针对性护理在乳腺癌术后上肢淋巴水肿护理中的临床效果

丁艳妮1 ，王雁 2 ，杨佩1 ，沈斐1，杜绒1 ，王改娟1

（陕西省肿瘤医院：1.乳腺二病区；2.护理部，陕西 西安，710061）

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摘要：

目的 分析针对性护理对乳腺癌患者术后上肢淋巴水肿的临床效果。方法 选取我院2015年2月至2017年1月收治的乳腺癌术后上肢淋巴水肿患者238例，将其按照患者发生水肿的时间顺序分为对照组（118例）与观察组（120例）。对照组 采用常规化护理，观察组在此基础上采取针对性护理方案。比较两组患者护理前、后的上肢淋巴水肿程度及感染情况。结果 护理前，两组各水肿程度患者的双上肢周径差分别比较，差异无统计学意义（P>0.05）；护理后，两组各水肿程度患者的双上 肢周径差均减小，差异具有统计学意义（P<0.05）；护理后，观察组各水肿程度患者的双上肢周径差均小于对照组，差异具有 统计学意义（P<0.05）；观察组的感染发生率为0.00%，低于对照组的7.63%（P<0.05）。结论 针对性护理在乳腺癌患者术后上肢淋巴水肿的护理中能改善患者的水肿状况，减少患者感染的发生情况。

关键词：乳腺癌；水肿；护理

中图分类号：R473.73文献标志码：A文章编号：2096-1413(2017)28-0164-02

Effect of related nursing on upper limb lymphedema in patients underwent breast cancer surgery
DING Yan-ni 1, WANG Yan 2, YANG Pei 1, SHEN Fei 1, DU Rong 1, WANG Gai-juan 1
(1. No.2 Department of Breast disease; 2. Department of Nursing, Shaanxi Provincial Cancer Hospital, Xi``an 710061, China)

ABSTRACT: Objective To analyze the clinical effect of related nursing on upper limb lymphedema in patients underwent breast cancer surgery. Methods A total of 238 cases of patients with upper limb lymphedema after breast cancer surgery in our hospital from February 2015 to January 2017 were selected, which were divided into two groups according to the order of edema, 118 cases in the control group and 120 cases in the observation group. The control group was given routine care, and the observation group was given related nursing on the basis of the control group. The upper limb lymphedema and infection in the two groups were compared. Results Before nursing, the differences of upper limbs perimeter in different edema levels of the two groups were not significant (P>0.05); after nursing, the differences of upper limbs perimeter in different edema levels of the two groups decreased, and those in the observation group were smaller than the control group, the differences were statistically significant (P<0.05)；the incidence rate of infection in the observation group was 0.00%, which was lower than 7.63% of the control group, the difference was statistically significant (P<0.05). Conclusion The related nursing in patients with upper limb lymphedema after breast cancer surgery can improve edema of patients, reduce the incidence of infection.
KEYWORDS: breast cancer; edema; nursing

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