方珍　　李静丹　　吴丹红　　林亚　　佘秋熳　　邱微燕　　陆明贝

[关键词] 智能化小打卡;乳腺癌;术后功能锻炼;满意度

[中图分类号] R473.2          [文献标识码] B          [文章编号] 1673-9701（2021）19-0172-03

Application of intelligent clocking-in applet in early functional exercise after breast cancer operation

FANG Zhen   LI Jingdan   WU Danhong   LIN Ya   SHE Qiuman   QIU Weiyan   LU Mingbei

Department of Thyroid Breast Surgery， Lishui City People′s Hospital in Zhejiang Province， Lishui   323000， China

[Abstract] Objective To explore the application of intelligent clocking-in applet in early functional exercise after breast cancer operation. Methods A total of 104 patients undergoing breast cancer surgery from June 2019 to June 2020 were selected by convenient sampling method， and they were divided into the control group （from June 2019 to December 2019） and the observation group （from January 2020 to June 2020） according to the time grouping method.The control group was treated with conventional postoperative nursing and out-of-hospital continuous guidance， while the observation group was combined with mobile phone monitoring on the basis of the control group， and clocking-in mode was adopted to manage. The application effects of the two groups were compared. Results The exercise compliance of the observation group was 96.15%， which was higher than 63.46% of the control group.The incidence of complication in the observation group was 7.69%， which was lower than 26.92% in the control group. The patients′ satisfaction of the observation group was 100.00%， which was higher than 96.15% of the control group，with statistically significant differences between the two groups（P<0.05）. Conclusion The application of intelligent clocking-in applet in early functional exercise after breast cancer operation can effectively boost the compliance of rehabilitation exercise， reduce the incidence of complications， and improve the patients′ satisfaction.

[Key words] Intelligent clocking-in applet; Postoperative breast cancer; Functional exercise; Satisfaction

乳腺癌是临床常见疾病，在我国的恶性肿瘤发病率中位列第一。手术治疗是我国最常用的乳腺癌治疗方式，该治疗方式可以取得明显的效果[1]。术后住院时间短，留置各种引流管，患者担心运动后切口愈合等原因，导致患者不能进行有效的功能锻炼活动。王芳等[2]研究表明，对该类患者实施康复训练，可有效促进患肢功能的恢复。刘滋伟等[3]研究表明，不断加强对乳腺癌术后患者的早期阶段性功能锻炼，可有效提高患者的生活質量，提升耐受力，加长运动的时间。患者住院期间的运动康复计划在医院或门诊进行[4]，出院后缺乏有效监管、积极性降低、集中教育运动群体解散、教育指导材料缺乏等原因，后续的健康锻炼效果的长期维持会逐渐消失。本研究采取手机打卡功能针对性的干预措施提高乳腺癌患者术后早期功能锻炼，现报道如下。