摘要
目的:观察纽曼系统护理在喉癌术后患者中的应用效果。方法:选取2020年1月至2023年1月该院收治的107例喉癌患者进行前瞻性研究,按照随机信封法将其分成观察组(n=54)与对照组(n=53)。对照组采用常规护理,观察组在对照组基础上采用纽曼系统护理。比较两组康复时间(经口进食时间、创面完全愈合时间),护理前后吞咽功能[安德森吞咽困难量表(MDADI)]评分、负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]评分、生命质量[世界卫生组织生活质量测定量表简表(WHOQOL-BREF)]评分,以及并发症发生率。结果:观察组经口进食时间、创面完全愈合时间均短于对照组,差异有统计学意义(P<0.05);护理后,两组情感、功能、生理、总体状况等MDADI评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);护理后,两组SAS、SDS评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);护理后,两组WHOQOL-BREF评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为3.70%(2/54),低于对照组的16.98%(9/53),差异有统计学意义(P<0.05)。结论:在常规护理基础上采用纽曼系统护理可提高喉癌术后患者吞咽功能和生命质量评分,缩短康复时间,以及降低负性情绪评分和并发症发生率,效果优于单纯常规护理。
Objective:To observe application effects of Newman system nursing in postoperative patients with laryngeal cancer.Methods:A prospective study was conducted on 107 patients with laryngeal cancer admitted to this hospital from January 2020 to January 2023.According to the random envelope method,they were divided into observation group(n=54)and control group(n=53).The control group was treated with routine nursing,while the observation group was treated with the Newman system nursing on the basis of that of the control group.The rehabilitation time(oral feeding time,complete wound healing time),the swallowing function[MD Anderson dysphagia inventory(MDADI)]score,the negative emotions[self-rating anxiety scale(SAS),self-rating depression scale(SDS)]score,the quality of life[World Health Organization quality of life scale-brief(WHOQOL-BREF)]score before and after the nursing,and the incidence of complications were compared between the two group.Results:The observation group had shorter oral feeding time and complete wound healing time than the control group,and the difference was statistically significant(P<0.05);After nursing,the MDADI scores such as emotional,functional,physiological,and overall conditions in both groups were higher than before nursing,and those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the scores of SAS and SDS in the two groups were lower than those before the nursing,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the WHOQOL-BREF scores of the two groups were higher than those before the nursing,that in the observation group was higher than that in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of complications in the observation group was 3.70%(2/54),which was lower than 16.98%(9/53)in the control group,and the difference was statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the Newman system nursing can improve the swallowing function scores and the quality of life scores of postoperative patients with laryngeal cancer,shorten the recovery time,and reduce the negative emotion scores and the incidence of complications.Moreover,it is superior to simple routine nursing.
作者
程耀辉
纪晓丹
王会会
刘国旗
段旋
CHENG Yaohui;JI Xiaodan;WANG Huihui;LIU Guoqi;DUAN Xuan(Department of Otorhinolaryngology of Yellow River Sanmenxia Hospital,Sanmenxia 472000 Henan,China)
出处
《中国民康医学》
2025年第20期182-185,共4页
Medical Journal of Chinese People’s Health
关键词
纽曼系统护理
喉癌
术后
吞咽功能
生命质量
负性情绪
并发症
Newman system nursing
Laryngeal cancer
Postoperative
Swallowing function
Quality of life
Negative emotion
Complication
