目的 描述乳腺癌康复患者预防上肢淋巴水肿的运动康复经验，为临床医护人员指导乳腺癌患者出院后的运动康复项目提供具有可行性和可操作性的活动与运动康复信息。 方法 2017年7月至2018年6月，对一直坚持每周3次以上进行上肢淋巴水肿运动锻炼的乳腺癌康复患者进行个体化的面对面深度访谈，采用内容分析法分析资料。 结果 纳入13例能够提供丰富经验的受访者，提炼出乳腺癌康复患者预防上肢淋巴水肿的运动经验，包括运动类型、名称、时间、频率、强度、注意事项及其详细的具有可操作性的运动康复经验。 结论 本研究提炼并描述了乳腺癌康复患者预防上肢淋巴水肿的运动康复经验，丰富和细化了目前乳腺癌康复患者预防上肢淋巴水肿的行为指南，有助于加深医护人员对乳腺癌康复患者预防上肢淋巴水肿实际情况的了解，为医护人员制定淋巴水肿的预防性干预措施提供参考资料。
Objective To investigate the experience of rehabilitation exercise for the prevention of upper limb lymphedema in patients with breast cancer rehabilitation, to provide feasible and operative activities and exercise rehabilitation information for clinical health care personnel to guide exercise rehabilitation programs for breast cancer patients after discharge. Methods From July, 2017 to June, 2018, individualized face-to-face in-depth interviews were performed in breast cancer rehabilitation patients who had been performing upper limb lymphedema exercise for more than three times a week. The content analysis was used to analyze the data. Results Totally, 13 candidates for breast cancer rehabilitation were selected to provide experience, and their experience of breast cancer rehabilitation in preventing upper limb lymphedema were extracted, including the type, name, time, frequency and intensity of exercise, precautions, and detailed operational experience in sports rehabilitation. Conclusion The exercise rehabilitation experience of breast cancer rehabilitation patients in preventing upper limb lymphedema have been drawn, which may enrich and refine the current behavior guidelines for breast cancer rehabilitation patients to prevent upper limb lymphedema, and help to deepen the prevention of breast cancer rehabilitation. The understanding of the actual situation of upper limb lymphedema provides a reference for preventive interventions for the development of lymphedema in medical staff.
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