共享决策干预配合多感觉训练对喉癌手术患者语言交流及希望水平的影响  

Effects of shared decision intervention combined with multi-sensory training on verbal communication and hope level of patients undergoing laryngeal cancer surgery

作　　者：莫丽娟[1] 范利萍[1] 吴勇姿 李菲 何志华[1] MO Lijuan;FAN Liping;WU Yongzi;Li Fei;HE Zhihua(Affiliated Hospital of Guilin Medical University,Guilin,541001,China)

机构地区：[1]桂林医学院附属医院耳鼻咽喉头颈外科,广西桂林市541001

出　　处：《护理实践与研究》2022年第23期3481-3485,共5页Nursing Practice and Research

基　　金：广西壮族自治区卫生健康委员会自筹经费课题(编号:Z20210954)。

摘　　要：目的探讨喉部鳞状上皮细胞癌手术治疗患者实施共享决策干预配合多感觉训练的价值。方法选取2019年2月—2020年2月医院收治的行手术治疗的喉癌150例作为研究对象,按照组间基本资料可比原则分成对照组和观察组,各75例。对照组患者行常规护理干预,观察组开展共享决策干预联合多感觉训练,比较两组患者干预前后吞咽功能、语言交流水平、希望水平评分及患者对决策参与满意度。结果干预后1个月,两组SSA评分均降低,但观察组各维度及总评分均低于对照组(P<0.05)。干预前,两组患者Frenchay评分、HHI评分比较差异无统计学意义(P>0.05);干预后1个月,观察组Frenchay评分、HHI评分均高于对照组,差异有统计学意义(P<0.05)。观察组患者干预后对信息共享、交流协商、决策参与度、总体满意度均高于对照组,组间比较差异有统计学意义(P<0.05)。结论共享决策干预联合多感觉训练应用于喉癌手术患者中能更好地改善吞咽障碍,恢复交流功能,提升希望水平,且能够提升整体护理质量和患者的认可度。Objective To explore the value of shared decision intervention combined with multi-sensory training in laryngeal squamous cell carcinoma surgery.Methods From February 2019 to February 2020,150 cases of laryngeal cancer underwent surgical treatment were selected as research objects,they were divided into control group and observation group according to the principle of comparability of basic data between groups,with 75 cases in each group.The control group received routine nursing intervention,and the observation group received shared decision intervention combined with multi-sensory training.Swallowing function,language communication level,hope level score and patients'satisfaction with decision participation were compared between the two groups before and after intervention.Results One month after intervention,the SSA scores of both groups were decreased,but the observation group was lower than the control group in all dimensions and total scores(P<0.05).Before intervention,there were no significant differences in Frenchay score and HHI score between the two groups(P>0.05).One month after intervention,Frenchay score and HHI score in the observation group were higher than those in the control group,with statistical significance(P<0.05).After intervention,patients in the observation group had higher information sharing,communication and consultation,decision-making participation and overall satisfaction than those in the control group,and the difference between groups was statistically signifi cant(P<0.05).Conclusion Shared decision intervention combined with multi-sensory training in laryngeal cancer surgery patients could better improve swallowing disorders,restore communication function,improve hope level,and improve the overall quality of care and patient recognition.

关 键 词：喉癌 共享决策 吞咽训练 早期摄食训练 语言交流 希望水平 

分 类 号：R47[医药卫生—护理学]