摘要
目的 探析综合性康复治疗对头颈部肿瘤患者放疗后情绪、体力与生活质量影响。方法 选取97例头颈部肿瘤患者作为研究对象,根据收治时间先后分为常规组(49例)和综合组(48例)。常规组采用常规康复治疗,综合组在常规组基础上采用综合性康复治疗。比较两组治疗前后焦虑、抑郁评分,治疗前后患者提供的主观整体营养状况评估量表(PG-SGA)评分、体质量,治疗前后非利手握力、生命质量测定量表(QLQ-C30)评分。结果 治疗前,两组患者焦虑、抑郁评分比较差异均无统计学意义(P>0.05);治疗后,综合组焦虑、抑郁评分分别为(5.41±2.02)、(5.87±2.35)分,均低于常规组的(7.45±3.18)、(8.39±2.66)分,差异有统计学意义(P<0.05)。治疗前,两组PG-SGA评分、体质量比较差异均无统计学意义(P>0.05);治疗后,综合组PG-SGA评分(3.27±1.50)分低于常规组的(4.35±1.44)分,且体质量(66.78±4.21)kg高于常规组的(63.99±3.24)kg,差异有统计学意义(P<0.05)。治疗前,两组患者非利手握力、QLQ-C30评分比较差异均无统计学意义(P>0.05);治疗后,综合组非利手握力(43.19±4.05)kg大于常规组的(38.62±7.16)kg,且QLQ-C30评分(52.84±7.31)分高于常规组的(48.08±7.58)分,差异有统计学意义(P<0.05)。结论 采用综合性康复治疗有利于缓解头颈部肿瘤患者的负面情绪,保证患者营养均衡,改变患者体质量,进而提高非利手握力,改善生活质量,值得推广。
Objective To discuss and analyze the effect of comprehensive rehabilitation treatment on mood,physical strength and quality of life in patients with head and neck tumors after radiotherapy.Methods A total of 97 patients with head and neck tumors were selected as the research subjects,and they were divided into conventional group(49 cases)and comprehensive group(48 cases)according to the time of admission.The conventional group received conventional rehabilitation therapy,while the comprehensive group received comprehensive rehabilitation therapy based on the conventional group.Both groups were compared in terms of of anxiety score and depression score,patient-generated subjective global assessment(PG-SGA)score,body mass,non-dominant hand grip strength,and quality of life questionnaire-core 30(QLQ-C30)before and after treatment.Results Before treatment,there was no statistically significant difference in anxiety score and depression score between the two groups(P>0.05).After treatment,the anxiety score and depression score of the comprehensive group were(5.41±2.02)and(5.87±2.35)points,which were lower than(7.45±3.18)and(8.39±2.66)points of the conventional group,and the difference was statistically significant(P<0.05).Before treatment,there was no statistically significant difference in PG-SGA score and body weight between the two groups(P>0.05).After treatment,the PG-SGA score(3.27±1.50)points of the comprehensive group was lower than(4.35±1.44)points of the conventional group,and the body mass(66.78±4.21)kg was higher than(63.99±3.24)kg of the conventional group.All the differences were statistically significant(P<0.05).Before treatment,there was no statistically significant difference in non-dominant hand grip strength and QLQ-C30 score between the two groups(P>0.05).After treatment,the non-dominant hand grip strength(43.19±4.05)kg of the comprehensive group was greater than(38.62±7.16)kg of the conventional group,and the QLQ-C30 score(52.84±7.31)points was higher than(48.08±7.58)points of the conve
作者
崔桂华
李立军
CUI Gui-hua;LI Li-jun(Zibo Fourth People's Hospital,Zibo 255067,China)
出处
《中国实用医药》
2022年第17期30-33,共4页
China Practical Medicine
关键词
综合性康复治疗
头颈部肿瘤
情绪
体力
生活质量
Comprehensive rehabilitation treatment
Head and neck tumors
Mood
Physical strength
Quality of life
