基于康复前移理念的吞咽康复训练对水平半喉切除术后患者的影响  

The effect of swallowing training earlier than the routine protocol for patients receiving horizontal hemilaryngectomy

作　　者：肖虹 操帅 李江平 张小红 朱翔玥 Xiao Hong;Cao Shuai;Li Jiangping;Zhang Xiaohong;Zhu Xiangyue(Department of Ear,Nose,Throat,Head and Neck Surgery,Affiliated Hospital of Hubei University of Arts and Science,Xiangyang 441021,China)

机构地区：[1]湖北文理学院附属医院/襄阳市中心医院耳鼻咽喉-头颈外科,湖北襄阳441021 [2]湖北文理学院附属医院/襄阳市中心医院护理部,湖北襄阳441021

出　　处：《护理学杂志》2020年第17期79-82,共4页Journal of Nursing Science

摘　　要：目的观察基于康复前移理念对喉癌行水平半喉切除术后患者的吞咽康复训练效果。方法选取2017年1~12月实施水平半喉切除术患者为对照组(40例),2018年1月至2019年1月实施水平半喉切除术患者为观察组(42例)。对照组采用常规吞咽康复训练;观察组应用康复前移理念,将心理干预、理论培训、模拟训练、实际训练和饮食指导5个项目进行前移训练,评价两组术后开始经口进食时间、舒适度、生活质量和吞咽功能康复效果。结果观察组康复训练后,经口进食时间显著短于对照组(P<0.01);进食舒适度评分、生活质量评分显著高于对照组、吞咽功能康复效果显著高于对照组(均P<0.01)。结论基于康复前移理念的吞咽康复训练可以缩短水平半喉切除术后患者经口进食时间,增加进食舒适度,改善生活质量。Objective To observe the effects of swallowing training earlier than the routine protocol in patients receiving horizontal hemilaryngectomy.Methods Forty patients admitted from January to December 2017 were treated as the control group and given routine swallowing rehabilitation,while 42 patients admitted from January 2018 to January 2019 were served as the intervention group and received psychological intervention,theoretical teaching,simulation training,practical training and diet guidance earlier than the routine protocol.Time for oral feeding,comfort,quality of life and swallowing function were compared between the two groups.Results The intervention group had earlier oral feeding,higher comfort and quality of life scores,as well as better swallowing function compared with the control group after the intervention(P<0.01 for all).Conclusion Providing swallowing training earlier than the routine protocol can accelerate oral feeding,enhance comfort during eating and improve quality of life of patients after horizontal hemilaryngectomy.

关 键 词：喉癌 水平半喉切除术 康复前移理念 吞咽康复训练 生活质量 进食时间 舒适度 

分 类 号：R473.76[医药卫生—护理学]