{"id":15152,"date":"2024-03-07T08:34:30","date_gmt":"2024-03-07T00:34:30","guid":{"rendered":"https:\/\/newsletter.tcu.edu.tw\/?p=15152"},"modified":"2024-03-07T08:34:30","modified_gmt":"2024-03-07T00:34:30","slug":"%e6%85%88%e5%a4%a7%e7%a0%94%e7%a9%b6%e5%b1%85%e5%ae%b6%e9%81%8b%e5%8b%95%e8%a8%93%e7%b7%b4%e6%9c%89%e6%95%88%e6%94%b9%e5%96%84%e9%a0%ad%e9%a0%b8%e7%99%8c%e8%a1%93%e5%be%8c%e6%81%a2%e5%be%a9","status":"publish","type":"post","link":"https:\/\/newsletter.tcu.edu.tw\/?p=15152","title":{"rendered":"\u6148\u5927\u7814\u7a76\u5c45\u5bb6\u904b\u52d5\u8a13\u7df4\u6709\u6548\u6539\u5584\u982d\u9838\u764c\u8853\u5f8c\u6062\u5fa9"},"content":{"rendered":"

\u6587\uff1a\u8449\u7da0\u8212<\/span><\/p>\n

\u982d\u9838\u764c\uff08Head and Neck Cancer, HNC\uff09\u662f\u6307\u767c\u751f\u5728\u982d\u9838\u90e8\u5340\u57df\u7684\u60e1\u6027\u816b\u7624\uff0c\u5305\u62ec\u53e3\u8154\u3001\u5589\u56a8\u3001\u9f3b\u8154\u3001\u9f3b\u54bd\u3001\u7532\u72c0\u817a\u548c\u553e\u6db2\u817a\u7b49\u90e8\u4f4d\u7684\u764c\u75c7\u3002\u9019\u985e\u764c\u75c7\u7684\u6210\u56e0\u53ef\u80fd\u6d89\u53ca\u591a\u7a2e\u56e0\u7d20\uff0c\u4f8b\u5982\u62bd\u7159\u53ca\/\u6216\u56bc\u6ab3\u6994\u3001\u559d\u9152\u3001\u4eba\u985e\u4e73\u7a81\u75c5\u6bd2\uff08HPV\uff09\u611f\u67d3\u7b49\u3002<\/span><\/p>\n

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\u982d\u9838\u764c\u7684\u6cbb\u7642\u53d6\u6c7a\u65bc\u764c\u75c7\u7684\u985e\u578b\u3001\u4f4d\u7f6e\u3001\u968e\u6bb5\u4ee5\u53ca\u60a3\u8005\u7684\u6574\u9ad4\u5065\u5eb7\u72c0\u6cc1\u3002\u5e38\u898b\u7684\u6cbb\u7642\u65b9\u6cd5\u5305\u62ec\u624b\u8853\u3001\u653e\u5c04\u6cbb\u7642\u548c\u5316\u7642\uff0c\u6709\u6642\u6703\u7d50\u5408\u4f7f\u7528\u3002\u624b\u8853\u53ef\u80fd\u6d89\u53ca\u5207\u9664\u816b\u7624\u548c\u5468\u570d\u7d44\u7e54\uff0c\u800c\u653e\u5c04\u6cbb\u7642\u548c\u5316\u7642\u5247\u7528\u65bc\u6bba\u6b7b\u6216\u63a7\u5236\u764c\u7d30\u80de\u7684\u751f\u9577\u3002<\/span><\/p>\n

