基于微信平台的甲状腺癌术后患者居家康复运动情况的回顾性分析

Retrospective analysis of home rehabilitation exercises after surgery in patients with thyroid cancer based on WeChat platform

目的分析基于微信平台的甲状腺癌术后患者居家康复运动情况及效果。方法回顾性分析2021年2-6月于该院接受手术治疗的甲状腺癌术后患者临床资料,根据随访患者出院后基于微信平台进行居家康复运动情况分为视频康复组和对照组。比较两组患者术后居家康复运动达标率,术后1、2、3个月无手术区域不适症状患者占比,以及术后生活质量的差异。结果共纳入患者112例,视频康复组59例,对照组53例,两组患者年龄、性别、病理分型、手术方式、手术时间及住院时间等一般资料均无明显差异(P>0.05)。视频康复组术后居家康复运动达标率明显高于对照组(66.1%vs.39.6%,P=0.005),且术后3个月内不同时期无手术区域不适症状患者占比更高(P=0.021)。术后3个月,视频康复组甲状腺癌特异性生活质量问卷评分低于对照组,但差异无统计学意义[(59.06±11.38)分vs.(63.41±15.38)分,P=0.132]。结论通过微信平台提供指导视频可有效提高患者术后居家康复运动达标率,促进患者术后手术区域不适症状消退。

Objective To analyze the home-based rehabilitation exercises situation and effect after surgery in the patients with thyroid cancer based on the WeChat platform.Methods The clinical data of the patients with thyroid cancer receiving surgical treatment in this hospital from February to June 2021 were retrospectively analyzed.According to the follow-up of the patients’home-based rehabilitation exercises based on the WeChat platform after discharge,the patients were divided into the video rehabilitation group and control group.The reaching standard rates of home-based rehabilitation exercise after surgery,the proportion of the patients without discomfort symptoms in the operation area on postoperative 1,2 and 3 months,and the quality of life were compared between the two groups.Results A total of 112 patients were included.There were 59 cases in the video rehabilitation group and 53 cases in the control group.There was no significant difference in the general information such as the age,gender,pathologic type,operation mode,operation time and hospitalization duration between the two groups(P>0.05).The reaching standard rate of postoperative home-base rehabilitation exercises in the video rehabilitation group was significantly higher than that in the control group(66.1%vs.39.6%,P=0.005),moreover the proportions of the patients without discomfort symptoms in the operation area during the different periods within postoperative 3 months was higher than those in the control group(P=0.021).The score of the thyroid cancer-specific quality of life questionnaire on postoperative 3 months in the video rehabilitation group was lower than that in the control group,but the difference was not statistically significant[(59.06±11.38)points vs.(63.41±15.38)points,P=0.132].Conclusion Providing the guidance videos through the WeChat platform could effectively improve the reaching standard rate of postoperative home-based rehabilitation exercise in the patients,and promotes the disappearance of discomfort symptoms in the surgical area after surgery for the patients.