基于35例全喉切除患者癌因性疲乏的护理干预  

Nursing intervention based on 35 total laryngectomy cases with cancer-related fatigue

作　　者：王俊霞[1] 

机构地区：[1]内蒙古巴彦淖尔市医院,015000

出　　处：《中国实用医药》2016年第32期167-169,共3页China Practical Medicine

摘　　要：目的探讨行全喉切除的喉癌患者采取癌因性疲乏护理干预的措施及效果。方法 64例行全喉切除的喉癌患者,随机分为观察组和对照组,各32例。对照组进行常规护理,观察组在常规护理的基础上采取癌因性疲乏护理干预。对比两组的护理效果。结果干预后,观察组癌因性疲乏状况优于对照组,差异具有统计学意义(P<0.01)。护理干预后,观察组患者的社会关系、心理状态、喉功能、身体机能、颈前气管造口、独立生活能力得分分别为(75.74±9.23)、(76.83±8.89)、(64.78±10.24)、(76.22±9.16)、(68.62±6.76)、(73.65±10.24)分,均显著高于对照组的(62.24±4.12)、(60.12±10.23)、(49.20±10.16)、(68.15±11.30)、(47.85±7.64)、(64.67±7.69)分,差异均具有统计学意义(P<0.01);观察组总体生存质量得分为(89.94±10.79)分,显著优于对照组的(70.46±10.92)分,差异具有统计学意义(P<0.01)。结论对行全喉切除的喉癌患者采取癌因性疲乏护理干预,可有效提高患者康复速度,改善或缓解临床疲乏程度,值得推广与应用。Objective To investigate measures and effect by cancer-related fatigue nursing interventionfor laryngocarcinoma patients after total laryngectomy. Methods A total of 64 patients who received total laryngeetomy were randomly divided into observation group and control group, with 32 cases in each group. The control group received conventional nursing, and the observation group also received additional cancer-related fatigue nursing intervention. Nursing effects were compared between the two groups. Results After intervention, the observation group had better cancer-related fatigue status than the control group, and the difference had statistical significance （P〈0.01）. After nursing intervention, the observation group had social relations, psychological states, laryngeal function, physical function, throat tracheostoma and living independently scores respectively as （75.74 ± 9.23）, （76.83 ± 8.89）, （64.78 ± 10.24）, （76.22± 9.16）, （68.62 ± 6.76）, （73.65 ± 10.24） points, which were all higher than （62.24 ± 4.12）, （60.12 ± 10.23）, （49.20 ± 10.16）, （68.15 ± 11.30）, （47.85 ± 7.64）, （64.67 ± 7.69） points in the control group. Their differences all had statistical significance （P〈O.O1）. The observation group had much better overall quality of life score as （89.94 ± 10.79） points than （70.46 ± 10.92） points in the control group, and the difference had statistical significance （P〈O.O1）. Conclusion Implement of cancer-related fatigue nursing intervention for laryngocarcinoma patients after total laryngectomy can effectively accelerate recovery speed, improve or relieve clinical fatigue degree. This method is worth promoting and applying.

关 键 词：全喉切除 癌因性疲乏护理 喉癌 

分 类 号：R473.73[医药卫生—护理学]