同伴教育体系在提升乳腺癌术后患者功能锻炼效果中的应用

目的 探讨实施同伴教育体系在乳腺癌患者术后对术后恢复、术后日常锻炼以及生活质量的影响,以明确该种方法及护理模式的效果。 方法 选取临海市第一人民医院2014年6月 -2015年5月收治的行乳腺癌手术的80例患者作为研究对象,将患者随机均分为2组,对观察组进行同伴教育,对照组进行常规的健康教育,比较2组患者的功能锻炼达标情况、日常活动能力及并发症发生率。 结果 观察组患者的功能锻炼达标率显著优于对照组,观察组达标率为92.5%,对照组达标率为67.5%,2组患者差异有统计学意义(P<0.05);观察组的刷牙、穿衣、进食、梳头能力均显著优于对照组,2组患者差异有统计学意义(P<0.05);观察组发生皮瓣坏死4例(10.0%),对照组3例(7.5%);观察组皮下积液发生3例(7.5%),对照组发生5例(12.5%),2组患者病发皮瓣坏死及皮下积液差异无统计学意义(P>0.05);观察组发生上肢水肿4例(10.0%),对照组发生17例(42.5%),观察组发生上肢水肿的发生率显著低于对照组,2组差异有统计学意义(P<0.05)。 结论 同伴教育体系可以有效提高乳腺癌术后患者功能锻炼的达标率,对患者的一些基本日常活动能力有所改善,降低上肢水肿的发生率,值得进行临床推广。 

Application of peer education system in enhancing the effect of functional exercise on patients with breast cancer

Objective To investigate the effects of peer education system on postoperative recovery,postoperative daily exercise and life quality of patients with breast cancer,and to determine its effect. Methods Altogether 80 patients underwent breast cancer surgery in Linhai First People's Hospital from June,2014 to May,2015 were selected as study subject and were randomly divided into two groups.Patients in observation group were given peer education system,and patients in control group were given routine health education.The functional exercise compliance situation,daily activities,and complications of two groups were compared. Results The functional exercise compliance situation of observation group was significantly higher than that of control group,the compliance rate of observation group was 92.5%,the compliance rate of control group was 67.5%,and the difference was statistically significant (P<0.05).The brushing,dressing,eating and combing hair ability of observation group were significantly higher than those of control group,and there was significant difference between the two groups (P<0.05).Four patients in observation group had flap necrosis (10.0%),three patients in control group had flap necrosis (7.5%);three patients in observation group had flap necrosis (7.5%),five patients in control group had subcutaneous fluid (12.5%),and there were no significant differences in the flaps necrosis and subcutaneous fluid between the two groups (P>0.05).Four patients in observation group had upper extremity edema (10.0%),17 patients in control group had upper extremity edema (42.5%),and the upper extremity edema rate of observation group was significant lower than that of control group.Therefore,there were significant differences between two groups (P<0.05). Conclusion Peer education system could effectively improve the functional exercise compliance rate of patients with breast cancer after operation,improve some basic daily activities,and reduce edema of upper limbs incidence rate,worthy of clinical popularization.