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甲状腺手术后康复训练对患者生活质量的影响研究

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目的 研究甲状腺手术后康复训练对患者生活质量的影响。方法 100 例甲状腺手术后患者,使用计算机表法分为实验组和对照组,每组 50 例。对照组患者给予常规管理,实验组患者在对照组基础上给予康复训练干预。比较两组患者干预满意度,干预前后吞咽障碍评分、加州大学(UCLA)肩关节评分,干预后生活质量评分。结果 实验组患者干预总满意率 96。00%高于对照组的 78。00%,差异有统计学意义(P<0。05)。干预后,两组患者吞咽障碍评分均高于本组干预前,且实验组患者吞咽障碍评分(6。11±0。89)分高于对照组的(4。61±1。22)分,差异具有统计学意义(P<0。05)。干预后,两组患者UCLA肩关节评分明显高于本组干预前,且实验组患者UCLA肩关节评分(32。56±2。21)分高于对照组的(23。15±4。87)分,差异具有统计学意义(P<0。05)。干预后,实验组患者心理健康、躯体疼痛、生理功能、生理职能、社会职能、情感职能、精力、总体健康评分分别为(89。18±6。50)、(89。42±6。71)、(89。27±6。34)、(89。61±6。58)、(89。46±6。71)、(89。47±5。86)、(89。71±6。57)、(89。55±6。84)分,均高于对照组的(68。29±5。37)、(69。05±5。74)、(69。16±5。45)、(68。74±6。94)、(68。74±6。44)、(67。64±6。35)、(68。58±5。98)、(69。16±5。87)分,差异有统计学意义(P<0。05)。结论 康复训练对于提高甲状腺手术后患者吞咽功能和肩关节功能、生活质量具有促进作用,值得临床应用探索。
A study on the impact of rehabilitation training on quality of life of patients after thyroid surgery
Objective To study the impact of rehabilitation training on quality of life of patients after thyroid surgery.Methods 100 patients after thyroid surgery were divided into an experimental group and a control group by computer table method,each with 50 cases.The control group received routine management,while the experimental group received rehabilitation training intervention on the basis of the control group.The intervention satisfaction,dysphagia score and University of California at Los Angeles(UCLA)shoulder score before and after intervention,and quality of life score after intervention were compared between the two groups.Results The total satisfaction rate of intervention in the experimental group was 96.00%,which was higher than 78.00%in the control group,and the difference was statistically significant(P<0.05).After intervention,the dysphagia score in both groups were higher than that before intervention,and the dysphagia score of(6.11±0.89)points in the experimental group was higher than(4.61±1.22)points in the control group.The difference was statistically significant(P<0.05).After intervention,the UCLA shoulder score in both groups was significantly higher than that before intervention,and the UCLA shoulder score of(32.56±2.21)points in the experimental group was higher than(23.15±4.87)points in the control group.The difference was statistically significant(P<0.05).After intervention,the scores of mental health,bodily pain,physical functioning,role-physical,social functioning,role-emotional,vitality,and general health scores of the experimental group were(89.18±6.50),(89.42±6.71),(89.27±6.34),(89.61±6.58),(89.46±6.71),(89.47±5.86),(89.71±6.57),and(89.55±6.84)points,which were higher than(68.29±5.37),(69.05±5.74),(69.16±5.45),(68.74±6.94),(68.74±6.44),(67.64±6.35),(68.58±5.98),and(69.16±5.87)points of the control group.The difference was statistically significant(P<0.05).Conclusion Rehabilitation training has a promoting effect on improving swallowing function and shoulder joint function and quality of life of patients after thyroid surgery,which is worth exploring in clinical application.

Thyroid surgeryPostoperativeRehabilitation trainingQuality of lifeSwallowing functionShoulder joint function

林琳

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351100 莆田市第一医院

甲状腺疾病 术后 康复训练 生活质量 吞咽功能 肩关节功能

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(24)