摘要
目的 分析喉癌术后下呼吸道感染采用多学科护理模式对患者自护能力与生活质量的影响。方法 采用2022年3月-2023年3月我院收治的80例喉癌术后下呼吸道感染患者,根据计算机排序分组,单数对照组40例常规护理模式,双数观察组40例多学科护理模式,对两组自护能力评分[自我护理能力测定量表(ESCA)]、生活质量评分[健康调查简表(SF-36)]进行评估。结果 与对照组相较,观察组ESCA(自我概念、自我护理技能、自护责任感等)、SF-36(生理机能、社会功能、心理状态等)各项评分均更高,差异均有统计学意义(P<0.05)。结论 喉癌术后下呼吸道感染采用多学科护理模式效果较佳,可改善患者自护能力,提高生活质量,应用推广价值高。
关键词: 多学科护理模式;喉癌术;下呼吸道感染;自护能力;生活质量
Abstract
Objective To analyze the impact of multidisciplinary nursing model on the self-care ability and quality of life of patients with lower respiratory tract infection after laryngeal cancer surgery. Methods 80 patients with postoperative lower respiratory tract infections of laryngeal cancer admitted to our hospital from March 2022 to March 2023 were divided into two groups based on computer sorting: an odd numbered control group of 40 cases with conventional nursing mode and an even numbered observation group of 40 cases with multidisciplinary nursing mode. The self-care ability scores (ESCA) and quality of life scores (SF-36) of the two groups were evaluated. Results Compared with the control group, the observation group had higher scores in ESCA (self-concept, self-care skills, self-care responsibility, etc.) and SF-36 (physiological function, social function, psychological state, etc.), and the differences were statistically significant (P<0.05). Conclusion The multidisciplinary nursing model is more effective for postoperative lower respiratory tract infections in patients with laryngeal cancer, which can improve their self-care ability, enhance their quality of life, and has high application and promotion value.
Key words: Multidisciplinary nursing model; Laryngeal cancer surgery; Lower respiratory tract infection; Self care ability; Quality of life
参考文献 References
[1] 史家美,江元娜. 喉癌术后气管切开患者下呼吸道感染的易感因素与预防效果分析 [J]. 中国医学文摘(耳鼻咽喉科学), 2024, 39 (02): 190-192+189.
[2] 汤洁,田海龙,曹丽俐,等. 喉癌患者气管切开术后发生下呼吸道感染的影响因素分析 [J]. 医药论坛杂志, 2024, 45 (05): 487-490+496.
[3] 王芹莲. 多学科团队协作护理对喉癌术后患者的康复作用 [J]. 护理实践与研究, 2023, 20 (12): 1831-1835.
[4] 钟江涛,周水洪.2023年第1版《NCCN头颈部癌临床实践指南》更新解读[J].实用肿瘤杂志,2023,38(03):203-210.
[5] 严玲. 喉癌术后下呼吸道感染的危险因素分析与护理对策 [J]. 护理实践与研究, 2020, 17 (05): 17-19.
[6] 孙威,陶思行,周佳. 早期营养对喉癌术后快速康复的影响 [J]. 中外女性健康研究, 2019, (21): 114-115.
[7] 张玲,赵大庆,王析莹,等. 基于多学科团队模式的营养结合情感支持对喉癌患者营养状况、心理状况及并发症的影响 [J]. 中国医药导报, 2024, 21 (14): 128-130+137.
[8] 周润,邢亮,李进,等. 多学科协作快速康复对喉癌患者术后营养状况的影响 [J]. 中国肿瘤临床与康复, 2021, 28 (12): 1519-1523.