The Effect of CDT-Based Rehabilitation Nursing on Breast Cancer-related Lymphedema.

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL Tohoku Journal of Experimental Medicine Pub Date : 2026-03-18 Epub Date: 2025-01-16 DOI:10.1620/tjem.2025.J004

Jing Zhao, Ying Zhang, Jingjing Han, Wenjun Zhu, Shaomei Yang, Xin Wang, Jingjing Duan

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Abstract

Patients with breast cancer who receive surgical intervention face an elevated chance of developing breast cancer-associated lymphedema (BCRL) over their lifetime. This study was to evaluate the impact of rehabilitation nursing of affected limb incorporating complete decongestive therapy (CDT) on the progression of postoperative lymphedema in breast cancer patients compared to conventional nursing. This study encompassed 101 cases of breast cancer patients undergoing radical surgery. The control group underwent conventional rehabilitation nursing, whereas the experimental group received rehabilitation nursing of affected limb based on CDT. The recovery outcomes of the two groups of patients were assessed by quantifying the upper limb circumference, joint mobility, limb functionality score, quality of life score and functional exercise compliance score before and after intervention. In contrast to traditional nursing, rehabilitation nursing of affected limb incorporates CDT demonstrated great advantages in lymphedema reduction, improvement of postoperative shoulder joint mobility, enhancement of limb function on the affected side, elevation of patient quality of life, and heightened adherence to functional exercises. The rehabilitation nursing of affected limb based on CDT may demonstrate significantly enhanced outcomes for BCRL.

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基于cdt的康复护理对乳腺癌相关淋巴水肿的影响。

接受手术干预的乳腺癌患者在其一生中患乳腺癌相关淋巴水肿（BCRL）的机会增加。本研究旨在评估与传统护理相比，患肢康复护理结合完全去充血治疗（CDT）对乳腺癌患者术后淋巴水肿进展的影响。这项研究包括101例接受根治性手术的乳腺癌患者。对照组采用常规康复护理，实验组采用基于CDT的患肢康复护理。通过量化干预前后上肢围度、关节活动度、肢体功能评分、生活质量评分和功能运动依从性评分，评估两组患者的康复情况。与传统护理相比，融合CDT的患肢康复护理在减少淋巴水肿、改善术后肩关节活动度、增强患侧肢体功能、提高患者生活质量、增强功能锻炼依从性等方面具有显著优势。基于CDT的患肢康复护理可显著提高BCRL的预后。

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来源期刊

Tohoku Journal of Experimental Medicine 医学-医学：内科

CiteScore

3.60

自引率

4.50%

发文量

171

审稿时长

1 months

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