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多元化健康教育在下咽癌患者术后功能恢复中的应用
作者:刘多  刘红  杨立新  赵春香  王天琦  张立鹤 
单位:吉林大学第一医院 二部, 吉林 长春 130000
关键词:下咽癌 多元化健康教育 喉发音功能 吞咽功能 
分类号:R473.73
出版年·卷·期(页码):2020·48·第九期(1216-1219)
摘要:

目的:探讨多元化健康教育对下咽癌手术患者发音功能及吞咽功能的影响。方法:随机抽样法选取104例下咽癌手术患者,按摸球法分为对照组和实验组,每组52例。对照组接受常规健康教育,实验组接受多元化健康教育,比较两组术后喉发音功能、吞咽功能的恢复情况。结果:术后3个月,实验组喉发音功能中嘶哑度、粗糙声、气息声及嗓音障碍指数量表评分均明显低于对照组(P<0.05),且实验组标准吞咽功能评定量表评分(22.03±1.08)分明显低于对照组的评分(27.63±1.60)(P<0.05)。结论:对下咽癌手术患者实施多元化健康教育,能促进患者喉发音功能、吞咽功能的恢复,值得推广。

Objective: To explore the effect of diversified health education on the pronunciation and swallowing functions of patients with hypopharyngeal carcinoma after resection. Methods: One hundred and four post-operative patients with hypopharyngeal cancer were randomly selected in this study, and were divided into control group (n=52, receiving regular health education) and an experimental group (n=52, receiving multiple health education) according to the ball-feeling method. The recovery of larynx pronunciation function and swallowing function was compared between the two groups. Results: Three months after operation, the scores of hoarseness, rough sound, breath sounds and vocal dysfunction in the experimental group were significantly lower than those in the the control group (P<0.05), and the standard swallowing function rating scale of the experimental group was scored (P<0.05). The score(22.03±1.08) of experimental group was significantly lower than that(27.63±1.60) of the control group (P<0.05). Conclusion: Implementing diversified health education for patients with hypopharyngeal cancer undergoing surgery can promote the recovery of throat and swallowing function of the patients, and is worth promoting.

参考文献:

[1] 赵清,程静,刘雅.多元化健康指导在胸腔镜肺癌根治术患者护理中的应用[J].腹腔镜外科杂志,2018,23(12):890,906.
[2] BULZEBRUCK H,BOPP R,DRINGS P,et al.New aspects in the staging of lung cancer.Prospective validation of the international union against cancer TNM classification[J].Cancer,2015,70(5):1102-1110.
[3] 于萍.嗓音障碍客观多参数分析[D].北京:解放军总医院,2003.
[4] 李红艳,徐文,胡蓉.嗓音障碍指数量表简化中文版的研究[J].听力学及言语疾病杂志,2010,18(6):566-570.
[5] 顾铭,陈乐之,范慧玲,等.头颈部肿瘤患者吞咽困难评估量表的研究现状[J].护理学报,2017,24(10):30-34.
[6] 邬振华,沈志森,成立新,等.保留咽喉功能的下咽癌手术分析[J].中华全科医学,2015,13(4):559-561.
[7] 韦福依.简易气管造瘘术和气管切开术在喉癌及下咽癌手术方案中对保留喉功能的效果[J].实用癌症杂志,2016,31(11):1899-1901.
[8] 吴昊,骆金华,赵晨,等.食管癌新辅助治疗的疗效评价及治疗后手术时机的选择[J].东南大学学报(医学版),2015,34(6):967-970.
[9] 谭嘉升,丘卫红,刘中良,等.中文版吞咽生命质量量表信度和效度的研究[J].中华物理医学与康复杂志,2016,38(9):669-673.
[10] 胡志萍,段玮玮,雷文鸽,等.头颈部恶性肿瘤病人生存质量及其影响因素调查[J].护理研究,2018,32(5):725-730.
[11] 杨玲,梁秀凤.多元化健康教育对胸腔镜下肺癌根治术患者呼吸功能训练知信行水平及康复效果的影响[J].中国实用护理杂志,2019,35(28):2200-2204.

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