CAJ | 학술논문

目的：探讨循证护理模式在乳腺癌术后放疗上肢功能恢复的可行性及价值。方法设立乳腺癌术后放疗的循证护理模式，对循证护理组（83例）及对照组（83例）进行前瞻性病例对照研究，对比 UCLA 评分、Mayo 肘关o评分、上肢淋巴水肿（SOCA）、SDS 评分差异。结果干预3个月、6个月及12个月后，循证护理组 UCLA 评分高于对照组；干预12个月后，循证护理组 Mayo 评分高于对照组（P ＜0．05）；干预3个月、6个月及12个月后，循证护理组 SOCA、SDS 评分低于对照组（P＜0．01）。结论循证护理模式在乳腺癌术后放疗上肢功能恢复和抑郁控制方面是安全有效的。
목적：탐토순증호리모식재유선암술후방료상지공능회복적가행성급개치。방법설립유선암술후방료적순증호리모식，대순증호리조（83례）급대조조（83례）진행전첨성병례대조연구，대비 UCLA 평분、Mayo 주관o평분、상지림파수종（SOCA）、SDS 평분차이。결과간예3개월、6개월급12개월후，순증호리조 UCLA 평분고우대조조；간예12개월후，순증호리조 Mayo 평분고우대조조（P ＜0．05）；간예3개월、6개월급12개월후，순증호리조 SOCA、SDS 평분저우대조조（P＜0．01）。결론순증호리모식재유선암술후방료상지공능회복화억욱공제방면시안전유효적。
Objective To discuss the feasibility and value of evidence-based nursing on upper limb function rehabilitation in breast cancer patients with post -operative radiotherapy. Methods Evidence-based nursing model was constructed,prospective cases study was carried out in evidence-based group(83 patients)and control group(83 patients).UCLA score,Mayo elbow function score,upper limb lymph edema(SOCA),self-rating depression scale (SDS)was com-pared.Results UCLA score in evidence-based group was higher than that in control group after 3 months,6 months and 12 months intervention (P <0.05).Mayo score in evidence-based group after 12 months intervention was higher than that in the control group(P <0.05).SOCA and SDS in evidence-based group after 3 months,6 months and 12 months intervention was lower than that in control group(P <0.01).Conclusion Evidence-based nursing in breast cancer pa-tients with postoperative radiotherapy was safe and effective in upper limb function rehabilitation and depression control.