朱敏

[摘要] 目的 探讨术后心理护理与患肢功能训练在乳腺癌患者中的应用效果。 方法 选取我院2013年2月～2014年2月经手术治疗的29例乳腺癌患者作为观察组，均在术后给予心理护理以及患肢功能训练，并选取同期接受手术治疗的30例乳腺癌患者作为对照组，仅接受术后的常规护理干预，比较分析两组护理后的心理状况、患肢功能恢复以及生活质量情况。 结果 观察组的症状自评量表评分、肩关节评分与护理满意度情况均显著好于对照组，差异有统计学意义（P<0.05）。 结论 对乳腺癌患者术后开展心理护理与患肢功能训练，能够良好地改善患者的不良心理问题，增加肩关节功能的恢复效果。

[关键词] 乳腺癌；手术后；心理护理；患肢功能训练

[中图分类号] R737.9 [文献标识码] A [文章编号] 1674-4721（2014）08（b）-0064-03

[Abstract] Objective To investigate application effect of psychological nursing and disease limb function training after operation in patients with breast cancer. Methods 29 patients with breast cancer patients treated by operation treatment from February 2013 to February 2014 in our hospital were selected as the observation group，and they were given psychological nursing and disease limb function training；meanwhile another 30 cases with breast cancer patients treated by operation were selected as the control group，and they were only given conventional nursing intervention.The psychological conditions，recovery of disease limb function and quality of life conditions of the two groups were compared and analyzed. Results The symptom checklist score，shoulder score and nursing satisfaction degree in the observation group were significantly better than those in the control group （P<0.05）. Conclusion The application of psychological nursing and disease limb functions training for patients with breast cancer can effectively improve the adverse psychological problems of patients，improve the shoulder function recovery effect.

[Key words] Breast cancer；After operation；Psychological nursing；Disease limb function training

乳腺癌是全球范围内公认的女性最常见癌症，随着社会经济不断进步，人们生活节奏也逐渐加快，使疾病的发病率显著上升，并且日趋年轻化[1]。临床治疗乳腺癌的最主要方法为乳腺癌根治术，无法保留乳房的患者还会继行乳房重建术，可明显提高患者的远期生存率[2]，但手术治疗后患者仍然会存在较多心理问题，包括认知功能、体形、性功能、疾病复发等方面[3]。为更好地改善患者的心理状态与生活质量，本研究针对29例患者在术后开展了心理护理与患肢功能训练，现将护理干预方法与效果报道如下。

1 资料与方法

1.1 一般资料

选取本院2013年2月～2014年2月经手术治疗的29例乳腺癌患者作为观察组，均为已婚女性患者且无精神障碍疾病史，年龄28～63岁，平均（41.6±3.1）岁，其中改良根治术28例，根治术1例。同时，选择同期收治的30例乳腺癌患者作为对照组，年龄27～65岁，平均（42.5±4.8）岁，其中改良根治术28例，根治术2例。……