摘要
目的探究渐进性肌肉放松训练结合颈肩臂功能锻炼对甲状腺癌术后患者肩关节功能及睡眠质量的影响.方法选取该院2020年3—12月收治的76例甲状腺癌术后患者,按照随机数字表法分为对照组和观察组,每组38例.对照组采用常规康复训练,观察组采用渐进性肌肉放松训练结合颈肩臂功能锻炼.比较两组干预前后肩关节功能及睡眠质量.结果干预前,两组各项肩关节功能评分、各项睡眠质量评分比较,组间差异无统计学意义(P>0.05).干预后,观察组疼痛、肩关节活动范围、肌力、日常生活能力及局部形态评分均高于对照组,睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物及日间功能评分均低于对照组,组间差异有统计学意义(P<0.05).结论渐进性肌肉放松训练结合颈肩臂功能锻炼能够有效改善甲状腺癌术后患者的肩关节功能,提高其睡眠质量,促进其术后恢复,值得推广应用.
Objective To explore the effect of progressive muscle relaxation training combined with neck,shoulder and arm functional exercises on shoulder joint function and sleep quality of patients after thyroid cancer surgery.Methods The 76 postoperative patients with thyroid cancer admitted to the hospital from March to December 2020 were selected and divided into a control group and an observation group according to a random number table,with 38 cases in each group.The control group used conventional rehabilitation training,and the observation group used progressive muscle relaxation training combined with neck,shoulder and arm functional exercises.The shoulder joint function and sleep quality before and after intervention were compared between the two groups.Results Before the intervention,there was no statistically significant difference between the two groups of shoulder joint function scores and sleep quality scores(P>0.05).After the intervention,the pain,shoulder joint range of motion,muscle strength,ability of daily living,and local morphology scores in the observation group were higher than those in the control group,sleep quality,time to fall asleep,sleep time,sleep efficiency,sleep disorders,hypnotics,and daytime function scores were all lower than those of the control group,the differences between the groups were statistically significant(P<0.05).Conclusion Progressive muscle relaxation training combined with neck,shoulder and arm functional exercises can effectively improve the shoulder joint function of patients after thyroid cancer surgery,improve their sleep quality,and promote their postoperative recovery.It is worthy of popularization and application.
作者
王宁
刘红
WANG Ning;LIU Hong(Department of General Surgery,Kuanren Hospital of North Chongqing,Chongqing,400000,China)
出处
《反射疗法与康复医学》
2021年第17期135-137,141,共4页
Reflexology And Rehabilitation Medicine
关键词
甲状腺癌
手术
渐进性肌肉放松训练
颈肩臂功能训练
肩关节功能
睡眠质量
Thyroid cancer
Surgery
Progressive muscle relaxation training
Neck,shoulder and arm function training
Shoulder joint function
Sleep quality
作者简介
王宁(1981-),男,内蒙古乌兰察布人,硕士研究生,主治医师,研究方向:乳甲外科临床;通讯作者:刘红(1983-),女,重庆人,大专,主管护师,研究方向:普外科护理,邮箱:157334376@qq.com。
