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医护一体化健康教育对乳腺癌术后上肢水肿的防控效果
引用本文:王伟风,陈时,孙琼,王士群.医护一体化健康教育对乳腺癌术后上肢水肿的防控效果[J].实用临床医药杂志,2017,21(12).
作者姓名:王伟风  陈时  孙琼  王士群
作者单位:安徽省第二人民医院 外科, 安徽 合肥, 230022
摘    要:目的探讨医护一体化健康教育对乳腺癌术后上肢水肿的防控效果。方法选取2015年6月—2016年5月入院的乳腺癌患者82例为研究对象,2015年6—11月收治的40例患者采用常规教育模式,设为对照组,2015年12月—2016年5月收治的42例患者采用医护一体化健康教育模式,设为观察组。术后3周,统计2组患者上肢水肿的发生率,术后6周,测量上肢水肿患者双侧上臂周径,计算2组平均差值。结果术后3周,观察组发生上肢水肿9例,对照组21例,观察组患者上肢水肿发生率低于对照组(P0.05)。术后6周,观察组患者双侧上臂周径差值小于对照组(P0.05)。。结论医护一体化健康教育有利于乳腺癌术后上肢水肿的控制与缓解。

关 键 词:医护一体化  健康教育  乳腺癌  上肢水肿

Effect of doctor-nurse integration health education on prevention of upper limb edema after breast cancer surgery
WANG Weifeng,CHEN Shi,SUN Qiong,WANG Shiqun.Effect of doctor-nurse integration health education on prevention of upper limb edema after breast cancer surgery[J].Journal of Clinical Medicine in Practice,2017,21(12).
Authors:WANG Weifeng  CHEN Shi  SUN Qiong  WANG Shiqun
Abstract:Objective To explore effect of a doctor-nurse integration health education in prevention of the upper limb edema after breast cancer surgery.Methods A total of 82 patients with breast cancer were divided into two groups, the 40 patients from June to November 2015 in control group received conventional health education while the 42 patients from December 2015 to May 2016 in observation group received doctor-nurse integration health education.Morbidity of the upper limb edema morbidity after 3 weeks of surgery were calculated, the upper limb circumferences for edema patients were measured after 6 weeks of surgery.Results There were 9 patients in observation group with upper limb edema while 21 patients in control group at 3 weeks after surgery.The incidence of upper limb edema in observation group was significantly lower than that in control group (P<0.05).At 6 weeks after surgery, the circumference difference of upper limb was lower than that in observation group (P<0.05).Conclusion The doctor-nurse integration health education has good effect for the controlling and relieving of breast cancer-related edema.
Keywords:doctor-nurse integration mode  health education  breast cancer  upper limb edema
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