喉癌颈淋巴清扫参加肩颈康复锻炼意愿的影响因素分析  

Analysis of influencing factors on the willingness of participating in rehabilitation exercise of shoulder and neck after cervical lymph node dissection in laryngeal cancer patients

作　　者：凌素萍 周宇[1] 丁悦 LING Su-ping;ZHOU Yu;DING Yue

机构地区：[1]江苏省泰州市人民医院耳鼻咽喉头颈外科

出　　处：《护理实践与研究》2019年第22期24-26,共3页Nursing Practice and Research

摘　　要：目的探讨喉癌颈淋巴清扫参加肩颈康复锻炼意愿的影响因素。方法通过康复锻炼依从性量表评价,选择我院2015年3月至2019年3月喉癌颈淋巴清扫后30例肩颈康复锻炼依从性良好以及30例肩颈康复锻炼依从性差者为研究对象,分别设为依从组与不依从组,对比两组患者的临床资料,采用单因素分析和多因素logistic回归分析喉癌颈淋巴清扫参加肩颈康复锻炼意愿的影响因素。结果单因素分析显示,性别、文化程度、KPS评分、手术类型、颈淋巴清扫术式、肿瘤部位、T分期、病理类型、N分期均对喉癌颈淋巴清扫参加肩颈康复锻炼意愿的影响无统计学意义(P> 0. 05),而年龄、合并其他慢性疾病、在职、术后放疗以及独居是影响喉癌颈淋巴清扫参加肩颈康复锻炼意愿的相关因素(P <0. 05);多因素logistic回归分析显示,年龄> 65岁、独居、术后放疗是影响喉癌颈淋巴清扫参加肩颈康复锻炼意愿的独立危险因素(P <0. 05)。结论影响喉癌颈淋巴清扫参加肩颈康复锻炼意愿的因素较多,临床应采取针对性干预措施。Objective To explore the influencing factors of willingness of participating in rehabilitation exercise of shoulder and neck after cervical lymph node dissection in laryngeal cancer patients. Methods To select 30 cases of laryngeal cancer patients with well compliance of neck and neck rehabilitation exercise and 30 cases of laryngeal cancer patients with poorer compliance shoulder and neck rehabilitation exercise after cervical lymph node dissection in our hospital from March 2015 to March 2019 as a study object through the evaluation of rehabilitation exercise compliance scale. We respectively divided them into the compliance group and the non-compliance group to compare the clinical data of the two groups. Univariate analysis and multivariate logistic regression were used to analyze the influencing factors of the cervical lymph node dissection of the laryngeal cancer. Results Univariate analysis showed that gender,education level,KPS score,type of surgery,cervical lymph node dissection,tumor location,T stage,pathological type,and N stage the influencing of which on the willingness of participating in rehabilitation exercise of shoulder and neck after cervical lymph node dissection in laryngeal cancer patients wasn’t statistically significant( P > 0. 05),but age,concurrent other chronic diseases,on-the-job,postoperative radiotherapy,and solitary living were the related factors influencing the willingness participating in rehabilitation exercise of shoulder and neck after cervical lymph node dissection in laryngeal cancer patients( P < 0. 05). Multivariate logistic regression analysis showed that age > 65 years old,solitary living and postoperative radiotherapy were an independent risk factor influencing the willingness of participating in rehabilitation exercise of shoulder and neck after cervical lymph node dissection in laryngeal cancer patients( P < 0. 05). Conclusion There were many factors influencing the the willingness of participating in rehabilitation exercise of shoulder and neck after cervical lymph

关 键 词：喉癌 颈淋巴清扫 肩颈康复锻炼 影响因素 

分 类 号：R473.[医药卫生—护理学]