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目的 探讨乳腺癌患者术后上肢淋巴水肿应用针对性护理联合心理护理的临床效果.方法 2019年3月～2020年3月,将100例乳腺癌患者随机分为参照组(予以常规护理)与试验组(予以针对性护理联合心理护理),各50例,对比两组护理效果.结果 试验组上肢感染发生率低于参照组,P＜0.05;试验组上肢周径差与上肢体积差低于参照组,上肢淋巴流量高于参照组,P＜0.05;试验组生命质量测定量表(FACT-B)评分高于参照组,P＜0.05;试验组焦虑自评量表(SAS)及抑郁自评量表(SDS)评分低于参照组,P＜0.05.结论 对于乳腺癌患者术后上肢淋巴水肿应用针对性护理联合心理护理,可显著降低患者上肢感染发生率,改善淋巴水肿程度与抑郁焦虑程度,提高其生命质量,值得应用.“,”Objective To explore the clinical effect of targeted nursing combined with psychological nursing in the treatment of upper limb lymphedema after breast cancer surgery. Methods 100 cases of breast cancer patients were randomly divided into control group (given routine nursing) and experimental group (given targeted nursing combined with psychological nursing), 50 cases in each group. They were treated in our hospital from March 2019 to March 2020. The incidence of upper limb infection, degree of lymphedema, quality of life, The nursing effects of the two groups were compared. Results The incidence of upper limb infection in the experimental group was lower than that in the reference group, P＜0.05; the circumference difference and volume difference of upper limb in the experimental group were lower than those in the reference group, and the lymph flow of upper limb was higher than that in the reference group, P＜0.05; the quality of life measurement scale (FACT-B) in the experimental group was higher than that in the reference group, P＜0.05; the self-rating anxiety scale (SAS) and self-rating depression scale (SDS) in the experimental group were lower than those in the reference group, P＜0.05.Conclusion The application of targeted nursing combined with psychological nursing for breast cancer patients with postoperative upper limb lymphedema can significantly reduce the incidence of upper limb infection, improve the degree of lymphedema and depression and anxiety, and improve their quality of life, which is worthy of application.