同伴支持教育在全喉切除术后患者延续护理中的应用效果分析

doi:10.6040/j.issn.1673-3770.1.2018.046

摘要/Abstract

摘要： 目的

探讨喉癌患者行全喉切除术后，以无喉沙龙为模板的同伴支持教育在其延续性护理中的应用效果。

方法

选择2014年10月至2017年9月收治的喉癌行全喉切除手术治疗的患者80 例作为研究对象，随机分为对照组和观察组各40例，对照组给予常规护理，观察组在常规护理的基础上进行以无喉沙龙为模板的同伴支持教育，比较两组护理效果。

结果

护理前，两组躯体功能、角色功能、情绪功能、认知功能、社会功能生活质量评分差异无统计学意义（t分别为0.954、1.324、0.401、1.250、0.265；P分别为0.343、0.189、0.690、0.215、0.992）。护理后，两组生活质量评分均有提高，观察组躯体功能、角色功能、情绪功能、认知功能、社会功能生活质量评分均高于对照组，差异有统计学意义（t分别为4.104、6.736、3.064、4.430、13.518，P除情绪功能为0.003 81外，其余均<0.001）。观察组患者护理满意度高于对照组（χ2=4.505，P=0.034）。

结论

同伴支持教育能促进喉癌全喉切除术后患者健康行为的建立，提升其接受相关知识的主观能动性，从而有效提高喉癌全喉切除术后患者的生活质量。

关键词: 喉肿瘤, 喉切除术, 健康教育, 同伴支持教育, 术后护理, 延续护理

Abstract: Objective

To investigate the effect of peer-support education with New-voice Salon in patients after a total laryngectomy.

Methods

Eighty patients, who underwent a total laryngectomy for laryngeal cancer between October 2014 and September 2017, were randomly divided into two groups of 40 each: a control group and an observation group. The patients in the control group received routine care, while those in the observation group were provided both routine care and peer-support education.

Results

Before treatment, there was no significant difference in quality-of-life scores (including physical function, role function, emotional function, cognitive function, and social function) between the two groups (t = 0.954, 1.324, 0.401, 1.250, 0.265 and P = 0.343, 0.189, 0.690, 0.215, 0.992, respectively). After treatment, the quality-of-life scores of both groups had improved. However, the scores of the observation group were higher than those of the control group, and the difference between the two was determined to be statistically significant (t = 4.104, 6.736, 3.064, 4.430, 13.518, respectively; P of emotional function was 0.00381, the rest were lower than 0.001).

Conclusion

Peer-support education promotes the establishment of healthy behaviors in patients after a total laryngectomy and improves their personal capabilities, which improves patients' quality of life.

Key words: Laryngectomy, Health education, Peer-support education, Postoperative nursing, Continuous nursing

中图分类号:

R739.65

姚慧,万文锦. 同伴支持教育在全喉切除术后患者延续护理中的应用效果分析[J]. 山东大学耳鼻喉眼学报, 2019, 33(3): 138-142.

Hui YAO,Wenjin WAN. Analysis of peer-support education in patients with continuous nursing after total laryngectomy[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(3): 138-142.

图/表 2

表1

两组护理干预前生活质量核心量表"

组别	躯体功能	角色功能	情绪功能	认知功能	社会功能
对照组	56.5 $±$ 3.7	55.1 $±$ 3.9	60.2 $±$ 4.2	63.9 $±$ 4.5	52.6 $±$ 5.3
观察组	57.3 $±$ 3.8	56.3 $±$ 4.2	59.8 $±$ 4.7	62.6 $±$ 4.8	52.9 $±$ 4.8
t	0.954	1.324	0.401	1.250	0.265
P	0.343	0.189	0.690	0.215	0.792

表1

表2

两组护理干预后生活质量核心量表"

组别	躯体功能	角色功能	情绪功能	认知功能	社会功能
对照组	60.2 $±$ 4.7	59.5 $±$ 5.0	64.7 $±$ 5.5	66.4 $±$ 5.3	54.7 $±$ 4.6
观察组	65.3 $±$ 6.3	67.9 $±$ 6.1	68.4 $±$ 5.3	71.7 $±$ 5.4	69.7 $±$ 5.3
t	4.104	6.736	3.064	4.430	13.518
P	＜0.001	＜0.001	0.003	＜0.001	＜0.001

表2

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