摘要
目的探究口腔按摩结合引导式张口训练操对鼻咽癌放疗后张口困难患者康复效果的影响.方法选取2020年1月—2021年9月本院收治的鼻咽癌放疗后张口困难患者96例,按照随机数字表法分为对照组和观察组,每组48例.对照组实施引导式张口训练操,观察组在对照组基础上实施口腔按摩,均持续干预3个月.比较两组张口训练依从性、张口困难程度、口咽疼痛及舒适度、生活质量.结果观察组张口训练依从性为95.83%,高于对照组的79.17%,张口困难程度分级优于对照组,组间差异有统计学意义(P<0.05).干预前,两组口咽视觉模拟评分法评分、线性视觉模拟评分标尺评分、头颈癌生命质量测定量表评分比较,组间差异无统计学意义(P>0.05);干预后,观察组口咽视觉模拟评分法评分(1.93±0.25)分、线性视觉模拟评分标尺评分(2.64±0.47)分均低于对照组,头颈癌生命质量测定量表中生理功能评分(22.24±2.17)分、社会功能评分(22.72±1.90)分、心理功能评分(33.22±2.20)分、共性症状及副作用评分(27.17±2.04)分、特异模块评分(46.24±3.80)分均高于对照组,组间差异有统计学意义(P<0.05).结论口腔按摩结合引导式张口训练操能够有效提高鼻咽癌放疗后张口困难患者张口训练依从性,改善张口困难程度,减轻口咽疼痛,提高口腔舒适度,进而提升生活质量.
Objective To explore the effect of oral massage combined with guided mouth opening training exercises on the rehabilitation effect of patients with difficult mouth opening after radiotherapy for nasopharyngeal carcinoma.Methods A total of 96 patients with difficult mouth opening after radiotherapy for nasopharyngeal carcinoma who were admitted to the hospital from January 2020 to September 2021 were selected and divided into the control group and the observation group according to the random number table method,with 48 cases in each group.The control group was given guided mouth opening training exercises,while the observation group was given oral massage on the basis of the control group,and the intervention continued for 3 months.The compliance of mouth opening exercise,degree of difficulty in opening mouth,oropharyngeal pain and comfort,and quality of life were compared between the two groups.Results The compliance of mouth opening exercise in the observation group was 95.83%,which was higher than 79.17%in the control group,and the degree of difficulty in opening the mouth was better than that in the control group,and the differences were statistically significant(P<0.05).Before the intervention,there was no significant difference in the oropharyngeal visual analogue scale score,the linear visual analogue scale score,and the quality of life instrument for cancer patients-head and neck cancer score between the two groups(P>0.05);after the intervention,the oropharyngeal visual analogue scale score(1.93±0.25)points and the linear visual analogue scale score(2.64±0.47)points in the observation group were lower than those in the control group,and the physiological function score in the quality of life instrument for cancer patients-head and neck cancer score(22.24±2.17)points,social function score(22.72±1.90)points,psychological function score(33.22±2.20)points,common symptoms and side effects score(27.17±2.04)points,specific module score(46.24±3.80)points were higher than those in the control group,the diff
作者
李娟
黄晓清
罗妍
黄东梅
钟方茹
邓心念
LI Juan;HUANG Xiaoqing;LUO Yan;HUANG Dongmei;ZHONG Fangru;DENG Xinnian(Department of Radiation Oncology,The Third Affiliated Hospital,Sun Yat-Sen University,Guangzhou Guangdong,510630,China)
出处
《反射疗法与康复医学》
2022年第5期80-84,共5页
Reflexology And Rehabilitation Medicine
关键词
鼻咽癌
放疗
口腔按摩
引导式张口训练操
张口困难
生活质量
Nasopharyngeal carcinoma
Radiotherapy
Oral massage
Guided mouth opening exercises
Difficulty opening mouth
Quality of life
