运动处方对垂体瘤术后患者生命质量影响的研究

Effects of exercise prescription on quality of life in patients with pituitary adenomas after surgery

目的 探讨运动处方对垂体瘤术后患者生命质量的影响。方法 选取2017年12月至2018年9月符合纳入标准的经鼻蝶垂体瘤切除术后患者82例,按照就诊时间和地点分为对照组和干预组各41例。对照组实施常规护理,干预组在常规护理的基础上在术后第1天至出院后3个月内实施运动处方干预。2组患者均在入院第1天和干预3个月后行健康状况调查简表(SF-36)评分。结果 干预前,2组患者生命质量各维度评分比较差异无统计学意义(P>0.05)。对照组干预后总体健康维度评分(53.03±11.30)分,比干预前的(44.08±11.02)分显著提高,差异有统计学意义(Z值为-4.398,P<0.05);干预组干预后生理功能、生理职能、情感职能、活力、总体健康维度分别为(86.67±7.46)、(66.67±29.28)、(71.30±22.75)、(68.33±8.78)、(61.39±10.66)分,高于干预前的(84.03±9.17)、(40.28±36.49)、(62.96±30.63)、(62.22±13.60)、(47.22±13.49)分,差异有统计学意义(Z值为-4.809^-2.041,P<0.05)。干预后,干预组社会功能及生理健康评分分别为(77.18±15.71)、(73.75±10.00)分,对照组分别为(68.44±10.26)、(66.60±10.19)分,2组生理职能、总体健康、活力、社会功能以及生理健康评分比较差异有统计学意义(Z值为-3.122^-2.467,-2.987,t值为3.044,P<0.01或0.05)。无功能型干预组患者干预后生理职能、总体健康、活力、社会功能评分分别为(72.06±23.19)、(60.59±10.75)、(69.71±10.23)、(81.04±10.22)分,显著高于对照组的(47.73±27.72)、(52.50±13.16)、(62.73±10.77)、(69.70±11.97)分,2组比较差异有统计学意义(Z值为-2.832^-2.059,P<0.05或0.01)。结论 运动处方可以在一定程度上改善垂体瘤术后患者的生命质量。

Objective To investigate the effects of exercise prescription on quality of life in patients with pituitary adenomas after surgery.Methods A total of 82 patients with pituitary adenomas who met the inclusion criteria from December 2017 to September 2018 were enrolled.The control group received routine nursing care.The intervention group was given exercise prescription on the first day after surgery and 3 months after discharge from hospital.Both groups of patients completed the Health Status Survey(SF-36)before and after the intervention.Results Before the intervention,there was no significant difference in baseline date of patients between two groups(P>0.05).After intervention,the general health dimension score(53.03±11.30)of the control group was significantly higher than the score within the group before treatment(Z value was-4.398,P<0.05).The physiological function(86.67±7.46),physical function(66.67±29.28),role-emotional(71.30±22.75),vitality(68.33±8.78),general health dimension(61.39±10.66)of the intervention group were significant higher than the score within the group before treatment(Z values were-4.809--2.041,P<0.05).After the intervention,the significant difference were found in role-physical,general health,vitality,social function(77.18±15.71)and physiological health dimensions(73.75±10.00)between the intervention and control group(Z values were-3.122--2.467,t value was 3.044,P<0.05).After the intervention,non-function patients′physiological function(72.06±23.19),general health(60.59±10.75),vitality(69.71±10.23)and social function(81.04±10.22)were significantly higher than the control group(Z values were-2.832--2.059,P<0.05).Conclusion Exercise prescription can improve the quality of life in patients with pituitary adenomas after surgery.