以目标为导向的颈肩部锻炼指导在甲状腺癌根治术后的应用

The Application of Goal-Oriented Neck and Shoulder Exercise Guidance after Radical Thyroid Cancer Surgery

目的:探讨以目标为导向的颈肩部锻炼指导在甲状腺癌根治术后的应用效果。方法:选取2021年6月-2022年3月徐州医科大学第二附属医院收治的甲状腺癌根治术后患者90例为观察对象,随机数字表法分为对照组和观察组,各45例。对照组给予常规颈肩部锻炼指导,观察组给予以目标为导向的颈肩部锻炼指导。比较两组患者术后不良反应发生率、康复锻炼依从性、肩功能评分、术后瘢痕评分。结果:观察组术后不良反应发生率低于对照组,差异有统计学意义(P<0.05);术后1个月,观察组康复锻炼依从率高于对照组,差异有统计学意义(P<0.05);术后15 d、术后1个月,两组患者的肩功能评分升高,观察组高于对照组,差异有统计学意义(P<0.05);术后1个月,两组患者术后瘢痕评分均升高,观察组低于对照组,差异有统计学意义(P<0.05)。结论:以目标为导向的肩颈锻炼指导干预可降低甲状腺癌根治术后患者不良反应发生率,提高康复锻炼依从性,加快肩颈功能恢复,降低术后瘢痕评分。

Objective:To investigate the effect of goal-oriented neck and shoulder exercise guidance after radical thyroid cancer surgery.Methods:90 patients admitted to the Second Affiliated Hospital of Xuzhou Medical University after radical thyroid cancer surgery from June 2021 to March 2022 were selected as observation subjects,and were divided into control group and observation group by random number table method,with 45 cases in each group.The control group was given conventional neck and shoulder exercise guidance,while the observation group was given goal-oriented neck and shoulder exercise guidance.The incidence of postoperative adverse reactions,compliance with rehabilitation exercises,shoulder function scores,and postoperative scar scores were compared between the two groups.Results:The incidence of postoperative adverse reactions in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).1 month after surgery,the compliance rate of rehabilitation exercise in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).15 days after surgery and 1 month after surgery,the shoulder function scores of patients in the two groups were higher,but the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).1 month after surgery,the postoperative scar scores were higher in both groups,with the observation group being lower than the control group,and the difference was statistically significant(P<0.05).Conclusion:Goal-oriented shoulder and neck exercise guidance intervention can reduce the incidence of adverse reactions,improve rehabilitation exercise compliance,accelerate shoulder and neck function recovery,and reduce postoperative scar score in patients after radical thyroid cancer surgery.