摘要
目的探讨全程跟进式赋能教育对喉癌喉部分切除术后患者的影响。方法选取2017年3月至2022年3月在空军军医大学第二附属医院接受喉部分切除术治疗的喉癌患者121例,按照随机数字表法将其分为对照组(60例)和观察组(61例)。对照组接受常规护理,观察组于常规护理基础上实施全程跟进式赋能教育。比较两组吞咽功能训练依从性、吞咽功能改善情况、营养状况与生活质量。结果观察组吞咽功能训练依从性优于对照组(P<0.05);术后3个月时,两组洼田饮水试验、饮食评估量表评分均低于出院前1 d,且观察组低于对照组(P<0.05);术后3个月时,两组整体营养主观评估量表(PG-SGA)评分低于术后1 d,欧洲癌症研究和治疗组织头颈部肿瘤特异性生活质量问卷(EORTC QOL-H&N35)评分高于术后1 d,且观察组PG-SGA低于对照组,EORTC QOL-H&N35评分高于对照组(P<0.05)。结论全程跟进式赋能教育应用于喉癌喉部分切除术患者中可有效提高其吞咽功能训练依从性,进一步改善其吞咽功能、营养状况及生活质量。
Objective To explore the effect of whole-process follow-up empowerment education on patients with laryngeal cancer after partial laryngectomy.Methods A total of 121 patients with laryngeal cancer who underwent partial laryngectomy at the Second Affiliated Hospital of Air Force Medical University of Chinese People’s Liberation Army from March 2017 to March 2022 were selected,according to random number table method,they were divided into control group(60 cases)and observation group(61 cases).The control group received routine nursing,and the observation group received whole-process follow-up empowerment education based on routine nursing.The compliance,improvement of swallowing function,nutritional status,and quality of life of the two groups were compared.Results The compliance of swallowing function training in the observation group was better than that in the control group(P<0.05).At three months after operation,the scores of lowland drinking water test and diet assessment scale scores in both groups were lower than one day before discharge,and the observation group was lower than the control group(P<0.05).At three months after surgery,the patient-generated subjective global assessment(PG-SGA)score of both groups was lower than one day after surgery,the European Organization for Research and Treatment of Cancer head and neck tumor specific quality of life questionnaire(EORTC QOL-H&N35)score was higher than one day after surgery,and the PG-SGA score of the observation group was lower than that of the control group,EORTC QOL-H&N35 score was higher than that of control group(P<0.05).Conclusion The application of whole-process follow-up empowerment education in laryngeal cancer patients with partial laryngectomy can effectively improve their compliance with swallowing function training,and further improve their swallowing function,nutritional status,and quality of life.
作者
闫美菊
马萧
李宁
张玲
YAN Meiju;MA Xiao;LI Ning;ZHANG Ling(Department of Otolaryngology,the Second Affiliated Hospital of Air Force Medical University of Chinese People’s Liberation Army,Shaanxi Province,Xi’an 710038,China;Department of Neurosurgery,the Second Affiliated Hospital of Air Force Medical University of Chinese People’s Liberation Army,Shaanxi Province,Xi’an 710038,China)
出处
《中国医药导报》
CAS
2023年第24期174-177,共4页
China Medical Herald
关键词
全程跟进式赋能教育
喉癌
喉部分切除术
吞咽功能
依从性
Whole-process follow-up empowerment education
Laryngeal cancer
Partial laryngectomy
Swallowing function
Compliance
