0.05)。表明经过早期功能锻炼配合心理干预，观察组乳腺癌患者患肢功能恢复优于对照组。 结论 早期功能锻炼配合围手术期心理干预能够显著促进乳腺癌术后患肢功能的恢复，促进患者早期康复及恢复正常生活。
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| 关 键 词： | 乳腺肿瘤 早期功能锻炼 围手术期 心理干预 患肢功能 |
| 收稿时间： | 2015-12-08 |
Effects of early stage functional exercise on rehabilition of patients affected limb with breast cancer modified radical surgery |
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| Affiliation: | Department of Common Surgery, the People's Hospital of Fuyang, Fuyang, Anhui 236000, China |
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| Abstract: | Objective To explore the effects of early stage functional exercise on rehabilitation of patients affected limb with breast cancer who have accepted modified radical surgery. Methods 40 cases of patients with modified radical mastectomy were admitted to the People's Hospital of Fuyang City from December,2012 to June,2015,and they were divided randomly into two groups according to functional training methods.The control group with 20 cases were given the guidance of regular functional training and psychological intervention.While the observation group with 20 cases were implemented additional early stage functional exercise as well as the guidance of regular functional training and psychological intervention.Patient compliance and the limb shoulder range of motion ROM) were statistically analyzed to evaluate the effects of early stage functional exercise on the patients with breast cancer at the time of one month after the surgeon. Results The control group with 20 cases gain the patient compliance of 85%,and the observation group get the patient compliance of 85%,the difference between these groups have no statistical significance(P>0.05);while there is statistically significant difference between the two groups in the limb shoulder range of motion(P<0.05),19 cases of the observation group reach the standard of the shoulder range of motion (95%),while there are just 14 cases of the control group reaching the standard.It indicates the patients in the observation group gain better recovery than the patients in control group with breast cancer recovery through early stage functional exercise with psychological intervention. Conclusion Early functional exercise on patients with breast cancer who have accepted modified radical mastectomy can significantly promote the functional recovery of patients affected limb. |
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