Abstract: Objective: To explore the effect of progressive exercise prescription in postoperative radiotherapy for patients with breast cancer. Methods: A total of 132 patients with breast cancer receiving postoperative radiotherapy from December 2022 to May 2023 were included by convenience sampling method. Sixty patients with postoperative radiotherapy in the first 3 months were selected as control group, and seventy -two patients with postoperative radiotherapy in the second 3 months were selected as intervention group. The control group was given conventional nursing measures of postoperative radiotherapy, and the intervention group received progressive exercise prescription on base of conventional nursing measures. After intervention, the rehabilitation exercise compliance rate, the incidence of upper limb lymphedema, and the range of motion of shoulder were compared between the two groups. Results: The rehabilitation exercise compliance rate and shoulder joint motion in the intervention group were significantly higher than those in the control group, and the incidence of upper limb lymphedema was significantly lower than that in the control group (P<0.05). Conclusion: Progressive exercise prescription can effectively improve the rehabilitation exercise compliance and shoulder motion of patients with breast cancer receiving postoperative radiotherapy, and reduce the incidence of upper limb lymphedema.

Key words: Exercise prescription, Breast cancer, Radiotherapy, Lymphedema

摘要： 目的：探讨渐进式运动处方在乳腺癌术后放疗患者中的应用效果。 方法：采用便利抽样法选取 2022 年 12 月至 2023 年 5 月乳腺癌术后放疗患者 132 例为研究对象，前 3 个月接受放疗的 60 例乳腺癌术后患者为对照组，后 3 个月接受放疗的 72 例乳腺癌术后患者为干预组。 对照组给予乳腺癌术后放疗常规护理措施，干预组在此基础之上采用渐进式运动处方进行干预。 干预后对两组患者的康复运动依从率、上肢淋巴水肿发生率、肩关节活动度等评价指标进行比较。结果：干预组患者康复运动依从率高于对照组，肩关节活动度大于对照组，上肢淋巴水肿发生率低于对照组，差异有统计学意义（Ｐ＜0.05）。 结论：渐进式运动处方可提高乳腺癌术后放疗患者的康复运动依从性及肩关节活动度，降低上肢淋巴水肿发生率。

关键词: 运动处方, 乳腺癌, 放疗, 淋巴水肿