系统自我护理干预对喉癌患者生存质量的影响  

Effect of systemic self-care intervention on quality of life in patients with laryngeal cancer

作　　者：何露露[1] 张罗[2] 袁林燕[3] 

机构地区：[1]浙江省肿瘤医院头颈放疗科(19病区),浙江杭州310022 [2]首都医科大学耳鼻喉科,北京100050 [3]浙江省肿瘤医院头颈外科,浙江杭州310022

出　　处：《中国现代医生》2013年第19期106-108,111,共4页China Modern Doctor

基　　金：国家自然科学基金(81025007)

摘　　要：目的探讨喉癌患者术后实施系统自我护理干预对生存质量的影响。方法研究对象为我院收治的125例喉癌待手术的患者,将其分组:对照组62例给予常规术后护理及实施健康教育,观察组63例在对照组的基础上给予系统自我护理。结果 (1)两组QLQ-C30各项评分出院时和干预结束时均明显降低;与对照组比较,观察组明显较高(P<0.05)。(2)观察组与对照组呼吸困难、失眠、食欲降低及便秘等比较,差异有统计学意义(P<0.05)。结论能够通过实施系统自我护理干预促进疾病的康复,使喉癌患者术后的生存质量得到显著提高,可以作为一种有效的护理方法在临床进行推广应用。Objective To explore the impact of the life quality of patients with laryngeal cancer after systemic self- care intervention. Methods A total of 125 cases with laryngeal cancer were selected in our hospital, they were divided into two groups, the control group （n = 62） was given routine postoperative care, and the observation group （n = 63） was given the systemic self-care on the basis of the control group. Results （1）Compared with before the intervention, all the function scores of QLQ-C30 in two groups in the discharge and end of the intervention were significant lower; Compared with control group, QLQ-C30 function scores in the observation group were significantly higher （P 〈 0.05）. （2）Compared with control group, dyspnea, insomnia, loss of appetite, and constipation in the observation group had sig- nificant difference （P 〈 0.05）. Conclusion The rehabilitation of the disease can be facilitated through the implementa- tion of the systemic self-care intervention, which can significantly improve the quality of life of laryngeal cancer pa- tients and can be used as an effective method of care in clinical application.

关 键 词：系统自我护理干预 喉癌患者 生存质量 

分 类 号：R473.73[医药卫生—护理学]