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《Chongqing Medicine》 2017-21
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Effect of postoperatively early stage-function-exercise on recovery of upper limb function of diseased side after breast cancer modified radical mastectomy

Fang Rengui;Wang Jianjun;Zhan Xiaoping;Wang Xuejun;Yan Shili;Ye Miaoman;Department of General Surgery,Chun′an County First People′s Hospital;  
Objective To investigate the effect of postoperatively early stage-function-exercise on the recovery of upper limb function of diseased side after breast cancer modified radical mastectomy.Methods One hundred patients with breast cancer admitted to our hospital from January 2013 to June 2016 were collected.All patients underwent modified radical mastectomy.The patients were divided into the observation group and control group after operation,50 cases in each group.The observation group was given the early stage-function-exercise,while the control group received the routine nursing care.The shoulder joint mobility,affected limb edema degree,self-rating anxiety scale(SAS)score,self-rating depression scale(SDS)score and 36-item short-form health survey(SF-36)score were observed in the both groups.Results When compared with the control group,the patients in the observation group got a significant increase in the shoulder joint activity such as antexion,abduction,internal rotation,external rotation,adduction and rear protraction at postoperative 3,6-months(P0.05).There was no statistically significant difference between the two groups in upper limb volume,SAS score and SDS score before the operation(P0.05).However,when compared with the control group,the patients in the observation group got a significant decrease of upper limb volume at postoperative 3 months[(1 543.38±414.93) mL vs.(1 635.58±401.58) mL,P=0.000)],a significantly decrease of SAS score[(37.87±6.90)points vs.(44.07±12.32)points,P=0.000)] and SDS score[(38.32±6.65)points vs.(45.02±11.07)points,P=0.000)]at postoperative 6 months, and a significant increase of SF-36 score at postoperative 6 months[(77.52±7.28)points vs.(70.28±7.55)points,P=0.000)].Conclusion Postoperatively early stage-function-exercise can help to improve the shoulder joint activity degree and quality of life, and reduce the limb edema degree after modified radical mastectomy in the patients with breast cancer.
【Fund】: 2013年省卫生厅适宜技术科技项目(2013ZHA010)
【CateGory Index】: R473.73
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