关键词: 医用粘胶相关性皮肤损伤, 乳腺癌, 护理, 功能锻炼, 疼痛

Abstract: Objective To design an underarm pad used with breast pressure bandage, and to explore its application effect on preventing medical adhesive-related skin injury and early postoperative functional exercises in the elderly patients with breast cancer. Methods A total of 80 elderly patients who underwent modified radical mastectomy for breast cancer in Drum Tower Hospital from July 2020 to March 2021 were enrolled and divided into the pad group (n=37) and the control group (n=43). The pad group used self-designed underarm pad at the junction of self-adhesive pressure bandage and axilla, while the control group used self-adhesive pressure bandage routinely. The incidence rate of medical adhesive-related skin injury, early functional exercise compliance and wound pain score of the two groups were compared. Results Skin injury occurred in 3 patients (8.1%) in the pad group, and in 11 patients (25.6%) in the control group(χ²=4.206,P=0.04) . In terms of early postoperative functional exercise, 19 patients (51.4%) in the pad group exercised for more than 3 times per day, only 7 patients (16.3%) in the control group exercised for more than 3 times per day(χ²=11.151,P=0.001). And 29 patients (78.4%) in the pad group felt comfortable during exercise, and only 6 patients (14.0%) in the control group felt comfortable during exercise(χ²=33.542, P<0.001). The median wound pain score of the pad group was 1 (0, 2) points, while the median wound pain score of the control group was 3 (2, 4) points(Z=7.106,P<0.001). Conclusions The use of underarm pad combined with breast self-adhesive pressure bandage can reduce the occurrence of medical adhesive-related skin injury in the underarm area of the elderly patients with breast cancer, improve the compliance with early functional exercises, and reduce the wound pain to a certain extent.

Key words: medical adhesive-related skin injury, breast cancer, nursing, functional exercise, pain