Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2019, Vol. 33 ›› Issue (4): 175-178.doi: 10.6040/j.issn.1673-3770.0.2018.386

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Effects of intensive self-care on voice recovery and psychological emotions in patients undergoing laryngoscope-assisted vocal cord polypectomy

ZHAO Yan, CHENG Sihua, TONG Qiaozhen   

  1. Department of Otorhinolaryngology, The Central Hospital of Longhua District, Shenzhen 518110, Guangdong, China
  • Online:2019-07-20 Published:2019-07-22

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Abstract: Objective To study and analyze the effects of intensive self-care on the Hamilton anxiety scale(HAMA), a digital grading method(NRS), and the QOL scores in patients with laryngoscope-assisted vocal cord polypectomy. Methods Between March 2016 and March 2018, 94 patients who underwent laryngoscope-assisted vocal cord polypectomy at our hospital were selected as the study subjects. They were divided into the study and control groups according to a random number table, with 47 patients in each group. The control group received routine nursing intervention, while the study group received intensive self-care intervention. Voice restoration in the two groups as well as the changes in the HAMA, NRS, and QOL scores before and after intervention were compared. Results The fundamental frequency perturbation, amplitude circumference, and independent articulation ability of the study group were lower than those of the control group(t=5.181, 3.355, and 11.017, respectively; P=0.001, <0.001, and <0.001, respectively). However, the voice disturbance index was higher in the study group than in the control group (t=4.550; P<0.001). The post-intervention HAMA score of the study group was lower than the pre-intervention score of the control group(t=15.069 and 8.539, respectively; P<0.001), and the study group had a lower HAMA score than did the control group(t=6.935; P<0.001). The post-intervention NRS score of the study group was lower than the pre-intervention score of the control group(t=4.788 and 2.535, respectively; P<0.001), and the study group had a lower NRS score than did the control group(t=2.548; P=0.013). The post-intervention QOL score of the study group was higher than the pre-intervention score of the control group(t=7.292 and 2.671, respectively; P<0.001 and 0.009, respectively), and the study group had a higher QOL score than did the control group(t=4.698; P<0.001). Conclusion Intensive self-care is helpful for voice recovery in patients undergoing laryngoscope-assisted vocal cord polypectomy, while reducing the HAMA and NRS scores and improving the QOL scores.

Key words: Vocal cord polypectomy, Strengthening self-care, Hamilton anxiety scale, Digital classification, Quality of life scale

CLC Number: 

  • R767.4
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