智能化小打卡程序在乳腺癌術(shù)后早期功能鍛煉中的應(yīng)用

方珍　　李靜丹　　吳丹紅　　林亞　　佘秋熳　　邱微燕　　陸明貝

[關(guān)鍵詞] 智能化小打卡;乳腺癌;術(shù)后功能鍛煉;滿意度

[中圖分類號(hào)] R473.2? ? ? ? ? [文獻(xiàn)標(biāo)識(shí)碼] B? ? ? ? ? [文章編號(hào)] 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(guó)的惡性腫瘤發(fā)病率中位列第一。手術(shù)治療是我國(guó)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(shù)后住院時(shí)間短，留置各種引流管，患者擔(dān)心運(yùn)動(dòng)后切口愈合等原因，導(dǎo)致患者不能進(jìn)行有效的功能鍛煉活動(dòng)。王芳等[2]研究表明，對(duì)該類患者實(shí)施康復(fù)訓(xùn)練，可有效促進(jìn)患肢功能的恢復(fù)。劉滋偉等[3]研究表明，不斷加強(qiáng)對(duì)乳腺癌術(shù)后患者的早期階段性功能鍛煉，可有效提高患者的生活質(zhì)量，提升耐受力，加長(zhǎng)運(yùn)動(dòng)的時(shí)間。患者住院期間的運(yùn)動(dòng)康復(fù)計(jì)劃在醫(yī)院或門診進(jìn)行[4]，出院后缺乏有效監(jiān)管、積極性降低、集中教育運(yùn)動(dòng)群體解散、教育指導(dǎo)材料缺乏等原因，后續(xù)的健康鍛煉效果的長(zhǎng)期維持會(huì)逐漸消失。本研究采取手機(jī)打卡功能針對(duì)性的干預(yù)措施提高乳腺癌患者術(shù)后早期功能鍛煉，現(xiàn)報(bào)道如下。