摘要
目的探讨自制手指爬墙运动指导表对乳腺癌术后患者患肢功能恢复的影响。方法选择2013年1—5月广东省某三级甲等医院乳腺中心行手术治疗的乳腺癌患者80例,采用随机数字表法将患者分为对照组和干预组,各40例。住院期间对两组患者进行常规功能锻炼指导,出院后对照组按照常规出院指导进行功能锻炼,干预组在此基础上使用自制手指爬墙运动指导表进行患肢功能锻炼。于术后出院前和干预后1、2、3个月,患者每月返院化疗时,以患肢前位爬高、前位抬高、侧位爬高、侧位抬高为评价指标,记录患者患肢恢复情况。结果干预组1例患者脱落,患者创口出现皮下积液,可能与患肢过度锻炼有关。两组患者年龄、受教育程度、术式、职业、人均收入、医疗方式、分期比较,差异均无统计学意义(P>0.05)。两组患者不同时间前位爬高、前位抬高、侧位爬高、侧位抬高比较,差异均有统计学意义(P<0.05)。组间比较显示,出院前及干预后1个月两组患者前位爬高、前位抬高比较,差异无统计学意义(P>0.05);干预后1个月两组患者侧位爬高、侧位抬高比较,差异无统计学意义(P>0.05);干预后2、3个月干预组患者前位爬高、前位抬高、侧位爬高、侧位抬高均高于对照组(P<0.05)。组内比较显示,两组患者干预后3个月前位爬高、前位抬高均高于出院前及干预后1、2个月(P<0.05);两组患者干预后3个月侧位爬高、侧位抬高均高于干预后1、2个月(P<0.05)。结论自制手指爬墙运动指导表有助于乳腺癌术后患者患肢功能的恢复。
Objective To probe the effectiveness of self- designed instruction table of finger climbing wall movement on recreation of limb function among breast cancer postoperative patients. Methods A total of 80 breast cancer patients hospitalized in a Grade Ⅲ- A hospital,Guangdong from January to May 2013 were randomly divided into control group and intervention group with 40 cases each. Both groups received routine functional exercise guidance during hospital stay. After discharge,the control went on with the routine exercise while the intervention group added function exercise of ill limbs on the guidance of self- designed climbing finger movement instruction table. The recreation of the limb was evaluated by climbing of limb ante- position and limb side- position,lifting of limb ante- position and side- position first on the day of admission,then1,2,3 months after intervention respectively when they were back for chemotherapy. Results In intervention group, one patient appeared exfoliation and subcutaneous hydrops, which might result from excessive exercise. The differences in age,educational degree,operation type, occupation, income per person, medical treatment method, stage comparison were not significant between the two groups（ P 〉0. 05）. The time of limb ante- position and limb side- position climbing,limb ante-position and side- position lifting was significantly different between the two groups（ P 〈0. 05）. Group comparison showed ante- position climbing and lifting on admission was not significantly different from that one month after intervention（ P〉 0. 05）,side- position climbing and lifting was not significantly different after one month＇ s intervention（ P〉 0. 05） and limb ante-position and limb side- position climbing,limb ante- position and side- position lifting were all higher in intervention group than those in control after 2 and 3 months＇ intervention（ P 〈0. 05）. Intra- group comparison showed that ante- position climbing and lifting after 3 months＇ intervention were all higher than those in other stages in both groups（ P 〈0. 05）; side-position climbing and lifting after 3 months＇ intervention were all higher than those in other stages except on admission（ P 〈0. 05）. Conclusion Self- designed climbing finger movement guidance table is helpful for recovery of limb function in breast cancer patients after operation.
出处
《中国全科医学》
CAS
CSCD
北大核心
2015年第6期625-628,共4页
Chinese General Practice
基金
广东省科技局科研立项资助课题(2012B031800124)
关键词
乳腺肿瘤
手术后期间
功能锻炼
Breast neoplasms
Postoperative period
Functional exercise
