摘要
目的 探讨基于行为转变理论的护理干预在喉癌患者术后的应用效果。方法 选取商丘市第一人民医院2018年6月至2021年6月行喉部分切除术治疗的115例喉癌患者,按随机数字表法分为研究组(58例)与对照组(57例)。研究组患者接受基于行为转变理论的护理干预,对照组患者接受传统护理干预,两组均干预至患者出院。比较两组干预前、出院时中文版安德森吞咽困难量表(MDADI)、自我护理能力实施量表(ESCA)评分和干预前、随访6个月时中国头颈部癌生命质量量表(QLICP-HN)评分。结果 出院时,两组MDADI评分均较干预前升高,且研究组升高更显著,差异有统计学意义(P<0.05);出院时,两组ESCA评分均较干预前升高,且研究组升高更显著,差异有统计学意义(P<0.05);随访6个月,两组QLICP-HN评分均较干预前升高,且研究组升高更显著,差异有统计学意义(P<0.05)。结论 基于行为转变理论的护理干预可提升喉癌患者术后自护能力,改善吞咽功能和生活质量。
Objective To explore the effect of nursing intervention based on behavior change theory in postoperative patients with laryngeal cancer. Methods A total of 115 patients with laryngeal cancer who underwent partial laryngectomy in Shangqiu First People’s Hospital from June 2018 to June 2021 were selected and divided into the research group(58 cases) and the control group(57 cases) by a random number table method. The patients in the research group were given nursing intervention based on behavior change theory, and the patients in the control group were given traditional nursing intervention. Both groups were intervened until the patients were discharged. The scores of Anderson dysphagia inventory(MDADI), exercise of self-care agency(ESCA) in Chinese version before intervention and at discharge and the scores of China quality of life instrument for head and neck cancer(QLICP-HN) before intervention and at 6 months of follow-up were compared between the two groups. Results At the time of discharge, the MDADI scores of both groups were increased than those before intervention, and the increase was more significant in the research group(P<0.05). At the time of discharge, the ESCA scores of both groups were increased than those before intervention, and the ESCA scores of the research group were significantly higher(P<0.05). After 6 months of follow-up, the QLICP-HN scores of both groups were increased than those before intervention, and the increase was more significant in the research group(P<0.05). Conclusion Nursing intervention based on behavior change theory can improve self-care ability, swallowing function and quality of life of postoperative patients with laryngeal cancer.
作者
蔡英晓
CAI Yingxiao(Department of Otolaryngology,Shangqiu First People’s Hospital,Shangqiu 476100,China)
出处
《河南医学研究》
CAS
2023年第1期170-173,共4页
Henan Medical Research
关键词
喉癌
行为转变理论
自护能力
吞咽功能
生活质量
laryngeal carcer
behavior change theory
self-care ability
swallowing function
quality of life
