Effect of three-in-one continuous nursing mode on breast cancer patients with lymphedema
三联一体延续性护理模式对乳腺癌患者相关淋巴水肿患者干预的效果

摘要

目的 分析对乳腺癌相关淋巴水肿（BCRL）患者采用三联一体延续性护理模式对于改善患者水肿程度的实际价值；方法 以前瞻性研究选取2023年1月-2025年1月在我院接受治疗的80例BCRL患者，随机数字法分为观察组与对照组，各40例。对照组为常规护理，观察组采用三联一体延续性护理，比较两组的上肢水肿程度及预后质量；结果 干预前，两组的上肢水肿程度、DASH及自护能力评分差异不显著（P＞0.05），干预1个月后，观察组的上肢水肿程度、DASH及自护能力均显优（P<0.05）；结论 应用三联一体延续性护理模式对BCRL患者进行干预，能够实现医院-社区-家庭的联合干预，有效缓解患者淋巴水肿症状，促进上肢功能恢复并提升自护能力，应用价值较为理想。

Abstract

Objective To analyze the practical value of adopting the three-in-one continuous nursing model for patients with breast cancer-associated lymphedema (BCRL) in improving the degree of edema.
Methods A prospective study was conducted to select 80 BCRL patients who were treated in our hospital from January 2023 to January 2025, and they were randomly divided into observation group and control group, with 40 cases in each group. The control group was given routine nursing care, while the observation group was given three-in-one continuous nursing care. The degree of upper limb edema and prognosis quality of the two groups were compared.
Results Before the intervention, there was no significant difference in the degree of upper limb edema, DASH and self-care ability between the two groups (P > 0.05), but after one month of intervention, the degree of upper limb edema, DASH and self-care ability in the observation group were significantly better (P < 0.05).
Conclusion   The application of the three-in-one continuous nursing model in the intervention of BCRL patients can realize the joint intervention of hospital, community and family, effectively relieve the symptoms of lymphedema, promote the recovery of upper limb function and enhance the self-care ability, with ideal application value.