\u982d\u9838\u764c\u75c5\u4eba\u5728\u624b\u8853\u5f8c\u5e38\u898b\u7684\u554f\u984c\u5305\u62ec\u80a9\u90e8\u75bc\u75db\uff08SP\uff09\u548c\u80a9\u90e8\u529f\u80fd\u969c\u7919\uff08SD\uff09\u3002\u9019\u4e9b\u554f\u984c\u4e3b\u8981\u662f\u7531\u65bc\u6839\u6cbb\u6027\u9838\u90e8\u5207\u9664\u8853\u548c\u653e\u5c04\u6cbb\u7642\u4e0d\u53ef\u907f\u514d\u5730\u640d\u5bb3\u795e\u7d93\u548c\u808c\u8089\u6240\u9020\u6210\u7684\u3002\u9019\u4e9b\u4f75\u767c\u75c7\u53ef\u80fd\u5c0d\u60a3\u8005\u7684\u5065\u5eb7\u76f8\u95dc\u751f\u6d3b\u54c1\u8cea\uff08QOL\uff09\u7522\u751f\u8ca0\u9762\u5f71\u97ff\u3002\u56e0\u6b64\uff0c\u6148\u6fdf\u5927\u5b78\u8b77\u7406\u7cfb\u7ae0\u6dd1\u5a1f\u8001\u5e2b\u5c08\u6ce8\u65bc\u7814\u7a76\u5982\u4f55\u901a\u904e\u8b77\u7406\u5e2b\u4e3b\u5c0e\u7684\u5c45\u5bb6\u904b\u52d5\u8a13\u7df4\u4f86\u6539\u5584\u9019\u4e9b\u624b\u8853\u5f8c\u7684\u5e38\u898b\u554f\u984c\u3002<\/span><\/p>\n

\u9032\u884c\u5c45\u5bb6\u904b\u52d5\u8a13\u7df4\uff08HBET\uff09\u7684\u539f\u56e0\u662f\u57fa\u65bc\u5176\u76f8\u5c0d\u65bc\u91ab\u9662\u57fa\u790e\u904b\u52d5\u8a13\u7df4\u7684\u591a\u9805\u512a\u52e2\u3002\u9019\u4e9b\u512a\u52e2\u5305\u62ec\uff1a\u76f8\u5c0d\u5bb9\u6613\u57f7\u884c\u3001\u8f03\u4f4e\u7684\u91ab\u7642\u6210\u672c\u3001\u7121\u9700\u4f9d\u8cf4\u7279\u6b8a\u8a2d\u5099\u3001\u7bc0\u7701\u524d\u5f80\u91ab\u9662\u7684\u4ea4\u901a\u6642\u9593\uff0c\u4ee5\u53ca\u964d\u4f4e\u5c0d\u91ab\u9662\u53ef\u7528\u6027\u7684\u64d4\u6182\u3002\u6b64\u5916\uff0c\u982d\u9838\u764c\u60a3\u8005\u5728\u63a5\u53d7\u8853\u5f8c\u904b\u52d5\u8a13\u7df4\u6642\uff0c\u9700\u8981\u8003\u616e\u5230\u4ed6\u5011\u7684\u8eab\u9ad4\u72c0\u6cc1\u3001\u52d5\u6a5f\u3001\u610f\u9858\u3001\u9069\u61c9\u6027\u4ee5\u53ca\u5c0d\u904b\u52d5\u8a08\u5283\u7684\u9075\u5faa\u5ea6\u3002\u56e0\u6b64\uff0c\u8b77\u7406\u5e2b\u5728\u9019\u4e9b\u968e\u6bb5\u53c3\u8207\u75c5\u4eba\u7167\u8b77\uff0c\u5229\u7528\u4ed6\u5011\u7684\u5c08\u696d\u6280\u80fd\u548c\u77e5\u8b58\uff0c\u70ba\u982d\u9838\u764c\u60a3\u8005\u63d0\u4f9b\u4fe1\u606f\u652f\u6301\u548c\u8f14\u5c0e\u3002<\/span><\/p>\n

