Application of "5E" nursing model combined with multidisciplinary cooperation in the prevention and management of breast cancer related lymphedema
“5E”护理模式联合多学科协作在乳腺癌相关淋巴水肿预防管理中的应用

摘要

目的 探讨“5E”护理模式联合多学科协作在乳腺癌相关淋巴水肿预防管理中的应用效果。方法 选择在某三甲医院乳腺外科就医，确诊为乳腺癌，行乳腺癌根治术或改良根治术后1年内病情稳定的86例患者作为研究对象，分为干预组（“5E”护理模式联合多学科协作）和对照组（常规护理）各43人，比较两组患者术后12月患肢淋巴水肿发生率及患肢功能障碍程度。结果 术后12月干预组患者淋巴水肿发生率、上肢功能障碍评分均显著低于对照组，差异有统计学意义（P < 0.01）。结论 “5E”护理模式联合多学科协作能有效降低乳腺癌术后患者淋巴水肿发生率，改善患肢功能障碍程度，促进康复。

Abstract

Objective To explore the application effect of “5E” nursing mode combined with multidisciplinary cooperation in the prevention and management of breast cancer related lymphedema.
Methods Eighty six patients with breast cancer who had been treated in the breast surgery department of a Grade III A hospital and were diagnosed with breast cancer were selected as the study subjects. They were divided into an intervention group (“5E” nursing mode combined with multidisciplinary cooperation) and a control group (routine nursing), 43 patients in each group. The incidence of lymphedema in the affected limb and the degree of dysfunction of the affected limb were compared between the two groups 12 months after surgery.
Results The incidence of lymphedema and upper limb dysfunction score in the intervention group were significantly lower than those in the control group 12 months after surgery, and the difference was statistically significant (P<0.01).
Conclusion   “5E” nursing mode combined with multidisciplinary cooperation can effectively reduce the incidence of lymphedema in patients with breast cancer after surgery, improve the degree of limb dysfunction, and promote rehabilitation.