体感运动协同经皮穴位电刺激康复护理方案在甲状腺癌术后患者中的应用

doi:10.3761/j.issn.0254-1769.2023.08.010

摘要/Abstract

摘要：

目的分析体感运动协同经皮穴位电刺激康复护理方案在甲状腺癌术后患者中的应用效果。方法采用便利取样法，选取2021年5月—2022年1月在浙江省某三级甲等医院头颈外科收治的90例甲状腺癌行颈淋巴结清扫术后患者，按照随机数字表法分为试验组和对照组，各45例，试验组实施体感运动协同经皮穴位电刺激康复护理方案，对照组实施常规康复护理运动训练，干预时长均为12周。比较两组干预前及干预后第1、4、12周颈部运动度、肩关节功能评定量表评分、癌症患者生命质量量表评分的差异。结果干预前，两组颈部运动度、肩关节功能评定量表评分、癌症患者生命质量量表功能维度及症状维度评分比较，差异无统计学意义（P>0.05）；干预后第1、4、12周，两组颈部运动度、肩关节功能评定量表评分、癌症患者生命质量量表功能维度及症状维度评分的时间与组间均存在交互效应（P<0.05）。结论应用体感运动协同经皮穴位电刺激康复护理方案可以改善甲状腺癌术后患者的颈部活动度和肩关节功能，提高生活质量。

关键词: 体感运动, 穴位疗法, 甲状腺肿瘤, 颈淋巴结清扫术, 康复护理, 中医护理学

Abstract:

Objective To analyze the effect of somatosensory movement combined with percutaneous acupoint electrical stimulation rehabilitation nursing program on rehabilitation training after neck lymph node dissection for thyroid cancer. Methods The convenient sampling method was used to select 90 patients with thyroid cancer who were admitted to the head and neck surgery department of a tertiary A hospital in Zhejiang Province from May 2021 to January 2022 after neck lymph node dissection. According to the random number table method，they were divided into a test group and a control group，with 45 patients in each group. The test group implemented so-matosensory movement combined with percutaneous acupoint electrical stimulation rehabilitation nursing program，and patients in the control group received routine rehabilitation nursing training，with a total duration of 12 weeks. The differences of the neck range of motion，shoulder joint function assessment and cancer patients’ quality of life between the 2 groups before the intervention and at the 1st，4th and 12th weeks after the intervention were com-pared. Results Before the intervention，there was no significant difference between the 2 groups in the scores of the functional dimension and symptom dimension in the cervical range of motion，shoulder function rating scale and the quality of life scale for cancer patients（P>0.05）. At the 1st，4th and 12th weeks after the intervention，there was an interaction effect between the 2 groups in the scoring time of the functional dimension and symptom di-mension in the cervical range of motion，shoulder function rating scale and the quality of life scale for cancer pa-tients（P<0.05）. Conclusion Somatosensory exercise combined with percutaneous acupoint electrical stimulation re-habilitation nursing program can improve the neck mobility and neck shoulder joint function of patients with thy-roid cancer after surgery，and improve the quality of life.

Key words: Somatosensory Movement, Acupoint Therapy, Thyroid Neoplasms, Neck Dissection, Rehabilitation Nursing, Traditional Chinese Medicine Nursing

沈利凤, 朱慧, 孙美蓉, 钱雅芬, 李英, 郭海巍, 金艾香. 体感运动协同经皮穴位电刺激康复护理方案在甲状腺癌术后患者中的应用[J]. 中华护理杂志, 2023, 58(8): 963-970.

SHEN Lifeng, ZHU Hui, SUN Meirong, QIAN Yafen, LI Ying, GUO Haiwei, JIN Aixiang. Application of somatosensory movement combined with percutaneous acupoint electrical stimulation rehabilitation nursing program in patients with thyroid cancer after operation：a randomized controlled trial[J]. Chinese Journal of Nursing, 2023, 58(8): 963-970.

图/表 5

表1 甲状腺癌术后患者康复护理方案

Table 1 Post-operative rehabilitation nursing program for thyroid cancer neck dissection

表2 研究对象的一般资料

Table 2 General information of respondents

表3 两组干预前后颈部活动度的比较（$\bar{x}±s$）

Table 3 Comparison of neck range of motion between 2 groups（$\bar{x}±s$）

表4 两组干预前后肩关节功能评定量表得分的比较（分，$\bar{x}±s$）

Table 4 Comparison of shoulder function rating scale between 2 groups（score，$\bar{x}±s$）

表5 两组干预前后癌症患者生命质量量表得分的比较（分，$\bar{x}±s$）

Table 5 Comparison of quality of life scale between 2 groups（score，$\bar{x}±s$）

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