新型传播媒介下的居家延续护理在喉癌患者喉切除术后的应用效果  

Application Effect of Home-Based Continuing Care Under New Communication Media in Laryngeal Cancer Patients After Laryngectomy

作　　者：周宇[1] Zhou Yu(Department of Otolaryngology Head and Neck Surgery,Taizhou People's Hospital,Taizhou 225300,Jiangsu Province,China)

机构地区：[1]泰州市人民医院耳鼻咽喉头颈外科,江苏泰州225300

出　　处：《中国社区医师》2025年第5期120-122,共3页Chinese Community Doctors

摘　　要：目的:分析新型传播媒介下的居家延续护理在喉癌患者喉切除术后的应用效果。方法:将2019年4月—2024年4月于泰州市人民医院耳鼻咽喉头颈外科实施喉切除术的60例喉癌患者以随机数字表法分为对照组(n=30)、试验组(n=30)。对照组给予常规护理,试验组在对照组基础上给予新型传播媒介下的居家延续护理。比较两组吞咽功能锻炼依从性、安德森吞咽困难量表(MDADI)评分、自我护理能力测定量表(ESCA)评分、头颈肿瘤特异性生活质量量表(QLQ-H&N35)评分、护理满意度。结果:试验组吞咽功能锻炼依从性较对照组高(P<0.05)。护理后,两组MDADI、ESCA评分均较护理前升高,且试验组均较对照组高(P<0.05);两组QLQ-H&N35评分降低,且试验组较对照组低(P<0.05)。试验组护理总满意度高于对照组(P<0.05)。结论:新型传播媒介下的居家延续护理在喉癌患者喉切除术后的应用效果显著,可有效提高患者康复锻炼依从性、自我护理能力、生活质量、护理满意度,改善吞咽困难症状。Objective:To analyze the application effect of home-based continuing care under new communication media in laryngeal cancer patients after laryngectomy.Methods:A total of 60 patients with laryngeal cancer who underwent laryngectomy in the Department of Otolaryngology Head and Neck Surgery of Taizhou People's Hospital from April 2019 to April 2024 were divided into a control group(n=30)and an experimental group(n=30)using a random number table method.The control group received routine care,and the experimental group received home-based continuing care under new communication media on the basis of the control group.The compliance with swallowing function exercise,MD Anderson Dysphagia Inventory(MDADI)score,Exercise of Self-Care Agency Scale(ESCA)score,QualityofLifeQuestionnaire-Head and Neck 35(QLQ-H&N35)scoreandpatient satisfaction were compared between the two groups.Results:The compliance with swallowing function exercise in the experimental group was higher than that in the control group(P<0.05).After nursing,the scores of MDADI and ESCA in two groups were higher than those before nursing,and the scores in the experimental group were higher than those in the control group(P<0.05).The QLQ-H&N35 scores in the two groups decreased,and the scores in the experimental group were lower than those in the control group(P<0.05).The total satisfaction of nursing in the experimental group was higher than that in the control group(P<0.05).Conclusion:The home-based continuing care under new communication media in laryngeal cancer patients after laryngectomy has significant effects,and can effectively improve their rehabilitation exercise compliance,self-care ability,quality of life and nursing satisfaction,and improve dysphagia symptom.

关 键 词：新型传播媒介 居家延续护理 喉癌 喉切除术 

分 类 号：R473[医药卫生—护理学]