全喉切除术后患者自我护理能力与生活质量的相关性研究  

Study on correlation between patients′self-care ability and quality of life in postoperative patients with total laryngectomy

作　　者：马春蓉[1] 南方[2] 任晓波[2] 田梓蓉[1] MA Chunrong;NAN Fang;REN Xiaobo;TIAN Zirong(Department of Nursing,Affiliated Beijing Tongren Hospital,Capital Medical University,Beijing 100730,China;Department of Otolaryngology Head and Neck Surgery,Affiliated Beijing Tongren Hospital,Capital Medical University,Beijing 100730,China)

机构地区：[1]首都医科大学附属北京同仁医院护理部,100730 [2]首都医科大学附属北京同仁医院耳鼻咽喉头颈外科,100730

出　　处：《重庆医学》2022年第1期102-105,共4页Chongqing medicine

基　　金：北京市属医院科研培育项目(PX2021009);首都医科大学附属北京同仁医院院内基金项目(2017-YJJ-HLL-002)。

摘　　要：目的分析全喉切除术后患者自我护理能力与生活质量的关系,为临床有针对性地对该类患者实施护理提供理论依据和实践指导。方法采用便利抽样法选取2018年1-12月该院耳鼻咽喉头颈外科首次行全喉切除患者79例作为研究对象。采用自我护理能力测定量表(ESCA)、华盛顿大学生活质量量表(UW-QOL)及自行设计的一般资料问卷对79例患者术后3个月的情况进行调查。结果79例患者术后3个月平均UW-QOL总分为(553.66±66.44)分,平均ESCA总分为(109.53±15.81)分。UW-QOL总分与ESCA总分具有相关性(r=0.906,P<0.05);UW-QOL总分分值与自我概念、自护责任感、自护技能、健康知识水平均存在一定程度正相关。结论全喉切除术后3个月自我护理能力处于较高水平;患者对自身生活质量总体感觉中等;自我护理能力高低影响患者生活质量,尤其是自我护理能力中的健康知识水平、自护技能对生活质量影响显著。Objective To analyze the relationship between the self-care ability and quality of life in the postoperative patients with total laryngectomy to provide a theoretical basis and practical guidance for clinically targeted nursing to these patients.Methods The convenience sampling method was adopted to select 79 patients with total laryngectomy in the otolaryngology head and neck surgery department of this hospital from January to December 2018 as the study subjects.The self-care proficiency scale(ESCA),University of Washington Quality of Life Scale(UW-QOL)and self-designed general data questionnaires were adopted to conduct the questionnaire survey on the patients′conditions in postoperative 3 months.Results The mean total score of UW-QOL and ESCA at postoperative 3 months in 79 patients were(553.66±66.44)points and(109.53±15.81)points,respectively.There was a positive correlation between the UW-QOL total score and ESCA total score(r=0.906,P<0.01),and the UW-QOL total score had a certain positive correlation with the self-concept,self-care responsibility,self-care skills and health knowledge level.Conclusion The self-care ability at postoperative 3 months in the patients with total laryngectomy is at a high level;the overall feeling of the patients on their living quality is moderate;the ability of self-care affects the quality of life of the patients,especially the health knowledge level and self-care skills in the self-care ability have significantly influence on the living quality.

关 键 词：咽喉部肿瘤 全喉切除术 自我护理能力 生活质量 

分 类 号：R473.6[医药卫生—护理学]