思维导图联合上肢运动操在乳腺癌术后功能锻炼中的应用效果
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摘要
目的探讨思维导图联合上肢运动操在乳腺癌术后功能锻炼中的应用效果。方法采用随机数字表法将90例乳腺癌根治术患者分为对照1组、对照2组、观察组,每组30例。对照1组患者术后接受常规功能锻炼指导,对照2组患者术后接受思维导图功能锻炼,观察组患者术后接受思维导图功能锻炼联合上肢运动操。比较3组患者健康教育知识掌握程度、患肢肩关节活动度和淋巴水肿情况。结果术后,对照2组和观察组患者健康知识问卷评分均明显高于对照1组患者,差异均有统计学意义(P﹤0.01)。术后1、2、3个月,观察组患者患肢肩关节外展、前屈、后伸角度均大于对照1组和对照2组患者,且对照2组患者患肢肩关节外展、前屈、后伸角度均大于对照1组患者,差异均有统计学意义(P﹤0.05)。术后3个月,观察组淋巴水肿发生率低于对照1组和对照2组患者,且对照1组患者淋巴水肿发生率高于本组术后1个月,差异有统计学意义(P﹤0.05)。结论思维导图可明显提高乳腺癌术后功能锻炼患者健康教育知识的掌握程度,联合上肢运动操可提高患肢术后功能锻炼的康复效果,降低淋巴水肿的发生率。
Objective To study the value of an integrated functional exercise strategy incorporating mind map and upper limb exercise as applied in the postoperative training after breast cancer surgery. Method Ninety patients with breast cancer were included and randomized as control group 1, control group 2, and study group, with 30 cases in each, respectively. The control group 1 was given routine functional training, and the control group 2 was additionally given mind map intervention, besides, the study group was administered with upper limb exercise in addition to routine functional training and mind map intervention. The knowledge of breast cancer, shoulder range of motion, and incidence of lymphedema were compared among the three groups. Result After operation, the scores of knowledge regarding breast cancer in control group 2 and study group were all higher than that in control group 1, showing statistically significant difference(P<0.01). In 1, 2 and 3 months after operation, the angle of abduction, anterior and posterior extension of the affected shoulder were larger in study group than that in control group 1 and 2, while those in the control group 2 were larger compared to control group 1, with statistically significant differences noted(P<0.05). In 3 months after surgery, the incidence of lymphedema in the study group was significantly lower than that in the two control groups, furthermore, in control group 1, the incidence of lymphedema decreased in 1 month after surgery compared to that before treatment, demonstrating statistical significance(P<0.05). Conclusion The application of mind map in the functional exercise after breast cancer surgery can significantly improve the knowledge of patients with breast cancer in regard to health education, also, the combination of upper limb exercise may facilitate the rehabilitation of patients and reduce the incidence of lymphedema.
Objective To study the value of an integrated functional exercise strategy incorporating mind map and upper limb exercise as applied in the postoperative training after breast cancer surgery. Method Ninety patients with breast cancer were included and randomized as control group 1, control group 2, and study group, with 30 cases in each, respectively. The control group 1 was given routine functional training, and the control group 2 was additionally given mind map intervention, besides, the study group was administered with upper limb exercise in addition to routine functional training and mind map intervention. The knowledge of breast cancer, shoulder range of motion, and incidence of lymphedema were compared among the three groups. Result After operation, the scores of knowledge regarding breast cancer in control group 2 and study group were all higher than that in control group 1, showing statistically significant difference(P<0.01). In 1, 2 and 3 months after operation, the angle of abduction, anterior and posterior extension of the affected shoulder were larger in study group than that in control group 1 and 2, while those in the control group 2 were larger compared to control group 1, with statistically significant differences noted(P<0.05). In 3 months after surgery, the incidence of lymphedema in the study group was significantly lower than that in the two control groups, furthermore, in control group 1, the incidence of lymphedema decreased in 1 month after surgery compared to that before treatment, demonstrating statistical significance(P<0.05). Conclusion The application of mind map in the functional exercise after breast cancer surgery can significantly improve the knowledge of patients with breast cancer in regard to health education, also, the combination of upper limb exercise may facilitate the rehabilitation of patients and reduce the incidence of lymphedema.
引文
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[17]王虹,丁娟,余纯玉,等.思维导图在乳腺癌患者健康教育中的应用[J].护士进修杂志, 2016, 31(18):1707-1709.
