Complete decongestive therapy and resistance exercise in postoperative breast cancer patients
10.3760/cma.j.cn115682-20240504-02458
- VernacularTitle:综合消肿治疗联合抗阻力运动在乳腺癌术后患者中的应用
- Author:
Lili YU
1
;
Wensheng JIANG
1
;
Qingda FAN
1
;
Liguo GONG
1
Author Information
1. 烟台市烟台山医院，烟台 264003
- Publication Type:Journal Article
- Keywords:
Breast cancer;
Lymphedema;
Complete decongestive therapy;
Resistance exercise;
Axillary web syndrome;
Shoulder joint function
- From:
Chinese Journal of Modern Nursing
2025;31(7):951-954
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the application effect of complete decongestive therapy (CDT) and resistance exercise in postoperative breast cancer patients.Methods:A total of 102 breast cancer patients in the Breast Surgery Department of Yantaishan Hospital of Yantai from January 2021 to June 2023 were selected using convenience sampling. Patients were randomly divided into an observation group ( n=52) and a control group ( n=50). In the observation group, 25 patients underwent sentinel lymph node biopsy (SLNB), and 27 underwent axillary lymph node dissection (ALND) ; in the control group, 25 underwent SLNB, and 25 underwent ALND. The control group received routine nursing care, while the observation group received CDT combined with resistance exercise in addition to routine care. The incidence of upper limb lymphedema, axillary web syndrome (AWS), and upper limb functional recovery were compared between the two groups. Results:At 2 weeks postoperatively, the incidence of upper limb lymphedema was significantly lower in the observation group compared to the control group ( P<0.01). At 1 month and 3 months postoperatively, the incidence of AWS in SLNB and ALND patients in the observation group were significantly lower than those in the control group ( P<0.05). At 2 weeks postoperatively, Neer shoulder joint function scores in SLNB and ALND patients in the observation group were significantly higher than those in the control group ( P<0.01) . Conclusions:CDT combined with resistance exercise reduces the incidence of upper limb lymphedema and AWS, while promoting shoulder joint functional recovery in postoperative breast cancer patients. It is worthy of clinical application.
