Construction and application of evidence-based nursing program for progressive limb functional exercise after breast neoplasms operation
10.3760/cma.j.cn115682-20191221-04696
- VernacularTitle:乳腺癌术后渐进性患肢功能锻炼循证护理方案的构建及应用
- Author:
Fei LIU
1
;
Yingxin WANG
;
Yue WANG
;
Shuqi ZHANG
;
Lingwei ZHAO
Author Information
1. 北京大学第一医院普通外科，北京 100034；北京大学医学部循证护理研究中心 100191
- Keywords:
Breast neoplasms;
Functional exercise;
Evidence-based nursing;
Range of motion of shoulder joint;
Compliance
- From:
Chinese Journal of Modern Nursing
2020;26(15):1981-1986
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct an evidence-based nursing program for the progressive limb functional exercise after breast neoplasms operation by using the evidence-based nursing method and to verify its clinical application effect.Methods:Evidence-based nursing method was used to extract the best evidence from the literatures. According to the actual clinical situation, the knowledge to action model (KTA) was used as the guideline to formulate evidence-based nursing program for the progressive limb functional exercise after breast neoplasms operation. The execution rate of nurses and compliance rate of patients were evaluated after application of the program. Before the application of the program, 63 patients from July 2017 to December 2017 were selected as the control group. After the application of the program, 60 patients from June 2018 to November 2018 were selected as the experimental group. The standard-reaching rates of shoulder joint mobility were compared between the two groups.Results:A total of 8 pieces of best evidence were extracted to construct the program. Within 6 months of application, the execution rate of nurses was 94.6% and the compliance rate of patients was 91.1%. After application of program for 3 months, the anterior flexion range of motion of shoulder joint reached standard in 51 cases and abductor range of motion reached standard in 49 cases in the experimental group, all better than those of the control group, the differences were statistically significant (χ 2 =4.783, 6.766; P<0.05) . Conclusions:The evidence-based nursing program for the progressive limb functional exercise has better application effect in limb functional exercise after breast neoplasms operation, and the execution rate of nurses and compliance rate of patients are high. It can promote the recovery of limb function of patients with breast neoplasms after operation.