\u7814\u7a76\u5c0d\u8c61\u70ba40\u540d\u65b0\u8a3a\u65b7\u7684\u982d\u9838\u764c\u60a3\u8005\uff0c\u4ed6\u5011\u88ab\u96a8\u6a5f\u5206\u70ba\u5169\u7d44\uff1a\u63a7\u5236\u7d44\u548c\u4ecb\u5165\u7d44\u3002\u5169\u7d44\u90fd\u9032\u884c\u4e86\u70ba\u671f12\u9031\u7684\u5c45\u5bb6\u904b\u52d5\u8a13\u7df4\u8a08\u5283\uff0c\u4f46\u53ea\u6709\u4ecb\u5165\u7d44\u63a5\u53d7\u4e86\u8b77\u7406\u5e2b\u7684\u500b\u5225\u54a8\u8a62\u548c\u6307\u5c0e\u3002\u7814\u7a76\u8a55\u4f30\u4e86\u80a9\u90e8\u75bc\u75db\u3001\u80a9\u90e8\u529f\u80fd\u969c\u7919\u548c\u751f\u6d3b\u54c1\u8cea\u7b49\u591a\u65b9\u9762\u7684\u6307\u6a19\u3002\u901a\u904e\u9019\u4e9b\u5be6\u9a57\uff0c\u7814\u7a76\u8a66\u5716\u4e86\u89e3\u9019\u7a2e\u4ecb\u5165\u63aa\u65bd\u5c0d\u60a3\u8005\u5eb7\u5fa9\u7684\u6548\u679c\u3002<\/span><\/p>\n

HBET\uff08\u5c45\u5bb6\u904b\u52d5\u8a13\u7df4\u8a08\u5283\uff09\u662f\u7531\u53f0\u7063\u764c\u75c7\u57fa\u91d1\u6703\u63d0\u4f9b\u7684\u4e00\u5957\u5c08\u9580\u70ba\u982d\u9838\u764c\u60a3\u8005\u8a2d\u8a08\u7684\u904b\u52d5\u8a13\u7df4\u624b\u518a\u548c\u5f71\u7247\u3002\u9019\u5957\u8a13\u7df4\u8a08\u5283\u662f\u7531\u764c\u75c7\u548c\u904b\u52d5\u5c08\u5bb6\u958b\u767c\u4e26\u9a57\u8b49\u7684\uff0c\u76ee\u7684\u662f\u9f13\u52f5\u982d\u9838\u764c\u60a3\u8005\u81ea\u884c\u5728\u5bb6\u4e2d\u9032\u884c\u904b\u52d5\u3002<\/span><\/p>\n

\u9019\u4e9b\u5c08\u9580\u7167\u9867\u982d\u9838\u764c\u75c5\u4eba\u7684\u8b77\u7406\u5e2b\u63a5\u53d7\u4e86\u70ba\u671f\u4e00\u500b\u6708\u7684HBET\uff08\u5c45\u5bb6\u904b\u52d5\u8a13\u7df4\u8a08\u5283\uff09\u8a13\u7df4\uff0c\u7531\u5916\u79d1\u816b\u7624\u548c\u5eb7\u5fa9\u5c08\u5bb6\u6307\u5c0e\u3002\u9019\u6a23\u7684\u8a13\u7df4\u4f7f\u8b77\u7406\u5e2b\u80fd\u5920\u9069\u7576\u5730\u8003\u616e\u5230HBET\u76f8\u95dc\u7684\u7279\u6b8a\u554f\u984c\uff0c\u4e26\u78ba\u4fdd\u904b\u52d5\u7684\u5b89\u5168\u6027\u3002\u8a13\u7df4\u5f8c\uff0c\u9019\u4e9b\u8b77\u7406\u5e2b\u6703\u5728\u75c5\u623f\u4e2d\u8a2a\u554f\u4ecb\u5165\u7d44\u7684\u75c5\u4eba\uff0c\u63d0\u4f9b\u6307\u5c0e\u4e26\u5c55\u793aHBET\u4e2d\u7684\u6bcf\u500b\u8a13\u7df4\u52d5\u4f5c\uff0c\u9019\u662f\u5728\u624b\u8853\u524d\u548c\u624b\u8853\u5f8c2\u9031\u9032\u884c\u7684\u3002\u6b64\u5916\uff0c\u8b77\u7406\u5e2b\u9084\u6703\u5728\u7814\u7a76\u671f\u9593\u63d0\u4f9b\u6bcf\u9031\u96fb\u8a71\u96a8\u8a2a\uff0c\u4ee5\u8ffd\u8e64\u75c5\u4eba\u7684\u904b\u52d5\u8868\u73fe\uff0c\u4e26\u63d0\u4f9b\u652f\u6301\u548c\u8aee\u8a62\u3002<\/span><\/p>\n

