To explore the application effect of aerobic exercise combined with rehabilitation nursing intervention on lymphedema after breast cancer surgery.

120 patients with lymphedema after radical mastectomy in Beijing Shijitan Hospital, Capital Medical University from January 2018 to January 2020 were included in the study. According to random number table, patients were randomly divided into control group and rehabilitation group, 60 cases in each group; the control group received routine clinical nursing, the rehabilitation group received aerobic exercise combined with rehabilitation nursing intervention on the basis of routine nursing. The circumference difference between the affected limb and healthy limb and shoulder joint activity were detected at 3 months after intervention and 6 months after intervention. Data were processed with one-way analysis of variance, two independent samples t-test and Chi-square test.

There was no significant difference in the circumference difference between the two groups before the intervention(P=0.836). After 3 months and 6 months of the intervention, the circumference difference of the rehabilitation group was smaller than that of the control group, the differences were statistically significant (P<0.05). Before the intervention, there was no significant difference in the DASH score between the two groups(P>0.05). Three months after the intervention, the DASH scores of the two groups were significantly lower than those before the intervention, and the scores of the rehabilitation group were lower than those of the control group(P<0.05); six months after the operation, the DASH scores of the two groups were lower than those of the three months after the intervention, and the scores of the patients in the rehabilitation group were lower than those in the control group(P<0.05), In FACT-B scale, physical status, social/family status, emotional status, functional status, additional attention status and total scores of the rehabilitation group were lower than those of the control group. After 6 months of intervention, the scores of each dimension and total score of the two groups were lower than those of 3 months after the intervention, and the differences were statistically significant(P<0.05).

aerobic exercise combined with nursing care is conducive to the rehabilitation of lymphedema after radical mastectomy, improve the range of motion of shoulder joint and improve the quality of life of patients.