摘要
目的 评价行动研究法在舌癌患者吞咽障碍康复路径中的效果.方法 根据康复路径的构建,按照提出问题、计划、行动、观察、反思、改进总结的研究过程,通过2个阶段的研究,评估、诊断、计划、实施、评价,比较第1阶段与第2阶段患者吞咽障碍康复评定、生命质量评分、精神适应评分.结果 第1阶段吞咽康复有效率79.69%（51/64）,第2阶段有效率93.75%（60/64）,第2阶段比第1阶段有效率明显提高;华盛顿大学生命质量评分第1阶段为（770.400±87.299）分,第2阶段（1117.100±43.153）分,两阶段生命质量评分比较差异有统计学意义（t=-19.500,P=0.012）;两阶段患者精神适应量表评分的比较,第1阶段（15.933±1.285）分,第2阶段（31.733±2.083）分,两阶段比较差异有统计学意义（t=-35.357,P=0.003）.结论 基于行动研究法的舌癌患者吞咽障碍康复路径规范构建和实施,可以提高护理质量,提高患者生命质量.
Objective To evaluate the action research method in the effect of swallowing disorder in patients with tongue cancer recovery path. Methods Based on the recovery path construction, according to the questions, plan, action, observation and reflection, improvement of summarizing the research process, through two stages of the research, assessment, diagnosis, planning, implementation, evaluation and comparison of stage 1 and stage 2 swallowing disorder in patients with rehabilitation evaluation, quality of life score, spirit to adapt to the score. Results Nearly 79.69% （51/64） of first phase swallowing rehabilitation effectively, and 93.75% （60/64） effectively in the second stage. Compared to the first stage,the second stage had an obvious increase. Two stages at the university of Washington Quality of Life Score, the first phase of （770.400 ±87.299） points, （1117.100 ± 43.153） points in the second stage, two stages of life quality score comparison, the difference was statistically significant （t=-19.500, P=0.012）. The comparison of two stage patients mental adjustment scale scores, the first phase of （15.933±1.285） points, （31.733±2.083） points in the second stage, two stages score spirit to adapt to the comparison, the difference was statistically significant （t=-35.357, P=0.003）. Conclusions Tongue cancer patients with swallowing disorder treatment on the basis of action study method to build and implement path specification, can improve the quality of care and quality of life of patients.
出处
《中国实用护理杂志》
2017年第16期1209-1214,共6页
Chinese Journal of Practical Nursing
基金
湖南省肿瘤整形外科临床医学研究中心资助课题（2013TP408）
湖南省卫计委科研课题（B2015-119）
关键词
舌肿瘤
吞咽障碍
康复护理
行动研究法
Tongue neoplasms
Deglutition disorders
Rehabilitation nursing
Action research method
