Effect of comprehensive rehabilitation exercise after breast cancer surgery on functional rehabilitation of upper limb and quality of life
10.3760/cma.j.issn.1008-6706.2019.02.011
- VernacularTitle:综合康复锻炼对乳腺癌术后患者上肢功能康复和生活质量的影响
- Author:
Minli RAO
1
;
Chaoqun ZHENG
;
Yindan QIAN
Author Information
1. 杭州市红十字会医院 浙江省中西医结合医院普外科 310000
- Keywords:
Breast neoplasms;
Upper limb;
Function;
Exercise;
Quality of life
- From:
Chinese Journal of Primary Medicine and Pharmacy
2019;26(2):170-174
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of comprehensive rehabilitation exercise on the rehabilitation of upper limb function and quality of life in patients with breast cancer. Methods From January 2014 to December 2017,68 cases received breast cancer surgery in Hangzhou Red Cross Hospital were chosen in the research. The patients were randomly divided into observation group (34 cases) and control group (34 cases). All the patients were given routine rehabilitation training,and the observation group was given latissimus dorsi muscle strengthening exercise and simplified 24 Style Taijiquan exercise. The upper limb function rehabilitation and quality of life of the two groups were compared and analyzed. Results At 2 months after operation, the angle of extension, the angle of internal rotation and the adduction strength in the observation group were (39. 43 ± 5. 82)°,(150. 7 ± 10. 34)° and (145. 24 ± 10. 35) N,respectively,which in the control group were (33. 71 ± 5. 28)°,(134. 10 ± 39. 43)° and (119. 57 ± 9. 46)N,respectively,which were significantly improved compared with those before discharge (t=12. 041,3. 883, 11. 807,4. 906,21. 904,11. 617,all P<0. 05),which in the observation group were significantly higher than those in the control group (t=4. 244,6. 166,10. 674,all P<0. 05). The pain,ADL and ROM scores in the observation group at 2 months after operation were ( 13. 27 ± 4. 51 ) points, ( 16. 48 ± 4. 22 ) points and ( 31. 46 ± 5. 64 ) points,respectively,which in the control group were ( 10. 73 ± 4. 15 ) points, ( 12. 05 ± 4. 13 ) points and ( 26. 57 ± 5. 16)points,respectively,which were significantly higher than before discharge (t=5. 238,2. 503,10. 953,5. 531, 12. 872,9. 160,all P<0. 05),which in the observation group were significantly higher than those in the control group (t=2. 417,4. 375,3. 730,all P<0. 05). The WHOQOL-BREF scores in the observation group at 2 months after operation were (17. 24 ± 2. 81) points,(16. 74 ± 3. 18) points,(17. 45 ± 2. 56) points,(33. 48 ± 5. 15) points, (3. 97 ± 1. 05)points and (3. 87 ± 1. 18)points,respectively,which in the control group were (14. 21 ± 3. 08)pionts, (13.81 ±3.28)points,(13.45 ±2.83)points,(28.81 ±4.82)points,(3.26 ±1.16)points,(3.18 ±1.28)points, respectively,compared with those before discharge,the differences were statistically significant(t =9. 669,4. 965, 8. 327,4. 857,10. 522,4. 198,11. 487,7. 132,5. 572,2. 688,5. 178,2. 727,all P<0. 05),which in the observation group were significantly higher than those in the control group(t=4. 238,3. 740,6. 112,4. 638,2. 646,2. 311,all P<0. 05). Conclusion A positive comprehensive rehabilitation exercise for the patients with breast cancer is helpful to the recovery of the function of the upper limb and the improvement of the quality of life of the patients.
