乳腺癌腋窝清扫术后患者上肢淋巴水肿防治认知调查

发布时间：2018-06-12 23:20

本文选题：乳腺癌 + 腋窝清扫术　；参考：《广东医学》2017年06期

【摘要】：目的了解乳腺癌腋窝清扫术后患者上肢淋巴水肿的发生情况及防治认知状况。方法采用便利抽样方法选择病理确诊乳腺癌且行腋窝清扫术患者194例,调查一般基本资料、疾病资料、治疗资料、防治认知情况。结果乳腺癌腋窝清扫术后上肢淋巴水肿发生率为21.6%,其中手术后未放疗患者淋巴水肿发生率为13.6%,手术后放疗患者淋巴水肿发生率为42.6%。水肿患者与未水肿患者的年龄、职业、疾病分期、是否放疗及防治认知状况比较,差异有统计学意义(P0.05)。结论乳腺癌腋窝清扫术后,年龄、职业、疾病分期、是否放疗、防治认知情况是水肿发生的影响因素,应强化患者的健康教育,针对高危水肿人群重点跟踪管理,帮助患者做到早期预防、早期干预,做好护患对淋巴水肿防治的共同管理。
[Abstract]:Objective to investigate the occurrence of upper limb lymphedema after axillary dissection of breast cancer and its prevention and treatment. Methods 194 patients with breast cancer diagnosed by pathology and underwent axillary dissection were selected by convenience sampling. The general information, disease data, treatment data and cognition of prevention and treatment were investigated. Results the incidence of upper limb lymphedema in breast cancer after axillary dissection was 21.6. among them, the incidence of lymphedema was 13.6in patients without radiotherapy after operation and 42.6 in patients with post-operative radiotherapy. There were significant differences in age, occupation, disease stage, radiotherapy, prevention and treatment between patients with edema and those without edema (P 0.05). Conclusion after axillary dissection of breast cancer, age, occupation, stage of disease, radiotherapy and cognition of prevention and treatment are the influencing factors of edema. The health education of patients should be strengthened and the management of high risk edema population should be emphasized. To help patients achieve early prevention, early intervention, to do a good job in the prevention and treatment of lymphedema common management.
【作者单位】：南方医科大学南方医院乳腺科;
【基金】：南方医院护理创优-循证实践专项立项资助项目(编号:2016EBNa004)
【分类号】：R737.9

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