基于移动医疗的居家运动康复对改善肝癌术后患者肌力及生活质量的效果观察

关键词：肝肿瘤  运动康复  移动医疗  下肢肌力  生活质量

Keywords:liver neoplasms  exercise rehabilitation  mobile health  lower limb muscle strength  quality of life

摘要：

      摘要 目的：探讨基于移动医疗的居家运动康复应用于肝癌手术患者出院后下肢肌力和生活质量的影响。 方法：选取2022年6月—2023年8月于两家三甲医院行手术治疗的肝癌患者100例，其中对照组50例，干预组50例，分别指导其进行3周居家运动锻炼。对照组给予居家康复运动手册指导，干预组在此运动处方的基础上制定基于移动医疗的运动康复，干预后比较两组的肌力和生活质量水平。 结果：基于移动医疗的运动康复的患者在干预3周后下肢肌力显著高于对照组（P<0.05），生活质量领域中的疲劳和恶心呕吐症状较对照组均得到显著性改善（P<0.05）。 结论：基于移动医疗的居家运动康复可有效改善肝癌手术患者出院后下肢肌力下降、疲劳和恶心呕吐症状，是提高肝癌出院后患者康复的有效途径。

Abstract:

      Abstract Objective： To explore the effects of mHealth-based home exercise rehabilitation on lower limb muscle strength and quality of life in liver cancer surgery patients after discharge from the hospital. Method： One hundred cases of hepatocellular carcinoma patients who underwent surgery in two tertiary hospitals from June 2022 to August 2023 were selected， including 50 cases in the control group and 50 cases in the intervention group. The patients were instructed to carry out home exercise for 3 weeks respectively. The control group was given a home rehabilitation exercise manual， while the intervention group developed mHealth-based exercise rehabilitation based on this exercise prescription. The muscle strength and quality of life levels of the two groups were compared after the intervention. Result： Patients with mHealth-based exercise rehabilitation had significantly higher lower limb muscle strength than the control group after 3 weeks of intervention （P<0.05）. The fatigue and nausea, and vomiting symptoms in the quality of life domains were significantly improved compared with the control group （P<0.05）. Conclusion： Home-based exercise rehabilitation based on mHealth can effectively improve lower limb muscle strength， fatigue, and nausea and vomiting symptoms in patients discharged from the hospital after surgery for hepatocellular carcinoma. It is an effective way to improve the rehabilitation of patients discharged from the hospital for hepatocellular carcinoma.