CAJ | 학술논문

　　目的探讨电话随访对鼻咽癌放疗放射性张口困难患者功能锻炼依从性的影响。方法将64例鼻咽癌放疗患者随机分为观察组33例和对照组31例，对照组在住院期间及出院时进行健康教育与功能锻练指导，观察组在对照组基础上，由专人负责电话随访，对患者在功能锻炼期间出现的和可能出现的问题进行指导。比较两组患者出院后功能锻练依从性和放疗后1年、2年时患者张口困难发生情况。结果两组患者功能锻炼依从性比较，P＜0.001，差异具有统计学意义，观察组患者功能锻炼依从性明显优于对照组；放疗后1年、2年时两组患者张口困难发生程度比较，均P＜0.05，差异具有统计学意义，观察组患者张口困难程度明显轻于对照组。结论电话随访能有效提高鼻咽癌放疗放射性张口困难患者功能锻炼依从性，降低张口困难发生率，提高患者生活质量。
　　목적탐토전화수방대비인암방료방사성장구곤난환자공능단련의종성적영향。방법장64례비인암방료환자수궤분위관찰조33례화대조조31례，대조조재주원기간급출원시진행건강교육여공능단련지도，관찰조재대조조기출상，유전인부책전화수방，대환자재공능단련기간출현적화가능출현적문제진행지도。비교량조환자출원후공능단련의종성화방료후1년、2년시환자장구곤난발생정황。결과량조환자공능단련의종성비교，P＜0.001，차이구유통계학의의，관찰조환자공능단련의종성명현우우대조조；방료후1년、2년시량조환자장구곤난발생정도비교，균P＜0.05，차이구유통계학의의，관찰조환자장구곤난정도명현경우대조조。결론전화수방능유효제고비인암방료방사성장구곤난환자공능단련의종성，강저장구곤난발생솔，제고환자생활질량。
Objective To investigate the effect of telephone call follow-up on compliance with opening-mouth exercises among nasopharyngeal carcinoma(NPC)patients with radiotherapy-induced difficulty in opening mouth.Methods Sixty four nasopharyngeal carcinoma patients undergoing radiotherapy were randomized into control group(n=31)and observation group(n=31).The former group was given health education and instructions for functional exercises of opening mouth at discharge and regular return visits after discharge,and the observation group received regular telephone call follow-ups by an appointed nurse besides the same treatment as in the control group.The two groups were compared in regard to the compliance with the exercises of opening mouth and the incidences of difficulties in opening mouth at the first and second years after discharge. Results The compliance of the observation group was significantly higher that in the control group(P<0.01).The incidences of difficulties in opening mouth in the observation group were significantly smaller than that in those of the control at the first and second years after discharge(P<0.01). Conclusion Telephone call follow-ups are effective in the improvement of compliance of functional exercises in NPC patients with radiotherapy-induced difficulty in opening mouth,the reduction of the incidence of mouth-opening problems and the improvement of their quality of life.