Cluster nursing intervention and effect evaluation of lymphedema of affected limbafter breast cancer surgery
乳腺癌术后患肢淋巴水肿的集束化护理干预及效果评价

摘要

目的 探讨乳腺癌术后患肢淋巴水肿的集束化护理干预及效果评价。方法 回顾我院治疗的90利乳腺癌患者，依据护理方式分为对照组（常规护理）和观察组（集束化护理），比较不同护理干预方式对临床治疗效果的影响差异。结果 观察组患者发生患肢淋巴水肿率17.78%、肩关节活动效率95.56%、患者满意度97.78%，均好于对照组48.89%、82.22%、88.89%，差异体现统计学含义（P＜0．05）。结论 临床护理乳腺癌患者采用集束化护理措施，其实施性能显高，可有效降低患肢发生淋巴水肿情况，同时增进患侧肩关节活动程度，对患者有实质性作用，具有推广价值。

Abstract

Objective To explore and analyze the cluster nursing intervention and effect of lymphedema of affected limb after breast cancer surgery.
Methods To review 90 li breast cancer patients treated in our hospital, one sentence nursing way into the control group (routine nursing) and observation group (cluster nursing), to compare the different nursing intervention on the effect of clinical treatment difference.
Results The incidence rate of lymphedema of the affected limb, shoulder joint activity efficiency and patient satisfaction of the observation group were 17.78%, 95.56% and 97.78%, which were better than those of the control group 48.89%, 82.22% and 88.89%, and the differences were statistically significant (P < 0.05).
Conclusion  s Clinical nursing of breast cancer patients using cluster care measures, its implementation performance is high, can effectively reduce the lymphedema of the affected limb, and enhance the degree of affected shoulder activity, has a substantial effect on patients, has promotion value.