肩颈部运动训练配合问题导向式干预对甲状腺疾病患者术后依从性及肩颈功能恢复的影响OA
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
目的:探讨肩颈部运动训练配合问题导向式干预对甲状腺疾病患者术后依从性及肩颈功能恢复的影响.方法:将 2022 年 1 月—2023 年 12 月厦门大学附属第一医院收治的 92 例拟行甲状腺手术患者按随机数字表法分为两组,每组 46 例.对照组予以常规康复干预,观察组在常规康复干预同时予以肩颈部运动训练配合问题导向式干预,两组均干预至出院,并随访 3 个月.比较两组患者康复训练知识、康复训练态度、依从性、肩关节功能及颈部活动度.结果:干预后 3 个月,观察组康复训练知识评分、康复训练态度评分均高于干预前及对照组,差异均有统计学意义(P<0.05).观察组康复训练依从性优良率高于对照组,差异有统计学意义(P<0.05).干预后 3 个月,观察组功能活动、肌力、肩关节活动度及疼痛评分均高于干预前及对照组,差异均有统计学意义(P<0.05).干预后 3 个月,观察组向患侧旋转、向患侧侧屈、正位下颈部后伸、正位下颈部前屈的活动度均大于干预前及对照组,差异均有统计学意义(P<0.05).结论:肩颈部运动训练配合问题导向式干预能够满足甲状腺疾病患者术后康复知识需求,转变其康复训练态度,提高其康复训练依从性,进而促进其肩颈功能恢复.
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.
林燕惠;胡玥
厦门大学附属第一医院普外科 福建 厦门 361000
肩颈部运动训练问题导向式干预甲状腺依从性肩颈功能
Shoulder and neck exercise trainingProblem oriented interventionThyroidComplianceShoulder and neck function
《中国医学创新》 2024 (018)
125-129 / 5
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