摘要
Abstract
Objective:To explore the effect of shoulder and neck exercise training combined with problem oriented intervention on postoperative compliance and shoulder and neck function recovery in patients with thyroid disease.Method:A total of 92 patients who were scheduled to undergo thyroid surgery admitted to the First Affiliated Hospital of Xiamen University from January 2022 to December 2023 were divided into two groups by random number table method,with 46 cases in each group.The control group received routine rehabilitation intervention,while the observation group received shoulder and neck exercise training combined with problem oriented intervention.Both groups were intervened until discharge,and followed up for 3 months.The rehabilitation training knowledge,rehabilitation training attitude,compliance,shoulder joint function and neck mobility of the two groups of patients were compared.Result:After 3 months of intervention,the rehabilitation training knowledge score,rehabilitation training attitude score of the observation group were higher than those before intervention and those of the control group,the differences were statistically significant(P<0.05).The rehabilitation compliance training excellent rate in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).After 3 months of intervention,the scores of functional activity,muscle strength,shoulder joint range of motion and pain of the observation group were higher than those before intervention and those of the control group,the differences were statistically significant(P<0.05).After 3 months of intervention,the range of motion in terms of rotation towards the affected side,lateral flexion towards the affected side,backward extension of the lower neck in the upright position,and forward flexion of the lower neck in the upright position of the observation group were all greater than those before intervention and those of the control group,the differences were statistically significant(P<0.05).Conclusion:Shoulder and neck exercise training combined with problem oriented intervention can meet the postoperative rehabilitation knowledge needs of thyroid disease patients,change their rehabilitation training attitudes,improve their compliance with rehabilitation training,and promote their shoulder and neck function recovery.关键词
肩颈部运动训练/问题导向式干预/甲状腺/依从性/肩颈功能Key words
Shoulder and neck exercise training/Problem oriented intervention/Thyroid/Compliance/Shoulder and neck function
