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

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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.

Key words： breast cancer grassroots hospital community management fast track surgery concept

Received: 01 June 2018

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	HUO Yan
	LI Junhui

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HUO Yan,LI Junhui. Application of fast track surgery concept in community-managed work of grassroots hospitals after breast cancer surgery[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2018, 29(10): 956-959.

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2018/V29/I10/956

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