出院计划对喉癌术后患者自我护理能力和出院后生活质量的影响

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摘要目的探讨出院计划对喉癌术后患者自我护理能力和出院后生命质量的影响。方法对2016-01至2017-12我院收治并符合纳入标准的105例喉癌患者进行资料收集,均接受手术并符合出院标准,并按照随机数字表法将其分为对照组(n=52,行常规护理及电话随访)与研究组(n=53,行出院计划模式),对比两组患者干预前后自我护理能力及生命质量的变化。结果干预前,两组自护能力及生存质量评分对比均无统计学差异(P＞0.05);干预后,自护能力研究组与生存质量评分均有所提高,且上升幅度远大于对照组,差异有统计学意义(P＜0.05),研究组总满意度明显高于对照组,差异有统计学意义(P＜0.05)。结论出院计划对喉癌术后患者自我护理能力具有明显的提高作用,同时有助于改善患者出院后生命质量,提高患者满意度,值得推广。

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	李翠翠

关键词 ：出院计划, 喉癌术后, 自我护理能力, 生命质量

Abstract：Objective To study the effects of discharge planning on self-care ability and life quality after laryngocarcinoma surgery. Methods The clinical data on 105 laryngocarcinoma patients treated between January 2016 and December 2017 in our hospital was obtained. After operation, all these patients conformed to the criteria of discharge from hospital and were randomly assigned to the control group (n=52) and research group (n=53). The control group received conventional nursing and telephone follow-up visits while the research group was subjected to discharge planning. Self-care ability and life quality were compared between the two groups.Results Before intervention, the scores of self-care ability and life quality were not significantly different between the two groups (P＞0.05), but after intervention, such scores in the research group were significantly higher than those of the control group (P＜0.05),so was the overall satisfaction rate in the research group (P＜0.05). Conclusions Discharge planning can remarkably improve patients’s self-care ability, life quality and nursing satisfaction. This approach should be made more accessible.

Key words： discharge planning after laryngocarcinoma surgery self-care ability life quality

收稿日期: 2019-07-18

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作者简介: 李翠翠,大专学历,护师。

引用本文:

李翠翠. 出院计划对喉癌术后患者自我护理能力和出院后生活质量的影响[J]. 武警医学, 2019, 30(12): 1079-1082. LI Cuicui. Effects of discharge planning on self-care ability and life quality after laryngocarcinoma surgery. Med. J. Chin. Peop. Armed Poli. Forc., 2019, 30(12): 1079-1082.

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http://journal08.magtechjournal.com/Jwk_wjyx/CN/ 或 http://journal08.magtechjournal.com/Jwk_wjyx/CN/Y2019/V30/I12/1079

[1]	曹家燕,陈昌连,彭娟,等.出院计划在全喉切除患者中的应用效果研究[J].中国实用护理杂志,2017,33(5):330-334.
[2]	L W Chen,J L Wang,L Y Zhang,et al.Establishment of an animal model of spontaneous cervical lymph node metastasis of laryngeal squamous cell carcinoma and obtaining laryngocarcinoma cells with high metastatic potential.[J].Neoplasma: Journal of Experimental and Clinical Oncology,2013,60(5):504-510.
[3]	Liu Zhi,Wu Wenli,Gao Pengfei,et al.Laryngotracheal reconstruction with autogenous rib cartilage graft for complex laryngotracheal stenosis and/or anterior neck defect[J].European archives of oto-rhino-laryngology: Official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS),2014,271(2):317-322.
[4]	马少华,秦斌,申潞艳,等.颈段食管癌施行保留咽和喉手术为主的综合治疗远期疗效[J].中华胃肠外科杂志,2012,15(1):63-66.
[5]	归纯漪,薛一帆,葛向煜,等.利用最佳证据规范全喉切除术后患者出院照护计划[J].护士进修杂志,2015,30(11):1038-1041.
[6]	陈昌连,曹家燕,李红,等.出院计划对全喉切除患者照顾者的需求满足及生活质量的影响研究[J].护士进修杂志,2018,33(6):554-556.
[7]	刘涛,张学军,刘素珍,等.带蒂的颈阔肌皮瓣行喉成形术后喉内形态及组织病理学变化研究[J].南昌大学学报(医学版),2013,53(9):12-14,封3.
[8]	任秀芹,薛贵芝,董琼玉,等.电话随访对喉癌术后保留气管套管患者遵医行为及健康行为的影响[J].中华现代护理杂志,2015,21(32):3904-3905,3906.
[9]	刘洁,田俊,王斌全,等.喉癌患者健康行为改变障碍的质性研究[J].护理学杂志,2018,33(19):79-81,94.
[10]	谢小红,刘芳,钟意芬,等.指导喉癌患者家庭康复干预的方法与效果分析[J].国际医药卫生导报,2014,20(10):1459-1463.
[11]	徐永琼,吴敏,梅艳,等.肿瘤科喉癌带人工气管导管患者的康复训练[J].护理学杂志,2014,29(2):78-80.
[12]	刘菊花,刘春,肖红英,等.出院计划列表对甲状腺癌患者延续护理效果的影响[J].医学临床研究,2016,33(6):1244-1245,1246.
[13]	李雪艳,姜丽萍,夏丽敏,等.以奥马哈系统为框架的出院计划在胆道手术后带T管出院患者中的实践[J].护士进修杂志,2015,30(19):1764-1766.
[14]	Stineman M G,Kwong P L,Bates B E,et al.Development and validation of a discharge planning index for achieving home discharge after hospitalization for acute stroke among those who received rehabilitation services[J].American Journal of Physical Medicine and Rehabilitation,2014,93(3):217-230.
[15]	Thomas R,Andreas M,Leigh Kinsman Robert Champion,et al.Evaluation of a clinical pathway for ‘radical laparoscopic prostatectomy’ an interrupted time series study[J].International journal of urological nursing: the journal of the BAUN,2014,8(2): 80-84.