[18]杨瑛,纪晓娟.思维导图在乳腺癌术后患肢功能锻炼中的应用与中医辩证分析[J].环球中医药, 2014, 7(s2):39-40.
[19]敖炼,李红梅.乳腺癌术后患者淋巴水肿真实体验质性研究的系统评价[J].解放军护理杂志, 2018, 5(20):23-25.
[20]孙红.思维导图在乳腺癌术后并发症护理中的应用效果观察[J].黑龙江医学, 2017, 41(4):374-375.
[21]张玉卫,杨瑞东.运动疗法联合音频电疗法治疗乳腺癌术后上肢淋巴水肿的临床研究[J].中国中医急症, 2016,25(1):127-129.
[2] Mwakigonja AR, Rabiel H, Mbembati NA, et al. The pattern of prognostic and risk indicators among women with breast cancer undergoing modified radical mastectomy in Dar es Salaam, Tanzania[J]. Infect Agent Cancer, 2016, 11:28.
[3] Gupta K, Srikanth K, Girdhar KK, et al. Analgesic efficacy of ultrasound-guided paravertebral block versus serratus plane block for modified radical mastectomy:a randomised, controlled trial[J]. Indian J Anaesth, 2017, 61(5):381-386.
[4] Huang YS, Chen JL, Huang CS, et al. High mammographic breast density predicts locoregional recurrence after modified radical mastectomy for invasive breast cancer:a casecontrol study[J]. Breast Cancer Res, 2016, 18(1):120.
[5]王蕾,谢智慧,邬晓敏,等.中医辨证治疗乳腺癌患者癌因性疲劳的临床观察[J].中华中医药杂志, 2016, 31(12):5375-5378.
[6]罗爱萍,林雪虹,刘莉萍,等.思维导图在乳腺癌术后病人患肢功能锻炼中的应用[J].护理研究, 2016, 30(18):2206-2208.
[7]殷蔚伯.肿瘤放射治疗学[M].北京:中国协和医科大学出版社, 2008:10-11.
[8]王毓,余丽君,徐利明.乳腺癌术后放疗患者健康知识掌握情况调查[J].中华现代护理杂志, 2014, 20(2):196-198.
[9]吕时花.延续性护理对乳腺癌术后化疗患者遵医行为、健康知识掌握和生活质量的影响[J].护士进修杂志, 2018,33(22):92-94.
[10]郭永英,陶兰芳.早期护理干预对乳腺癌患者术后患肢功能锻炼的效果观察[J].中华全科医学, 2016, 14(8):1408-1410.
[11]艾赪琛.健康教育对乳腺癌患者疾病知识水平的影响[J].中国现代医生, 2011, 49(31):125-127.
[12]谭蕾,刘翔宇,谌永毅.健康教育对乳腺癌患者疾病知识水平的影响[J].当代护士(学术版), 2010(6):69-70.
[13]夏蜀凤,李华玉,刘玲,等.乳腺癌患者一级亲属对乳腺癌早期筛查认知情况调查[J].检验医学与临床, 2016, 35(5):607-609; 613.
[14]胡爽爽,宋永霞,洪静芳.乳腺癌患者术后功能锻炼依从性影响因素的研究进展[J].中华护理杂志, 2014, 49(7):854-858.
[15]宋秋月.思维导图在乳腺癌患者术后康复训练中的应用效果[J].世界临床医学, 2016, 10(18):158-162.
[16]陈旭,顾立学,马艳梅.思维导图在乳腺癌患者围手术期护理中的应用[J].中国实用护理杂志, 2016, 32(21):1631-1635.
[17]王虹,丁娟,余纯玉,等.思维导图在乳腺癌患者健康教育中的应用[J].护士进修杂志, 2016, 31(18):1707-1709.
[18]杨瑛,纪晓娟.思维导图在乳腺癌术后患肢功能锻炼中的应用与中医辩证分析[J].环球中医药, 2014, 7(s2):39-40.
[19]敖炼,李红梅.乳腺癌术后患者淋巴水肿真实体验质性研究的系统评价[J].解放军护理杂志, 2018, 5(20):23-25.
[20]孙红.思维导图在乳腺癌术后并发症护理中的应用效果观察[J].黑龙江医学, 2017, 41(4):374-375.
[21]张玉卫,杨瑞东.运动疗法联合音频电疗法治疗乳腺癌术后上肢淋巴水肿的临床研究[J].中国中医急症, 2016,25(1):127-129.