Longitudinal study of limb functional exercise compliance after breast cancer surgery based on dependent curve / 中国实用护理杂志

ABSTRACT

Objective:To investigate the level and change of compliance of functional exercise in patients with breast cancer in one year after operation.Methods:The compliance of limb functional exercise in 90 patients with breast cancer at 3, 6 and 12 months after operation was measured by the compliance scale of functional exercise after operation of breast cancer. Taking time as independent variable( x), functional exercise compliance and index of each dimension as dependent variable( y), regression curve estimation equation was used to draw compliance curve. Results:The functional compliance index of patients at 3, 6, 12 months after surgery was 67.31±14.21, 62.93±12.53, 56.62±14.75, there was significant difference( F value was 31.13, P<0.01). The physical exercise compliance index of patients at 3, 6, 12 months after surgery was 63.06±17.69, 58.03±14.86, 50.83±16.75, there was significant difference ( F value was 30.82, P<0.01). The active recommendation index of patients at 3, 6, 12 months after surgery was 58.56±19.75, 48.56±17.94, 42.94±18.69, there was significant difference( F value was 4.99, P<0.05). The post-consideration index of patients at 3, 6, 12 months after surgery was 81.95±12.70, 83.30±13.25, 78.10±16.55, there was significant difference ( F value was 38.26, P<0.01). The compliance curve of the functional exercise compliance score was y=50.22-1.08 x-0.69 x2 ( R2 value was 0.091, F value was 13.426, P<0.01); the body exercise compliance curve formula was y=23.73-0.64 x-0.39 x2 ( R2 value was 0.086, F value was 12.522, P<0.01); the actively seeking the recommendation compliance curve formula was y=11.67-2.652 x+0.35 x2 ( R2 value was 0.106, F value was 15.911, P<0.01); the postoperative cautionary compliance curve formula was y=14.82+2.22 x-0.65 x2 ( R2 value was 0.023, F value was 3.188, P<0.05). The functional compliance of breast cancer patients during the first year after operation was moderate, and then showed a downward trend. Among them, physical exercise compliance and active seeking compliance showed a low level, and a downward trend. But the postoperative attention complied with a high level. And a trend of a small increase after 6 months after surgery. Conclusions:According to the compliance curve, the overall compliance of postoperative functional exercise in breast cancer patients is poor, and the compliance has a general downward trend with time. This may be related to the low attention of patients, family members and health care workers after discharge or the patient′s own "forgotten curve".Therefore, after discharge, the nurse needs to repeatedly strengthen the patient′s memory, and follow up and supervise the patient according to the key points of the patient′s functional exercise and the reasons for the decline of compliance.