乳腺癌术后上肢淋巴水肿患者的生活质量和上肢活动度调查

摘要

目的 了解术后生存期乳腺癌并发淋巴水肿患者的上肢活动度和生活质量状况.方法 采用乳腺癌患者生活质量问卷,对243 例改良根治术后生存2 年以上的乳腺癌患者进行调查,测量上肢周径和上肢活动度,比较有无淋巴水肿并发症患者上肢活动度和生活质量的差异.结果 出现淋巴水肿的乳腺癌患者116 例,其上肢前屈、后伸、上举、外展、内收、内旋、外旋的活动范围低于127 例无淋巴水肿乳腺癌患者(P＜0.05);在生活质量量表5 个维度得分中,除社会/家庭状况维度外,淋巴水肿组的得分均低于无淋巴水肿组(P＜0.05).结论 改良根治术后的乳腺癌患者,淋巴水肿会导致患者上肢活动受限,并会有较低的生活质量得分,造成负面影响.提示护士应指导患者尽早采取康复措施预防淋巴水肿.%Objective To understand upper limb activity of postoperative breast cancer patients complicated with upper limb lymphedema and their quality of life. Methods With Functional Assessment of Cancer Therapy-Breast (FACT-B), 243 breast cancer patients with modified radical mastectomy were surveyed, their upper limb circumference and upper limb activity were measured and the comparison of upper limb activity and quality of life was carried out among them and those without upper limb lymphedema. Results Of the total, 116 patients complicated with upper limb lymphedema and they performed worse in anteflexion, backward extension, elevation, abduction, adduction, internal rotation and external rotation than those without complications did (P<0.05). Among all the five dimensions, except society/family well-being, patients with lymphedema got lower scores than those without did (P<0.05). Conclusion For breast cancer patients with modified radical mastectomy, upper limb lymphedema limit their activities, which exerts influence on their quality of life. Specific measures need to be taken to prevent upper limb lymphedema.