A study of the effect of case management on postoperative lymphedema in breast cancer patients
10.3760/cma.j.issn.1672-7088.2019.33.011
- VernacularTitle: 个案管理模式对乳腺癌患者术后患肢淋巴水肿的效果研究
- Author:
Huiting ZHANG
1
;
Huizhen ZHANG
;
Qiaoling ZHONG
;
Huiying QIN
;
Lijuan ZHANG
Author Information
1. Department of Breast Oncology, Sun Yat-sen Univesity Cancer Center, Guangzhou 510060, China
- Publication Type:Clinical Trail
- Keywords:
Breast carcinoma;
Case management;
Lymphedema
- From:
Chinese Journal of Practical Nursing
2019;35(33):2605-2611
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of case management on postoperative affected limb lymphedema in breast cancer patients.
Methods:This study is a non-concurrent control trial. A total of 157 cases of breast cancer patients who met the inclusion/exclusion criteria were selected from the Sun yet-sen University Cancer Center from June 2016 to July 2017 and from June 2016 to July 2017 by the convenient sampling method. Among them, 80 patients from June to July 2016 were listed as the control group, and 77 patients from June to July 2017 were listed as the intervention group. The control group implemented the routine nursing mode of breast cancer. The intervention group implemented case management on the basis of routine nursing. Lymphedema of the affected limb were compared between the two groups before intervention, 3 months after surgery, 6 months after surgery and 1 year after surgery.
Results:The incidence of postoperative lymphedema (OR=2.467, 95%CI1.177-5.169, P<0.05) of the affected limb was lower in the intervention group than in the control group. The incidence of lymphedema in the limbs of the two groups was not statistically different 3 months after operation (χ2=0.617, P>0.05). There was a statistically significant difference between the two groups 6 months after operation (χ2=5.835, P<0.05) and 1 year after operation (P=0.003). The incidence of lymphedema in the affected limbs in the experimental group was lower than that in the control group. There was an increased incidence of lymphedema in the control group, the incidence of side pain, but an incidence of lymphedema in the intervention group was in a downward trend.
Conclusion:Case management mode can effectively prevent and improve the occurrence of postoperative lymphedema in patients with breast cancer.
