摘要
目的:分析“互联网+”模式下妇科肿瘤患者下肢淋巴水肿综合消肿治疗(Complex Decongestion Therapy,CDT)管理的效果。方法:纳入50例妇科肿瘤下肢淋巴水肿患者,实施“互联网+”模式CDT管理,包括院内强化治疗和在远程CDT服务平台指导下进行自我管理。在治疗前和治疗后第26、120、210天,评价患肢周径、周径减小率、症状、Barthel指数、就医次数等。结果:与治疗前相比,治疗后26、120、210天的患侧下肢5个测量点周径均减小,所有症状评分均降低,Barthel指数评分升高,差异有统计学意义(P<0.05).治疗后各周期患肢周径改善情况,特优为10.52%〜25.00%,优为50.00%〜60.00%,良为18.75%〜36.84%。结论:对妇科肿瘤下肢淋巴水肿患者,“互联网+”模式的CDT管理有良好的治疗效果,并能长期维持,具有较好的临床推广价值。
Objective:To analyze the effect of Internet-based Complex Decongestion Therapy(CDT)for lower extremity lymphedema in gynecologic cancer patients.Methods:Fifty cases of gynecological cancer patients with lower extremity lymphedema were enrolled and implemented CDT management including hospital intensive treatment and selfmanagement under the guidance of the remote CDT sefrvice platform.The circumference of the affected limb,the effective rate of treatment,symptoms,Barthel Index,and the number of medical visits were evaluated before treatment and on the 26th,120th,and 210th days after treatment.Results:Compared with before treatment,the lower extremity circumference of 5 measuring points and all symptom scores decreased,but Barthel Index increased at 26,120 and 210 days after treatment(P<0.05).To the circumference dynamic change,10.52%-25.00%were extra superior grade,50.00%-60.00%were superior grade,18.75%-36.84%were good grade.Conclusion:Internet based CDT has good therapeutic effect on gynecological cancer patients with lower extremity lymphedema,and can be maintained for a long time,which has good clinical promotion value.
作者
田昌英
张健
杨智蓉
曹果
张婷
付永嵘
李雪莲
王国蓉
TIAN Changying;ZHANG Jian;YANG Zhirong;CAO Guo;ZHANG Ting;FU Yongrong;LI Xuelian;WANG Guorong(Gynecological Oncology Department,Sichuan Cancer Hospital&Institute,Sichuan Cancer Center,School of Medicine,University of Electronic Science and Technology of China,Chengdu,610041,China;不详)
出处
《中国护理管理》
CSCD
2021年第2期171-175,共5页
Chinese Nursing Management
