摘要
目的研究信息支持对乳腺癌术后上肢淋巴水肿的影响。方法随机抽取120例乳癌患者分为两组，对实验组提供降低淋巴水肿危险指南的信息支持，比较两组患者淋巴水肿的发生率与水肿程度，评估预防淋巴水肿的认知、行为及生活质量。结果两组淋巴水肿发生率差异无统计学意义（x2=2．004，P〉0．05）；实验组的隐痛感明显少于对照组，差异具有统计学意义（X2=8．352，P〈0．05），两组均体验到肿胀的主观感觉；实验组对淋巴水肿的知识和各预防措施方面知晓情况均明显优于对照组，差异具有统计学意义（X2=230．559，P〈0．05），且预防行为实施情况明显优于对照组，其中4项得分差异有统计学意义（t=3．083，P〈0．05）；实验组对生活质量的自评得分明显高于对照组，且满意度好，差异具有统计学意义（t=3．450，P〈0．05）。结论护士为乳腺癌患者提供淋巴水肿的信息支持，可有利于减轻症状，帮助患者建立更多降低危险的行为，生活质量亦有所提高。
Objective To investigate the effects of information services on lymphedema after breast cancer surgical treatment. Methods 120 breast cancer patients were divided into two groups by the convenience sampling method. The experimental group was provided lymphodema risk reduction practices. The factors considered included the incidence of lymphedema, symptoms, the cognition and behavior in lymphedema prevention, and quality of life. Results There was no significant difference in the incidence of lymphedema （ X2 = 2.004, P 〉0.05 ）. The sense of pain in the experimental group was significantly less than the control group （X2 = 8. 352 ,P 〈 0. 05 ） , both groups experienced the subjective sensation of swelling. The knowledge of lymphedema and the preventive measures in the experimental group were significantly better than that in the control group （ X2 = 230. 559, P 〈 0. 05 ）. And the implementation of preventive behaviors were significantly better than the control group, of which four scores significantly（P 〈 0. 05 ）. The score （t = 3. 083, P 〈 0. 05 ） and satisfaction （ t = 3. 450, P 〈 0. 05 ） of self-assessment on quality of life in the experimental group were significantly higher than the control group. Conclusions The information services on lymphedema after breast cancer surgical treatment provided by nurses should help patients to reduce symptoms, and implement the preventive behaviors. The quality of life was also improved.
出处
《中华现代护理杂志》
2011年第18期2113-2115,共3页
Chinese Journal of Modern Nursing
基金
基金项目：北京希望马拉松专项基金资助（LC2006C45）
关键词
乳腺肿瘤
淋巴水肿
信息支持
Breast neoplasm
Lymphedema
Information services
