| Objective: According to the needs of patients and the needs of clinical work, a manual for functional exercises of the affected limb for patients with breast cancer after operation was designed. Through the clinical application of the nursing manual, we discussed and investigated the effect of the nursing manual on function of the affected limb and quality of life of patients with breast cancer after operation. Methods: Seventy patients undergoing modified radical mastectomy in the Department of Breast Surgery of our hospital between August 2015 and June 2016 were selected, and divided into the control group and the experimental group, with 35 patients per group, by a random number table. Routinely, the control group was guided with functional exercises of the affected limb by the primary nurse bedside. The experimental group was guided with functional exercises of the affected limb using the Manual of Individualized Exercises for Affected Limb after Radical Mastectomy. Results: Ten days and 1 month after surgery, ROM of the shoulder joint in the experimental group was significantly larger than in the control group (P<0.05). The compliance of functional exercises of the affected limb in the experimental group was significantly higher than that in the control group (P<0.05). Conclusion: The application of the Manual of Individualized Exercises for Affected Limb after Radical Mastectomy can normalize the steps and methods of rehabilitation exercise, improve the patients' shoulder joint activity and the compliance of rehabilitation exercise. The design and clinical application of the manual can be used as a guide to the postoperative education and functional exercise in breast surgery. In addition, it is an effective tool that promotes the functional rehabilitation of the upper limb after radical mastectomy and alleviates patients' physical and mental pain. |
