目的:探究七步综合消肿疗法(CDT)对乳腺癌(BC)术后Ⅲ期上肢淋巴水肿患者人体成分指标及肢体运动功能的影响.方法:选取我院2018年9月—2020年12月105例BC术后Ⅲ期上肢淋巴水肿患者为研究对象,依据干预方案不同分为对照组和观察组.对照组行局部功能锻炼,观察组予七步CDT,对比两组人体成分指标、肢体运动功能.结果:干预2个月末两组50Hz电阻水平及U-FMA、Bathel指数评分较干预前升高,且观察组高于对照组;节段水分、细胞外水分、组织水分比率水平较干预前降低,且观察组低于对照组(P<0.05).结论:七步CDT通过促进淋巴血液循环,可调节BC术后Ⅲ期上肢淋巴水肿患者的肢体运动功能,改善人体成分指标.

Objective:To explore the effects of early warning nursing on preventing the incidence of venous thrombosis in patients with breast cancer after chemotherapy.Methods:Totally 103 patients with breast cancer admitted at the First Affiliated Hospital of Zhengzhou University from January to December 2018 who received routine nursing were included into the routine group, and 103 patients with breast cancer admitted at the First Affiliated Hospital of Zhengzhou University from January to December 2019 who underwent early warning nursing were included into the early warning group. The incidence of venous thrombosis 1 month after chemotherapy was compared between the two groups. Color Doppler ultrasonography was used to detect axillary blood flow before and 1 month after chemotherapy.Results:The incidence of venous thrombosis in the early warning group after chemotherapy was lower than that in the routine group, and the difference was statistically significant ( P<0.05) . The maximum blood flow rate and average blood flow rate in the armpit after chemotherapy in the early warning group were higher than those in the routine group, with statistically significant difference ( P<0.05) . Conclusions:Early warning nursing has a positive effect on the incidence of venous thrombosis in patients with breast cancer after chemotherapy, which can improve their hemagglutination.

Objective:To explore the status quo of support needs among the caregivers of patients with advanced breast cancer and analyze its influencing factors to provide reference for improving the quality of life of patients with advanced breast cancer and their caregivers.Methods:Totally 168 caregivers of patients with advanced breast cancer admitted at the First Affiliated Hospital of Zhengzhou University were selected by convenient sampling and investigated with the general information questionnaire and Comprehensive Needs Assessment Tool in Cancer for Caregivers (CNAT-C) . Multiple linear regression analysis was used to analyze the influencing factors.Results:The total CNAT-C score of the 168 caregivers of patients with advanced breast cancer was (96.13±8.06) . The result of multiple linear regression analysis showed that the fertility status, monthly family income, and the payment method of medical expenses were the influencing factors of the support of the caregivers of patients with advanced breast cancer ( P<0.05) . Conclusions:Nursing staff should pay attention to the support needs of caregivers of patients with advanced breast cancer and take targeted intervention measures based on their influencing factors to improve the quality of life of patients with advanced breast cancer and their caregivers.

目的:分析网络化管理系统在乳腺癌围手术护理干预中的应用效果.方法:采用随机数字表法将2017年6月～2018年6月我院收治的196例乳腺癌(单侧)患者分为干预组与对照组,每组各98例.对照组患者在围手术期实施常规护理,干预组患者在常规护理基础上实施网络化管理系统.比较两组患者术后并发症(出血、切口感染、皮瓣坏死、皮下积液、患侧肢体水肿)发生情况.观察入院时(T0)、入手术室前(T1)、出院前(T2)两组患者心理状态[焦虑分量表(SAI)自评量表].T2时,评估两组患者患侧肩关节活动(ROM)情况、疼痛程度(四级法止痛效果量表).结果:干预组患者术后并发症总发生率明显低于对照组(P＜0.05);T2时,干预组患者患侧肩关节活动度明显大于对照组(P＜0.05),干预组患者疼痛总缓解率明显低于对照组(P＜0.05);T0～T2,两组患者SAI评分均呈下降趋势(P＜0.05);T0时,两组患者SAI评分差异无统计学意义(P＞0.05),T1、T2时,干预组患者SAI评分均低于对照组(P＜0.05).结论 网络化管理系统应用于乳腺癌围手术护理中,可减少术后并发症发生率,改善患者不良心理状态,减轻疼痛感,恢复肩关节活动度.