| 黄家丽,陶艳,秦宇,等.延续跟进式赋能教育对乳腺癌术后高危淋巴水肿患者的应用效果[J].中国临床保健杂志,2021,24(2):233-237. |
| 延续跟进式赋能教育对乳腺癌术后高危淋巴水肿患者的应用效果 |
| Application of continuous follow-up empowerment education for patients with high risk lymphedema after breast cancer surgery |
| 投稿时间：2020-12-22 |
| DOI：10.3969/J.issn.1672-6790.2021.02.020 |
| 中文关键词: 乳腺肿瘤 淋巴水肿 健康教育 延续性医护 |
| 英文关键词: Breast neoplasms Lymphedema Health education Transitional care 〖FL |
| 基金项目:安徽省质量工程教学研究项目(2019jyxm0977) |
| 作者 | 单位 | E-mail | | 黄家丽 | 中国科学技术大学附属第一医院安徽省立医院西区 安徽省肿瘤医院,护理部,合肥 230031 | huangjiali69@163.com | | 陶艳 | 中国科学技术大学附属第一医院安徽省立医院西区 安徽省肿瘤医院,淋巴水肿专科护理门诊,合肥 230031 | | | 秦宇 | 中国科学技术大学附属第一医院安徽省立医院西区 安徽省肿瘤医院,淋巴水肿专科护理门诊,合肥 230031 | | | 刘群慧 | 中国科学技术大学附属第一医院安徽省立医院西区 安徽省肿瘤医院,护理部,合肥 230031 | | | 单媛媛 | 中国科学技术大学附属第一医院安徽省立医院西区 安徽省肿瘤医院,护理部,合肥 230031 | |
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| 中文摘要: |
| 目的 探究延续跟进式赋能教育对乳腺癌术后高危淋巴水肿患者的应用效果。方法 筛查出2018年1月至2019年12月在安徽省某三甲肿瘤医院行乳腺癌手术后的高危淋巴水肿患者81例作为研究对象,采用随机数字表法进行分组,分为对照组41例,采用常规健康教育方法；观察组40例,在常规健康教育的基础上采用淋巴水肿治疗师主导的延续跟进式赋能教育模式进行管理教育。比较两组患者淋巴水肿发生情况、患侧上肢功能及淋巴水肿预防性行为水平。结果 观察组淋巴水肿发生率低于对照组,差异有统计学意义(P<0.05)；患侧上肢功能优于对照组,差异均有统计学意义(P<0.05)；观察组淋巴水肿预防性行为水平明显优于对照组,差异均有统计学意义(P<0.05)。结论 延续跟进式赋能教育可有效改善乳腺癌术后高危淋巴水肿患者患肢肢体功能,提高淋巴水肿预防性行为水平,减少或延缓淋巴水肿的发生发展。 |
| 英文摘要: |
| Objective To explore the effect of continuous follow-up empowerment education on patients with high risk lymphedema after breast cancer.Methods A total of 81 patients with high-risk lymphedema after breast cancer surgery in a 3A Tumor Hospital of Anhui Province were selected as the research objects from January 2018 to December 2019,and they were divided into control group(41 cases) and observation group (40 cases).The patients in control group accepted the routine health education,the patients in observation group accepted routine health education and the continuous follow-up empowerment educationled by lymphedema therapists.The incidence of lymphedema,upper limb function of affected sideand preventive behavior level of lymphedema were compared between the two groups.Results The incidence of lymphedema in the intervention group was lower than that in the control group,the difference was statistically significant (P＜0.05);the upper limb function of the affected side was better than that of the control group (P＜0.05);the preventive behavior level of lymphedema in the intervention group was significantly higher than that in the control group (P<0.05).Conclusion Continuous follow-up empowerment education can effectively improve the limb function and the level of preventive behavior of lymphedema of patients with high risk lymphedema after breast cancer operation,and reduce or delay the occurrence and development of lymphedema. |
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