摘要
[目的]了解喉癌病人全喉切除术后的生存质量及自护技能的需求和掌握情况,探讨并制定一套临床有效、可行的心理、行为干预模式。[方法]通过设立干预组和对照组,对所有病人进行气管造口相关知识自护技能掌握情况及生存质量问卷调查,干预组在集中培训过程中进行心理行为干预。[结果]干预组干预后与未采取干预措施的对照组相比,除对环境适宜的掌握、使用电子喉交流差异无统计学意义外,其余各项掌握正确率干预组明显高于对照组。重复测量方差分析显示,对活动能力、娱乐消遣、工作、说话交流,干预效应有统计学意义,在心理行为干预后,病人得分增高;而对咀嚼、吞咽、肩部功能,干预效应则无统计学意义。[结论]对全喉切除术后病人进行心理行为干预后,提高了病人对气管造口知识的掌握程度,改善了病人生存质量。
Objective. To know the quality of life and demands and mastering of self- care skills of laryngocarcinoma patients after undergoing total laryn- gectomy, to probe into and to work out an effective and feasible psychologi- cal and behavioral intervention model in clinic,so as to enhance the quality of life of patients. Methods. Patients were divided into intervention and control group randomly. All patients were investigated by filling out questionnaires about tracheostomy related knowledge, mastering of self - care skills and their quality of life. Patients of intervention group accepted psychological and behavioral intervention during their concentrated training. However, control group cases did not get any intervention. Results. There were significant differences between the two group cases in terms of correct rates in masteries of knowledge of every item, except the mastery of suitable circumstances and using electronic larynx to communicate. The correct rate of intervention group was significantly higher than that of control group. Through repeated measuring variance analysis, there were significant differences in terms of ac- tivity, entertainment ,work and communication of patients between interven- tion and control group. However, there was no significant difference in terms of chewing, swallowing, shoulder function between the two groups. Conclu- sion;Psychological and behavioral intervention for patients after accepting total laryngectomy can enhance the mastering of tracheostomy related knowl- edge and enhance the quality of life of patients.
出处
《护理研究（上旬版）》
2009年第9期2287-2290,共4页
Chinese Nursing Researsh
关键词
喉癌
心理干预
行为干预
生存质量
laryngocarcinoma
psychological intervention
behavioral intervention
quality of life
