Evidence-based nursing on functional exercise after breast cancer

Abstract

Objective To apply the evidence-based nursing on the relationship between the functional exercise and drainage, subcutaneous effusion after breast cancer operation.Methods Sixty breast cancer patients which admitted from January 2012 to October 2013 were divided into control group （ twenty eight cases） and experimental group （ thirty two cases） .The control group just accepted routine care while the experimental group received evidence-based nursing care.The evidence related nursing plan making were collected from national and international literature and mainly focused on the relationship between functional excises and the value of drainage, subcutaneous effusion after breast cancer operation.After fortnight operation, the rate of swelling and the rate of subcutaneous effusion were observed, and the recovery of function had been assessed after the day of four weeks operation.Results The subcutaneous effusion of the experimental group （15.6%） were lower than that of control group （21.4%）, with a significant difference between two groups （χ^2=10.23;P〈0.05）.The rate of limb swelling of the experimental group was 31.3%,which was lower than that of the control group （32.1%）,the difference was not statically significant （χ^2=3.52,P〉0.05）.The recovery of affected limb function in the experimental group had better result than the control group （t=7.68,8.65,7.25, respectively;P〈0.05）.In the experimental group, the clinical curative effects had sixteen cases showed excellent, four cases （ fine） and two cases （ general） that had statistical significance comparing with control group （u=2.63,P〈0.05）.Conclusions When the breast cancer patients had the value of drainage over than 500 ml at the third of operation day or more than 30 ml at the fifth day, it is better to stop function exercise until the value of drainage lower than 10 ml daily.The above procedure can release swelling and subcutaneous effusion at fourteenth operation day’ s assessment, and benefit functional recovery after four weeks operation. Key words: Breast cancer; Postoperative period; Evidence-based nursing; Functional exercise