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构建和验证甲状腺癌手术后肩膀和部不适的康复护理计划:一个试点随机对照试验
Qiuqin Xu1,2, Hongzhan Jiang3, Yuanchan Li4
1Xiamen Hospital, Beijing University of Chinese Medicine, Xiamen, China.
Medicine
|August 16, 2024
概括
一个新的护理计划有效地减少了甲状腺癌幸存者的肩膀和部不适. 该计划改善了患者的自我效能和生活质量,证明了其在术后康复中的价值.
科学领域:
- 瘤学 护理 护理专业
- 手术康复手术康复
- 患者报告的结果
背景情况:
- 甲状腺癌手术经常导致肩膀和部不适.
- 现有的干预措施可能无法完全解决手术后的挑战.
- 赋权理论为以患者为中心的康复提供了一个框架.
研究的目的:
- 开发一个护理计划,用于预防肩部和部不适,并在甲状腺癌手术后进行康复.
- 为了评估这种基于赋权理论的护理计划的有效性.
主要方法:
- 使用文献综述和德尔菲方法开发了一个全面的护理计划.
- 一项随机对照试验涉及62名患者,分为干预或对照组.
- 使用统计测试评估了包括肩部/部功能,自我效能和生活质量在内的结果.
主要成果:
- 干预组在计划后显示出明显更高的自我有效性得分.
- 干预组的情绪功能,认知功能和整体健康状况得到了改善.
- 与对照组相比,干预组报告疼痛得分较低,肩关节功能更好.
结论:
- 开发的护理计划有效地缓解甲状腺癌手术后的肩膀和部不适.
- 该计划显著提高了患者的自我效能,并改善了整体生活质量.
- 这种方法为甲状腺癌患者的术后康复提供了有价值的框架.
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