\u7814\u7a76\u5718\u968a\u5148\u5728\u624b\u8853\u524d2\u9031\u6536\u96c6\u4e86\u57fa\u7dda\u6578\u64da\uff0c\u63a5\u8457\u5728\u624b\u8853\u5f8c2\u9031\u30014\u9031\u30018\u9031\u548c12\u9031\u90fd\u9032\u884c\u4e86\u6e2c\u8a66\u3002<\/span><\/p>\n

\u5728\u80a9\u90e8\u75bc\u75db\uff08SP\uff09\u65b9\u9762\uff0c\u5be6\u9a57\u7d44\u5728\u624b\u8853\u5f8c\u7b2c\u4e8c\u9031\u5c31\u986f\u793a\u51fa\u4e86\u6539\u5584\uff0c\u800c\u80a9\u90e8\u529f\u80fd\u969c\u7919\uff08SD\uff09\u548c\u751f\u6d3b\u54c1\u8cea\uff08QOL\uff09\u7684\u6539\u5584\u5247\u5206\u5225\u5728\u8853\u5f8c\u7b2c\u56db\u9031\u8207\u8853\u5f8c\u7b2c\u5341\u4e8c\u9031\u3002\u6574\u500b\u5341\u4e8c\u9031\u7684\u7814\u7a76\u671f\u9593\u5167\uff0c\u5be6\u9a57\u7d44\u5728\u9019\u4e09\u9805\u6307\u6a19\u4e0a\u90fd\u986f\u793a\u4e86\u986f\u8457\u7684\u6539\u5584\uff0c\u8207\u5c0d\u7167\u7d44\u76f8\u6bd4\uff0c\u5728\u624b\u8853\u5f8c\u7b2c\u5341\u4e8c\u9031\u6642\u7684\u6539\u5584\u5c24\u5176\u660e\u986f\u3002\u9019\u610f\u5473\u8457\u80a9\u90e8\u75bc\u75db\u7684\u6539\u5584\u6bd4\u80a9\u90e8\u529f\u80fd\u969c\u7919\u548c\u751f\u6d3b\u54c1\u8cea\u7684\u6539\u5584\u4f86\u5f97\u66f4\u5feb\u3001\u66f4\u660e\u986f\u3002<\/span><\/p>\n

\u9019\u9805\u7814\u7a76\u986f\u793a\uff0c\u8b77\u7406\u5e2b\u4e3b\u5c0e\u7684\u8853\u5f8c\u5c45\u5bb6\u904b\u52d5\u8a13\u7df4\u80fd\u6709\u6548\u6539\u5584\u65b0\u8a3a\u65b7\u982d\u9838\u764c\u75c5\u4eba\u5728\u624b\u8853\u5f8c\u7684\u76f8\u95dc\u75c7\u72c0\u548c\u751f\u6d3b\u54c1\u8cea\u3002<\/span><\/p>\n

\u53c3\u8003\u6587\u737b\uff1a<\/span><\/p>\n

Hong, Y.-L.; Hsieh, T.-C.; Chen, P.-R.; Chang, S.-C. Nurse-Led Counseling Intervention of Postoperative Home-Based Exercise Training Improves Shoulder Pain, Shoulder Disability, and Quality of Life in Newly Diagnosed Head and Neck Cancer Patients. J. Clin. Med. 2022, 11, 4032. https:\/\/doi.org\/ 10.3390\/jcm11144032<\/span><\/p>\n

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