智能化小打卡程序在乳腺癌術后早期功能鍛煉中的應用

方珍　　李靜丹　　吳丹紅　　林亞　　佘秋熳　　邱微燕　　陸明貝

[關鍵詞] 智能化小打卡;乳腺癌;術后功能鍛煉;滿意度

[中圖分類號] R473.2? ? ? ? ? [文獻標識碼] B? ? ? ? ? [文章編號] 1673-9701（2021）19-0172-03

Application of intelligent clocking-in applet in early functional exercise after breast cancer operation

FANG Zhen? ?LI Jingdan? ?WU Danhong? ?LIN Ya? ?SHE Qiuman? ?QIU Weiyan? ?LU Mingbei

Department of Thyroid Breast Surgery， Lishui City People′s Hospital in Zhejiang Province， Lishui? ?323000， China

[Abstract] Objective To explore the application of intelligent clocking-in applet in early functional exercise after breast cancer operation. Methods A total of 104 patients undergoing breast cancer surgery from June 2019 to June 2020 were selected by convenient sampling method， and they were divided into the control group （from June 2019 to December 2019） and the observation group （from January 2020 to June 2020） according to the time grouping method.The control group was treated with conventional postoperative nursing and out-of-hospital continuous guidance， while the observation group was combined with mobile phone monitoring on the basis of the control group， and clocking-in mode was adopted to manage. The application effects of the two groups were compared. Results The exercise compliance of the observation group was 96.15%， which was higher than 63.46% of the control group.The incidence of complication in the observation group was 7.69%， which was lower than 26.92% in the control group. The patients′ satisfaction of the observation group was 100.00%， which was higher than 96.15% of the control group，with statistically significant differences between the two groups（P<0.05）. Conclusion The application of intelligent clocking-in applet in early functional exercise after breast cancer operation can effectively boost the compliance of rehabilitation exercise， reduce the incidence of complications， and improve the patients′ satisfaction.

[Key words] Intelligent clocking-in applet; Postoperative breast cancer; Functional exercise; Satisfaction

乳腺癌是臨床常見疾病，在我國的惡性腫瘤發病率中位列第一。手術治療是我國最常用的乳腺癌治療方式，該治療方式可以取得明顯的效果[1]。術后住院時間短，留置各種引流管，患者擔心運動后切口愈合等原因，導致患者不能進行有效的功能鍛煉活動。王芳等[2]研究表明，對該類患者實施康復訓練，可有效促進患肢功能的恢復。劉滋偉等[3]研究表明，不斷加強對乳腺癌術后患者的早期階段性功能鍛煉，可有效提高患者的生活質量，提升耐受力，加長運動的時間。患者住院期間的運動康復計劃在醫院或門診進行[4]，出院后缺乏有效監管、積極性降低、集中教育運動群體解散、教育指導材料缺乏等原因，后續的健康鍛煉效果的長期維持會逐漸消失。本研究采取手機打卡功能針對性的干預措施提高乳腺癌患者術后早期功能鍛煉，現報道如下。