基于时机理论的分阶段干预对舌癌术后患者预后的影响  

The Impact of Phased Intervention Based on Timing Theory on the Prognosis of Postoperative Pa⁃tients with Tongue Cancer

作　　者：胡万娟 史亚伟[1] 张瑾 张欣雨 徐筱璐 HU Wanjuan;SHI Yawei;ZHANG Jin;ZHANG Xinyu;XU Xiaolu(The Affiliated Stomatological Hospital of Nanjing Medical University Jiangsu Provincial Stomatological Hospital,Nanjing 210009,China)

机构地区：[1]南京医科大学附属口腔医院/江苏省口腔医院,江苏南京210009

出　　处：《上海护理》2024年第9期4-8,共5页Shanghai Nursing

摘　　要：目的探讨基于时机理论的分阶段干预对舌癌术后患者预后结局的影响,旨在为改善患者生活质量提供参考。方法采用方便抽样方法,选取2022年1-12月于南京医科大学附属口腔医院颌面外科行手术治疗的60例舌癌住院患者作为研究对象。按照入院先后顺序将其分为观察组(n=30)和对照组(n=30)。对照组接受常规护理,观察组在此基础上接受基于时机理论的分阶段护理,均干预至患者出院后3个月。比较两组患者的生活质量水平、功能康复程度(吞咽功能、语音清晰度、颈肩功能)及情绪状态。结果干预后,观察组患者生活质量评分(FACT-H&N)、洼田饮水试验结果、语音清晰度、颈肩功能评分(CMS)及焦虑抑郁评分(HADS)均优于对照组(P<0.05)。结论基于时机理论的分阶段干预方案能帮助舌癌患者改善生活质量、促进术后功能恢复、减轻负性情绪,有助于加速康复进程、促进患者预后改善。Objective To explore the effect of staged intervention based on the"Timing It Right(TIR)"theory on postoperative prognosis of patients with tongue cancer,aiming to provide a reference for improving patients'quality of life.Methods A total of 60 inpatients with tongue cancer were selected by convenience sampling who underwent surgical treatment in the Oral and Maxillofacial Surgery Department at Affiliated Stomatological Hospital of Nanjing Medical University from January to December 2022.They were divided into the observation group(n=30)and the control group(n=30)according to the order of admission.Patients in the control group were given routine nursing,while those in the observation group were additionally given TIR theory-based staged intervention.Both groups were intervened until 3 months after discharge.The quality of life,functional rehabilitation degree(swallowing function,speech intelligibility and neck-shoulder function)and emotional status were compared between the two groups.Results After the intervention,the observation group exhibited superior scores compared to the control group(P<0.05),including quality of life as per Functional Assessment of Cancer Therapy-Head and Neck(FACT⁃H&N),water swallow test,speech intelligibility,neck and shoulder function as per Constant-Murley Score(CMS)and anxiety and depression as per Hospital Anxiety and Depression Scale(HADS).Conclusion The TIR theory-based staged intervention enhances quality of life,advances postoperative functional rehabilitation and reduces negative emotions in patients with tongue cancer.These benefits contribute to faster rehabilitation and better prognosis in these patients.

关 键 词：舌肿瘤 时机理论 分阶段干预 生活质量 功能康复 焦虑 抑郁 预后 

分 类 号：R473.6[医药卫生—护理学]