Abstract：Objective To observe the applicability of fast track surgery concept (FTS) in a mode in which the community shares the work of a grassroots hospital after breast cancer surgery.Methods Seventy-eight cases of breast cancer treated in our hospital were randomly divided into the observation group and the control group (n=39 cases). After surgery, the patients in the control group received the routine community-managed nursing service, while the observation group underwent FTS in the community-managed nursing service.Results The compliance of the observation group was 100%, while that of the control group was 76.92%. After one month of community-managed interventions, the average ROM scores of four types of physical exercise - shoulder extension, shoulder flexion, shoulder adduction and shoulder abduction-were higher in the observation group than in the control group(P<0.05), and the average scores of mental health, social function, life vitality and overall health three months and six months after nursing were significantly increased in both groups (P<0.05), especially in the observation group(P<0.05).Conclusions The application of FTS in a mode where the community takes over the work of a grass-roots hospital after breast cancer surgery can effectively improve the compliance of patients, the effect of functional exercise and the patients’ quality of life.
霍焱, 李君辉. 快速康复外科理念在乳腺癌术后基层医院-社区管理模式中的应用[J]. 武警医学, 2018, 29(10): 956-959.
HUO Yan, LI Junhui. Application of fast track surgery concept in community-managed work of grassroots hospitals after breast cancer surgery. Med. J. Chin. Peop. Armed Poli. Forc., 2018, 29(10): 956-959.
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2018, Vol. 29 
