组织工程与重建外科杂志 ›› 2025, Vol. 21 ›› Issue (6): 523-.

• •    下一篇

乳癌术后DIEP乳房再造患者康复护理管理方案构建

  

  • 出版日期:2025-12-25 发布日期:2025-12-30

Construction of rehabilitation nursing management program for patients with DIEP breast reconstruction after breast cancer surgery

  • Online:2025-12-25 Published:2025-12-30

摘要:

目的 探讨乳癌术后经腹壁下动脉穿支皮瓣(DIEP)乳房再造患者的康复护理管理方案。方法 通过检索、分析国内外文献、指南、专家共识并结合访谈,拟定乳癌术后乳房再造患者康复护理管理方案的初步内容。然后,通过两轮 Delphi法,最终确立适用于乳癌术后 DIEP乳房再造患者的康复护理管理方案。结果 两轮 Delphi专家函询的有效回收率分别为100%和92.86%,专家权威程度系数为0.85,最终确定康复护理管理方案包括7个时间分期及对应的身体评估指标,18个康复目标及对应的康复护理管理措施。结论 初步建立适用于乳癌术后DIEP乳房再造患者的康复护理管理方案,希望在临床实践中不断完善提高。

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Abstract:

Objective To construct a rehabilitation nursing management program suitable for patients with DIEP breast
reconstruction after breast cancer surgery. Methods Based on the retrieval, analysis of domestic and foreign literature, guidelines, expert consensus and interviews, the preliminary content of the rehabilitation nursing management program for patients with DIEP breast reconstruction after breast cancer surgery was formulated. Subsequently, through two rounds of Delphi method, the rehabilitation nursing management program suitable for patients with DIEP breast reconstruction after breast cancer surgery was finally established. Results The effective recovery rates of the two rounds of Delphi expert correspondence inquiries were 100% and 92.86% respectively, and the coefficient of expert authority was 0.85. Finally, the rehabilitation nursing management plan included 7 time stages and corresponding physical assessment indicators,18 rehabilitation goals and corresponding rehabilitation nursing management measures. Conclusion A rehabilitation nursing management program suitable for patients with DIEP breast reconstruction after breast cancer surgery was initially established. After clinical verification, it will be applied to the clinical rehabilitation practice of patients with DIEP breast reconstruction after breast cancer surgery.

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