Effect Of Pbl-Based Health Education On Lymphedema And Cancer Related Fatigue And Shoulder Joint Motion In Patients Underwent Modified Radical Mastectomy

Objective: This study aimed to analyze the effect of health education based on problem-based learning (PBL) in patients underwent modified radical mastectomy. Methods: The clinical data of 85 breast cancer patients admitted to our hospital from April 2018 to April 2019 were collected for retrospective analysis. The patients were divided into two groups randomly, with 42 patients in control group receiving basic health guidance and 43 patients in observation group receiving PBL-based health education, so as to compare the lymphedema situation, self-care agency, shoulder joint motion, quality of life and cancer related fatigue between the two groups. Results: (1) The rate of lymphedema grade I in observation group was higher than that of control group at discharge and the rate of lymphedema grade III in observation group was lower than that of control group at discharge (P<0.05). (2) The complete remission rate of lymphedema in observation group was higher than that of control group and the non-remission rate of observation group was lower than that of control group (P<0.05). (3) The ESCA scores for self-care agency in observation group were higher than those of control group at discharge and at 1 month and 3 months after discharge (P<0.05). (4) The scores for range of motion in observation group were higher than those of control group at discharge and at 1 month after discharge (P<0.05). (5) All the indicators for quality of life in observation group were higher than those of control group at 3 months after surgery (P<0.05). (6) The scores for cancer related fatigue in observation group were lower than those of control group at discharge and at 1 month and 3 months after discharge (P<0.05). Conclusion: The PBL-based health education could relieve the lymphedema and cancer related fatigue and effectively improve the shoulder joint motion, self-care agency and quality of life in patients underwent modified radical mastectomy, which has good application value.