摘要
目的分析作业疗法对非小细胞肺癌(non-small cell lung cancer,NSCLC)术后康复的临床疗效。方法选择2022年11月至2023年11月我院收治的62例NSCLC患者,术后采取常规肺功能康复训练为对照组30例,在对照组基础上采用作业疗法为观察组32例。检测两组治疗前后用力肺活量(the forced vital capacity,FVC)、呼气高峰流量(peak expiratory flow,PEF)、最大通气量(maximal voluntary ventilation,MVV)等肺功能情况;检测6 min步行距离(6-minute walk distance,6MWD);采用日常生活活动量表(activity of daily living,ADL)判断两组生活能力;统计两组健康行为达标率;采用肺癌患者生活质量测定量表(functional assessment of cancer therapy-lung,FACT-L)评价两组治疗前后生活质量。结果观察组治疗前、治疗2个月后、治疗3个月后FVC分别为(1.34±0.19)L、(1.82±0.21)L、(2.36±0.24)L,对照组治疗前、治疗2个月后、治疗3个月后FVC分别为(1.33±0.18)L、(1.39±0.25)L、(1.83±0.22)L,观察组FVC高于对照组(P<0.05);观察组治疗前、治疗2个月后、治疗3个月后PEF分别为(165.28±33.07)L/min、(195.30±31.27)L/min、(230.64±38.18)L/min,对照组治疗前、治疗2个月后、治疗3个月后PEF分别为(163.90±30.25)L/min、(170.25±29.53)L/min、(194.48±35.03)L/min,观察组PEF高于对照组(P<0.05);观察组治疗前、治疗2个月后、治疗3个月后MVV分别为(47.19±9.92)L、(58.43±10.35)L、(68.19±13.05)L,对照组治疗前、治疗2个月后、治疗3个月后MVV分别为(46.02±8.36)L、(50.21±9.27)L、(58.34±11.14)L,观察组MVV高于对照组(P<0.05);观察组治疗后6MWD(438.83±38.22)m高于对照组(389.36±36.24)m(P<0.05);观察组治疗后ADL评分(63.65±2.94)分高于对照组(59.83±2.15)分(P<0.05);观察组治疗后健康行为达标率规范饮食81.25%、适宜运动87.50%、遵医用药84.38%、定期复查90.63%和睡眠休息84.38%高于对照组(63.33%、73.33%、66.67%、76.67%、66.67%)(P<0.05);观察组治疗后FACT-L评分较对�
Objective To retrospectively analyze the effect of occupational therapy on postoperative rehabilitation of patients with non⁃small cell lung cancer(NSCLC).Methods A total of 62 patients with NSCLC admitted to our hospital from November 2022 to November 2023 were selected.Among them,30 patients were treated with routine pulmonary function rehabilitation training after surgery as the control group,and 32 patients were treated with occupational therapy for 3 months on the basis of that as the observation group.The pulmonary function such as forced vital capacity(FVC),peak expiratory flow(PEF)and maximum ventilation(MVV)were detected before and after treatment in the two groups.The 6⁃minute walking distance(6MWD)was measured.The activities of daily living scale(ADL)was used to evaluate the living ability of the two groups.The compliance rate of health behavior of the two groups was counted.Functional Assessment of Cancer Therapy⁃Lung(FACT⁃L)was used to evaluate the quality of life of the two groups before and after treatment.Result The FVC of the observation group before treatment,2 months after treatment and 3 months after treatment were(1.34±0.19)L,(1.82±0.21)L and(2.36±0.24)L,respectively.The FVC of the control group before treatment,2 months after treatment and 3 months after treatment were(1.33±0.18)L,(1.39±0.25)L and(1.83±0.22)L,respectively.The FVC of the observation group was higher than that of the control group(P<0.05).The PEF of the observation group before treatment,2 months after treatment and 3 months after treatment were(165.28±33.07)L/min,(195.30±31.27)L/min and(230.64±38.18)L/min,respectively.The PEF of the control group before treatment,2 months after treatment and 3 months after treatment were(163.90±30.25)L/min,(170.25±29.53)L/min and(194.48±35.03)L/min,respectively.The PEF of the observation group was higher than that of the control group(P<0.05).The MVV of the observation group before treatment,2 months after treatment and 3 months after treatment were(47.19±9.92)L,(58.43±1
作者
白丽丽
江榆
黄亮亮
白莹
张敏
Bai Lili;Jiang Yu;Huang Liangliang;BAI Ying;Zhang Min(Department of Respiratory and Critical Care Medicine,Yan′an People′s Hospital,Yan′an,Shaanxi 716000;Department of Hepatology,Yulin Hospital of Traditional Chinese Medicine,Shanxi Yulin 719000;Department of Thoracic Surgery,Yan′an People′s Hospital,Yan′an,Shaanxi 716000)
出处
《中华肺部疾病杂志（电子版）》
2024年第3期411-415,共5页
Chinese Journal of Lung Diseases(Electronic Edition)
基金
陕西省科技厅的项目(2018JQ3073)。
关键词
非小细胞肺癌
作业疗法
功能障碍
康复医学
Non⁃small cell lung cancer
Occupational therapy
Dysfunction
Rehabilitation medicine
