基于风险理念的护理计划在全喉切除术后气道湿化管理中的应用  

Application of risk concept-based nursing plan in airway humidification management after total laryngectomy

作　　者：何竹韵 唐磊磊 He Zhuyun;Tang Leilei(Department of Otolaryngology Head and Neck Surgery,Nanjing Drum Tower Hospital,Nanjing 210008,China)

机构地区：[1]南京鼓楼医院耳鼻咽喉头颈外科,南京210008

出　　处：《保健医学研究与实践》2023年第S02期169-172,共4页Health Medicine Research and Practice

基　　金：江苏省科教能力提升工程《“十四五”省医学重点学科》项目(ZDXK202243)。

摘　　要：目的探讨基于风险理念的护理计划在全喉切除术后气道湿化管理中的应用效果。方法选取2021年6月—2022年5月在本院行全喉切除术的34例喉癌患者作为对照组,2022年7月—2023年6月的37例患者作为研究组。2组都给予规范的气道湿化管理,气道湿化观察时间为14 d。对照组在气道湿化管理期间给予常规护理干预,研究组在对照组基础上给予基于风险理念的护理计划干预,观察2组患者的气道预后与生活质量状况。结果研究组患者护理期间的并发症发生率为5.41%,低于对照组的17.65%,但差异无统计学意义(P>0.05)。2组患者护理后的焦虑自评量表(SAS)及抑郁自评量表(SDS)评分均低于护理前,且研究组均低于对照组,差异均有统计学意义(P<0.05)。护理前,2组的气道分泌物性状比较,差异无统计学意义(P>0.05);研究组患者护理后的气道分泌物性状分级轻于对照组,差异有统计学意义(P<0.05)。护理前,2组患者头颈癌患者生命质量测定量表(QLICP-HN)各维度评分比较,差异无统计学意义(P>0.05);研究组患者护理后QLICP-HN量表各维度评分均高于对照组,差异均有统计学意义(P<0.05)。结论基于风险理念的护理计划在全喉切除术后气道湿化管理中的应用,能降低气道并发症的发生风险,缓解焦虑、抑郁症状,还可改善患者的气道分泌物性状,提高患者的生活质量。Objective To explore the application of a nursing plan based on the risk concept in airway humidification management after total laryngectomy.Methods Thirty-four patients with laryngeal cancer who underwent total laryngectomy in our hospital from June 2021 to May 2022 were selected as the control group,and 37 patients from July 2022 to June 2023 were selected as the study group.Both groups received standardized airway humidification management with an observation period of 14 days.During the airway humidification management period,the control group received routine nursing interventions,while the study group received nursing interventions based on the risk concept in addition to those received by the control group.The airway prognosis and quality of life of patients in both groups were observed.Results The incidence of complications during the nursing period in the study group was not significantly lower than that in the control group(5.41%,vs.17.65%;P>0.05).The self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores of patients in both groups were significantly lower after nursing compared to before nursing,with the scores in the study group being significantly lower than those in the control group(P<0.05).Before nursing,there was no statistically significant difference in the characteristics of airway secretions between the two groups(P>0.05).After nursing,the grading of airway secretion characteristics in the study group was significantly lighter than that in the control group(P<0.05).Before nursing,no statistically significant difference was found in the scores of each dimension of the of quality of life instruments for cancer patients:head and neck cancer(QLICP-HN)between the two groups(P>0.05).After nursing,the subscale scores of the QLICP-HN inventory in the study group were significantly higher than those in the control group(P<0.05).Conclusion The application of a nursing plan based on the risk concept in airway humidification management after total laryngectomy can reduce the risk of a

关 键 词：风险理念 护理计划 喉癌 气道湿化 气道 

分 类 号：R739[医药卫生—肿瘤]