Application of ORTCC management combined with <italic style="font-style: italic">Baduanjin</italic> intervention strategy in postoperative rehabilitation of breast cancer patients

XU Zizi; LI Ying; MEI Xiaofeng; LI Yongfeng; MENG Xuli

doi:10.16025/j.1674-1307.2025.06.005

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Application of ORTCC management combined with Baduanjin intervention strategy in postoperative rehabilitation of breast cancer patients

更新时间：2025-08-04

- Application of ORTCC management combined with Baduanjin intervention strategy in postoperative rehabilitation of breast cancer patients
- Beijing Journal of Traditional Chinese Medicine Vol. 44, Issue 6, Pages: 697-701(2025)
- 作者机构：
  
  浙江省人民医院杭州医学院附属人民医院乳腺外科，杭州 310014
- 作者简介：
- 基金信息：
- DOI：10.16025/j.1674-1307.2025.06.005
  CLC：
- Received：03 February 2025，
  
  Published：25 June 2025
- 稿件说明：
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许姿姿，李英，梅晓凤，等.ORTCC管理联合八段锦在乳腺癌术后康复中的应用效果［J］.北京中医药，2025，44（6）：697-701.

XU Zizi,LI Ying,MEI Xiaofeng,et al.Application of ORTCC management combined with Baduanjin intervention strategy in postoperative rehabilitation of breast cancer patients[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(06):697-701.
许姿姿，李英，梅晓凤，等.ORTCC管理联合八段锦在乳腺癌术后康复中的应用效果［J］.北京中医药，2025，44（6）：697-701. DOI： 10.16025/j.1674-1307.2025.06.005.

XU Zizi,LI Ying,MEI Xiaofeng,et al.Application of ORTCC management combined with Baduanjin intervention strategy in postoperative rehabilitation of breast cancer patients[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(06):697-701. DOI： 10.16025/j.1674-1307.2025.06.005.

摘要

目的

探讨目标、规则、训练、考核、文化（objective rules training check culture，ORTCC）管理联合八段锦在乳腺癌术后康复中的应用效果。

方法

选取2024年1月—2024年6月在浙江省人民医院乳腺外科就诊的100例女性乳腺癌患者为研究对象。以随机数字表法分为2组，每组50例。对照组采用常规的乳腺癌术后康复护理措施，观察组在对照组的基础上实施ORTCC管理模式联合八段锦康复干预。对比2组干预前后上肢功能障碍评定简表（DASH）评分，乳腺癌患者生命质量测定量表（FACT-B）评分，医院焦虑、抑郁量表（HADS）评分，肩关节活动度（ROM）。

结果

干预后，2组患者DASH评分均低于干预前，FACT-B评分高于干预前（

0.01），焦虑、抑郁评分均低于干预前，肩关节前屈、后伸、外展活动度均优于干预前（

0.01）；观察组DASH评分低于对照组，FACT-B评分高于对照组，焦虑、抑郁评分均低于对照组，肩关节前屈、后伸、外展活动度均优于对照组（

0.01）。

结论

ORTCC管理联合八段锦的干预策略能够有效促进乳腺癌术后患者患肢功能恢复，改善肩关节活动度，缓解焦虑、抑郁情绪，提高患者生存质量。

Abstract

Objective

To explore the application effect of theobjective-rules-training-check-culture （ORTCC） management model combined with

Baduanjin

in the postoperative rehabilitation of breast cancer patients.

Methods

A total of 100 female breast cancer patients who received treatment at the Department of Breast Surgery， Zhejiang Provincial People's Hospital， b

etween January and June 2024 were selected and randomly divided into two groups using a random number table， with 50 patients in each group. The control group received routine postoperative rehabilitation nursing care， while the observation group received additional rehabilitation intervention based on the ORTCC management model combined with

Baduanjin

exercise. The two groups were compared in terms of the Disabilities of the Arm， Shoulder and Hand （DASH） score， the Functional Assessment of Cancer Therapy-Breast （FACT-B） score， the Hospital Anxiety and Depression Scale （HADS） scores， and shoulder joint range of motion （ROM）， before and after the intervention.

Results

After the intervention， both groups showed significantly lower DASH scores and significantly higher FACT-B scores compared with pre-intervention levels （

0.01）. Anxiety and depression scores were significantly reduced， and the shoulder joint flexion， extension， and abduction range of motion improved significantly （

0.01）. Compared with the control group， the observation group had lower DASH scores， higher FACT-B scores， lower anxiety and depression scores， and better shoulder joint flexion， extension， and abduction （

0.01）.

Conclusion

The intervention strategy of ORTCC management combined with

Baduanjin

can effectively promote functional recovery of the affected limb in breast cancer patients after surgery， improve shoulder joint mobility， alleviate anxiety and depression， and enhance quality of life.

关键词

Keywords

references

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⁰

Application of ORTCC management combined with Baduanjin intervention strategy in postoperative rehabilitation of breast cancer patients

DOI：10.16025/j.1674-1307.2025.06.005

摘要

Abstract

关键词

Keywords

references