Cluster analysis-based classification of neck and shoulder function characteristics in patients after neck lymph node dissection for head and neck tumors
10.3760/cma.j.cn115682-20241104-05998
- VernacularTitle:基于聚类分析的头颈肿瘤颈淋巴结清扫术后患者颈肩功能特征分类研究
- Author:
Miao SHANG
1
;
Zirong TIAN
;
Xue LIU
;
Changyun WEI
;
Xiaobo REN
Author Information
1. 首都医科大学附属北京同仁医院耳鼻咽喉头颈外科，北京 100176
- Publication Type:Journal Article
- Keywords:
Head and neck tumors;
Cluster analysis;
Neck lymph node dissection;
Neck and shoulder function
- From:
Chinese Journal of Modern Nursing
2025;31(12):1642-1649
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To identify the classification of neck and shoulder dysfunction in patients after neck lymph node dissection for head and neck tumors and analyze the characteristics of these dysfunctions.Methods:A convenience sampling method was used to select patients who underwent neck lymph node dissection and visited the Head and Neck Cancer Rehabilitation Nursing Clinic at Beijing Tongren Hospital, Capital Medical University, from March to May 2024. General data questionnaires, neck function indicators, and shoulder function symptom questionnaires were used for investigation.Results:A total of 113 patients who underwent neck lymph node dissection for head and neck tumors were included in the study. The top three neck dysfunction indicators with the highest occurrence rates were abnormal neck extension (87.6%, 99/113) , abnormal neck bending on the affected side (84.1%, 95/113) , and abnormal neck rotation on the affected side (84.1%, 95/113) . The top three shoulder dysfunction indicators with the highest occurrence rates were: abnormal shoulder flexion on the affected side (83.2%, 94/113) , abnormal shoulder abduction on the affected side (81.4%, 92/113) , and abnormal horizontal shoulder abduction on the affected side (80.5%, 91/113) . Using 18 indicators of neck and shoulder dysfunction as clustering variables, patients were classified into three groups: severe dysfunction group (53.1%, 60/113) , moderate dysfunction group (35.4%, 40/113) , and mild dysfunction group (11.5%, 13/113) . The differences in disease type and neck and shoulder function indicators between the three groups were statistically significant ( P<0.05) . Conclusions:Neck and shoulder dysfunction in patients after neck lymph node dissection for head and neck tumors is relatively severe, primarily manifesting as an abnormal range of motion. Healthcare providers should strengthen neck and shoulder function assessments in these patients and consider a range of motion exercises as a key rehabilitation program.
