Influencing factors on willingness to participate in shoulder and neck rehabilitative exercise in laryngeal cancer patients after neck dissection surgery
10.3760/cma.j.issn.1674-2907.2017.31.007
- VernacularTitle:喉癌颈淋巴清扫患者参加肩颈康复锻炼意愿影响因素分析
- Author:
Peixia WU
1
;
Junyi CHEN
;
Zhengrong PENG
Author Information
1. 复旦大学附属眼耳鼻喉科医院手术室
- Keywords:
Laryngeal neoplasms;
Neck dissection;
Rehabilitative exercise;
Influencing factors
- From:
Chinese Journal of Modern Nursing
2017;23(31):3965-3968
- CountryChina
- Language:Chinese
-
Abstract:
Objective To identity factors influencing willingness to participate in shoulder and neck rehabilitative exercise in laryngeal cancer patients after neck dissection surgery, and to provide reference for subject recruitment in research of similar kind. Methods Between December 2014 to December 2015, when study was conducted to subjects participating in shoulder and neck rehabilitative exercise in laryngeal cancer patients after neck dissection surgery, demographic and disease-related data of patients in two groups (those who were willing /unwilling to participate in the study) were retrospectively analyzed. Binary Logistic regression analysis was used to identify predictive factors influencing willingness to participate in shoulder and neck rehabilitative exercise in laryngeal cancer patients after neck dissection surgery. Results It was revealed by single factor analysis that differences of the following variables between the two groups were statistically significant: age (t=-3.12, P=0.001), whether living in solitude (χ2=4.55, P=0.030), whether currently employed (χ2=9.92, P=0.002), whether with other chronic diseases (χ2=7.91, P=0.004), and whether with radiotherapy after surgery (χ2=4.95, P=0.030); no statistical differences were found regarding tumor location, staging, or neck dissection method (P>0.05). Binary Logistic regression analysis indicated that age (OR=0.71, P=0.001), living alone (OR=0.76, P=0.005) and postoperative radiotherapy (OR=0.88, P=0.001) were predictors of patients' participation in shoulder and neck rehabilitation exercise. Conclusions Certain demographic factors may play a role in the patients' decision on whether or not to participate in shoulder and neck rehabilitation exercise. Senior patients and patients who live alone showa bigger tendency of refusing to attend the exercises. Also, postoperative radiotherapy reduces the patients' willingness in participating in shoulder and neck rehabilitation exercise.
