CAJ | 학술논문

目的：探讨临床护理路径在乳腺肿瘤术后不同阶段上肢功能康复中的应用效果。方法选取本院2012年1月~2013年12月间120例乳腺肿瘤手术患者为研究对象，将其按照随机数字表法分为研究组和常规组，各60例。常规组患者在术后上肢功能康复中采取临床常规护理，研究组患者在术后上肢功能康复中采取临床护理路径方法护理，观察两组护理效果。结果研究组患者水平前屈和水平后屈及外展功能与旋转功能均明显优于常规组（P<0.05）。研究组临床护理满意度为93.3%，高于对照组的75.0%（P<0.05）。研究组生活质量评分（56.1±5.9）分，高于常规组的（43.8±6.3）分，差异有统计学意义（P<0.05）。结论临床中对于乳腺肿瘤术后不同阶段上肢功能康复中实施临床护理路径法护理是可行的，可促进上肢功能恢复，且能够提高临床护理满意度和生活质量，值得临床中应用。
목적：탐토림상호리로경재유선종류술후불동계단상지공능강복중적응용효과。방법선취본원2012년1월~2013년12월간120례유선종류수술환자위연구대상，장기안조수궤수자표법분위연구조화상규조，각60례。상규조환자재술후상지공능강복중채취림상상규호리，연구조환자재술후상지공능강복중채취림상호리로경방법호리，관찰량조호리효과。결과연구조환자수평전굴화수평후굴급외전공능여선전공능균명현우우상규조（P<0.05）。연구조림상호리만의도위93.3%，고우대조조적75.0%（P<0.05）。연구조생활질량평분（56.1±5.9）분，고우상규조적（43.8±6.3）분，차이유통계학의의（P<0.05）。결론림상중대우유선종류술후불동계단상지공능강복중실시림상호리로경법호리시가행적，가촉진상지공능회복，차능구제고림상호리만의도화생활질량，치득림상중응용。
Objective To explore the application effects of clinical nursing pathway on recovery of upper-extremity functions during different stages after surgery of breast tumor. Methods A total of 120 patients who received the surgery of breast tumor in our hospital from January 2012 to December 2013 were selected as research subjects. They were randomly assigned to a research group and a regular group according to the method of random number table, with 60 in each. The regular group was given clinical regular nursing for the recovery of upper-extremity functions after the surgery, and the research group was given clinical nursing pathway for the recovery of upper-extremity functions after the surgery. Nursing effects were observed between the two groups. Results Arms bending forward and arms bending inward as well as abduction and rotation in the research group were significantly better than those in the regular group, and the differences were statistically significant (P<0.05). Satisfaction rate on clinical nursing in the research group was 93.3%, higher than that of 75.0%in the regular group(P<0.05). Life quality score in the research group was(56.1±5.9), significantly higher than that of(43.8±6.3)in the regular group, and the difference was statistically significant(P<0.05). Conclusion Clinical nursing pathway is feasible clinically for the recovery of upper-extremity functions during different stages after the surgery of breast tumor. It promotes the recovery of upper-extremity functions, as well as en-hances satisfaction rate on clinical nursing and life quality, which is worthy of clinical application.