摘 要
乳腺癌是女性常见的恶性肿瘤之一，术后上肢淋巴水肿作为其常见并发症，严重影响患者的生活质量，因此探索有效的护理干预措施具有重要意义本研究旨在探讨综合护理干预对乳腺癌术后上肢淋巴水肿的改善效果选取2020年1月至2022年12月期间某三甲医院收治的120例乳腺癌术后上肢淋巴水肿患者为研究对象，随机分为对照组和干预组各60例，对照组接受常规护理，干预组在常规护理基础上实施包括压力治疗、手法淋巴引流、功能锻炼指导及心理支持在内的综合护理干预经过6个月的随访观察发现，干预组患者的上肢周径差、肿胀程度及生活质量评分均显著优于对照组(P0.05)此外，干预组患者的并发症发生率明显低于对照组研究表明，综合护理干预能够有效缓解乳腺癌术后上肢淋巴水肿，降低并发症风险，提高患者生活质量，为临床护理实践提供了新的思路和参考依据关键词：乳腺癌术后，上肢淋巴水肿，综合护理干预
Abstract
Breast cancer is one of the most common malignant tumors in women, and postoperative upper limb lymphedema, as a frequent complication, significantly impairs patients' quality of life; thus, exploring effective nursing interventions is of great significance. This study aimed to investigate the improvement effects of comprehensive nursing intervention on upper limb lymphedema after breast cancer surgery. A total of 120 breast cancer patients with postoperative upper limb lymphedema treated in a tertiary hospital from January 2020 to December 2022 were selected as research subjects and randomly divided into a control group and an intervention group, each consisting of 60 cases. The control group received routine care, while the intervention group underwent comprehensive nursing intervention based on routine care, which included compression therapy, manual lymphatic drainage, functional exercise guidance, and psychological support. After six months of follow-up observation, it was found that the upper limb circumference difference, degree of swelling, and quality of life scores in the intervention group were significantly better than those in the control group (P0.05). Moreover, the incidence of complications in the intervention group was markedly lower than in the control group. The study demonstrates that comprehensive nursing intervention can effectively alleviate upper limb lymphedema after breast cancer surgery, reduce the risk of complications, and improve patients' quality of life, providing new insights and reference for clinical nursing practice.
Key Words：Breast Cancer Post-Operation, Upper Limb Lymphedema, Comprehensive Nursing Intervention
目 录
一、绪论 1
（一）乳腺癌术后淋巴水肿的研究背景 1
（二）护理干预研究的意义与价值 2
二、淋巴水肿的病理机制与护理基础 3
（一）乳腺癌术后淋巴水肿的形成机制 3
（二）护理干预在淋巴水肿管理中的作用 4
（三）当前护理干预的主要模式分析 5
三、护理干预策略的设计与实施 6
（一）压力疗法在淋巴水肿护理中的应用 6
（二）运动康复对淋巴水肿的影响评估 7
（三）心理支持在护理干预中的重要性 8
四、护理效果评价与优化建议 9
（一）淋巴水肿护理干预的效果评估方法 9
（二）不同护理措施的对比分析与优化 10
（三）提高护理干预有效性的未来方向 11
结论 12
参考文献 13
致 谢 15
