Effect of ICF-based targeted nursing on postoperative rehabilitation of breast cancer patients#br#
JI Qiuchen1,2 LIN Zheng1,2▲ WANG Lili1
1.Department of Breast Disease, the First Affiliated Hospital of Nanjing Medical University, Jiangsu Province, Nangjing 210036, China;
2.School of Nursing, Nanjing Medical University, Jiangsu Province, Nangjing 211166, China
Abstract Objective To explore the application effect of targeted nursing based on International Classification of Function, Disability and Health (ICF) in postoperative rehabilitation nursing of breast cancer patients. Methods A total of 112 patients who underwent modified radical breast cancer surgery in the First Affiliated Hospital of Nanjing Medical University from August 2019 to January 2020 were selected as the research objects. The patients were divided into observation group and control group by random number table method, with 56 cases in each group. Constant-Murley shoulder function scores were compared between the two groups at one week and 1, 3 months after surgery. The functional assessment of cancer therapy-breast (FACT-B) score of breast cancer patients at one week and three months after surgery was compared between the two groups. Results The overall analysis showed that there were statistically significant differences in the comparison between the two groups of total shoulder function, time point comparison and interaction (P ＜ 0.05). Two further comparison, compare within the group, two groups of shoulder joint function score higher than at 1, 3 months after one week, and the total functional scores of shoulder joint in both groups were higher at three months after surgery than 1 month after surgery (P ＜ 0.05); Comparison between groups: the total score of shoulder joint function in observation group was higher than that in control group one and three months after operation (P ＜ 0.05). Three months after operation, the dimensions and total scores of quality of life in the observation group were higher than those in the control group one week after operation, and the observation group was higher than the control group (P ＜ 0.05). Conclusion Targeted nursing measures based on ICF can promote the recovery of upper limb function and improve the quality of life of breast cancer patients.
JI Qiuchen1,2 LIN Zheng1,2▲ WANG Lili1. Effect of ICF-based targeted nursing on postoperative rehabilitation of breast cancer patients#br#[J]. 中国医药导报, 2021, 18(29): 154-157,169.
[1] Bray F，Ferlay J，Soerjomataram I，et al. Global cancer statistics 2018：GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries [J]. CA Cancer J Clin，2018，68（6）：394-424.
[2] Harrington S，Michener LA，Kendig T，et al. Patient-reported upper extremity outcome measures used in breast cancer survivors：a systematic review [J]. Arch Phys Med Rehabil，2014，95（1）：153-162.
[3] Wilson DJ. Exercise for the Patient after Breast Cancer Surgery [J]. Semin Oncol Nurs，2017，33（1）：98-105.
[4] 张亚娟，钱超，陆海燕，等.正念疗法对乳腺癌术后患者生活质量及负性情绪影响的meta分析[J].中国医药导报，2020，17（25）：164-167.
[5] 郜娜娜，马馨，陈瑞霞，等.乳腺癌术后患者生存质量的横断面研究[J].实用医学杂志，2017，33（1）：134-137.
[6] 李丽，谢娜，陈旦，等.早期系统康复介入对老年乳腺癌患者根治术后上肢功能的影响[J].中国老年学杂志，2018， 38（8）：1843-1845.
[7] 汤一帆，王蔚云，顾则娟，等.ICF检查表在老年慢性心力衰竭患者中应用的信效度及优势研究[J].中国康复，2020，35（2）：77-81.
[8] Alexandra Rauch，Alarcos Cieza，Gerold Stucki，et al. 如何将国际功能、残疾和健康分类应用于临床康复管理[J]. 中国康复理论与实践，2011，17（1）：32-38.
[9] 丁珊妮，潘红英，张建国.《国际功能、残疾和健康分类》的应用现状及国内护理应用展望[J].中国实用护理杂志，2016，32（29）：2310-2314.
[10] 燕铁斌，高焱，章马兰，等.《国际功能、残疾和健康分类·康复组合》评定量化标准（一）[J].康复学报，2018， 28（4）：1-7.
[11] 燕铁斌，高焱，章马兰，等.《国际功能、残疾和健康分类·康复组合》评定量化标准（二）[J].康复学报，2018， 28（5）：5-9.
[12] Jerome Bickenbach，比肯巴赫，邱卓英，等.ICF核心分类组合临床实践手册[M].北京：人民军医出版社，2013.
[13] 王莉莉，王蓓，肇毅，等.分级心理护理模式在乳腺癌患者化疗中的应用与效果[J].现代临床护理，2017，16（10）：49-56.
[14] Rowland JH，Meyerowitz BE，Crespi CM，et al. Addressing intimacy and partner communication after breast cancer：a randomized controlled group intervention [J]. Breast Cancer Res Treat，2009，118（1）：99-111.
[15] 中国抗癌协会乳腺癌专业委员会.中国抗癌协会乳腺癌诊治指南与规范（2019年版）[J].中国癌症杂志，2019， 29（8）：609-679.
[16] 王蓓，王莉莉，王开慧，等.乳腺癌术后患肢功能锻炼专用护理康复用具的制作与使用[J].解放军护理杂志，2013，30（5）：75-76.
[17] 田子睿，姚敏，王拥军，等.中文版Constant-Murley肩关节评分量表的研制与应用[J].中医正骨，2019，31（5）：20-21.
[18] 万崇华，张冬梅，汤学良，等.乳腺癌患者生命质量测定量表（FACT-B）中文版的修订[J].中国心理卫生杂志，2003（5）：298-300.
[19] 覃若梅，周薇.乳腺癌病人术后上肢功能锻炼的研究进展[J].全科护理，2019，17（6）：675-678.
[20] 丁晓彤.乳腺癌术后患肢早期功能锻炼方案的循证研究[D].合肥：安徽医科大学，2018.
[21] Nascimento DCF，Bergmann A，Koifman RJ. Functionality in Women with Breast Cancer：The Use of International Classification of Functioning，Disability and Health （ICF） in Clinical Practice [J]. J Phys Ther Sci，2014，26（5）：721-730.
[22] Giardini A，Pisoni C，Giorgi I，et al. ICF，quality of life，and depression in breast cancer：perceived disability in disease-free women 6 months after mastectomy [J]. Support Care Cancer，2013，21（9）：2453-2460.
[23] Yang EJ，Kim B，Shin HI，et al. Use of the International Classification of Functioning，Disability and Health as a Functional Assessment Tool for Breast Cancer Survivors [J]. J Breast Cancer，2012，15（1）：43.
[24] 燕铁斌，章马兰，于佳妮，等.国际功能、残疾和健康分类（ICF）专家共识[J].中国康复医学杂志，2021，36（1）：4-9.
[25] 陈健健，王虹，丁娟，等.初诊乳腺癌患者阈下抑郁状况与社会关系质量的关系[J].中国医药导报，2019，16（2）：37-40.
[26] 郭红亮，史长青，李璐璐.综合康复干预对乳腺癌患者根治术后肩关节功能恢复及生活质量的影响[J].中华物理医学与康复杂志，2014，36（7）：559-561.
[27] 詹海侠，胡东，张文婷，等.集束化护理模式对乳腺癌改良根治术后患者肩关节功能恢复及生命质量的影响[J].中国医药导报，2020，17（14）：184-187.
[28] 包蔚郁，玉婷，张凯，等.认知行为治疗联合正念减压对乳腺癌患者创伤后成长与自尊的影响[J].中国医药科学，2020，10（14）：11-14，77.
[29] 王洪艳.基于马斯洛需要层次理论的护理干预对乳腺癌改良根治术患者康复的影响[J].中国医学创新，2019， 16（14）：89-92.
