Abstract
Objective To explore the feasibility and safety of early nursing intervention in the prevention of lymphedema after endoscopic axillary lymph node dissection. Methods This was a prospective study. Based on patient inclusion and exclusion criteria, 60 cases of patients underwent breast surgery with endoscopic axillary lymph node dissection for breast cancer and with early comprehensive nursing intervention in Shengjing Hospital affiliated to China Medical University from June 2015 to June 2017 were set as the observation group. Other 60 patients with endoscopic axillary lymph node dissection for breast cancer and with early routine care were set as the control group. The incidence of upper extremity edema were compared. Results The incidence of upper extremity edema in the observation group was 3.3%(2/60), which was significantly less than 13.3%(8/60) in the control group with significant difference (P=0.031). Conclusions Early nursing intervention after endoscopic axillary lymph node dissection can significantly reduce the incidence of upper limb edema, reduce the pain of patients and improve the quality of postoperative life, and is worthy of clinical promotion. Key words: Laparoscope; Breast neoplasms; Edema of the upper extremity; Early postoperative comprehensive care
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