喉癌喉切除术患者院外康复训练依从性及其影响因素调查

Investigation on out-of-hospital training compliance among patients with laryngocarcinoma after laryngectomy: the influence factors

目的:探讨喉癌喉切除术患者院外康复训练依从性状况,并分析其影响因素。方法:选取95例喉癌喉切除术后患者,采用康复锻炼依从性问卷对其进行调查,采用Logistic回归分析其影响因素。结果:95例患者依从性总分为(42.31±7.91)分,其中73.7%的患者院外康复训练依从性处于中、低水平;单因素分析结果显示不同年龄、文化程度、婚姻状况、医疗付费方式、人均月收入患者康复训练依从性差异具有统计学意义(P<0.05);Logistics回归分析发现,康复训练依从性与年龄、文化程度、人均月收入有关,差异具有统计学意义(P<0.05)。结论:喉癌喉切除术患者院外康复训练依从性较差,年龄、文化程度、人均月收入为主要影响因素。临床医护人员应采取有效的措施,提高喉癌喉切除术患者院外康复训练的依从性,改善患者生活质量。

Objective: To explore out-of-hospital training compliance among patients with laryngocarcinoma after laryngectomy, and to investigate the influencing factors. Methods: 95 patients with laryngocarcinoma after laryngectomy were investigated with a questionnaire in terms of out-of-hospital training compliance. Logistic regression was used to analyze the influencing factors. Results: The total score of compliance was(42.31±7.91), and 73.7% of the patients showed middle or low level of compliance. The single factor analysis showed that rehabilitation training compliance were related with age, cultural degree, marital status, medical payment method, family monthly income(P<0.05). binary logistic regression analysis showed that the poor compliance related to age, cultural degree, family monthly incomes, statistically significant difference (P<0.05). Conclusion: Out-of-hospital training compliance of swallowing function was at a poor level among patients with laryngocarcinoma after laryngectomy, and predicted by age, cultural degree and family monthly incomes. The clinical medical staff should take effective measures to improve the compliance of rehabilitation training in patients with laryngocarcinoma after laryngectomy and improve the quality of life of patients.