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

Abstract

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

CLC Number:

R739.65

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.

Figures/Tables 2

Table1

Comparison of life-quality core scores before nursing care intervention in two groups（xˉ±s，scores）"

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

Table1

Table 2

Comparison of life-quality core scores after nursing care intervention in two groups（xˉ±s，scores）"

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

Table 2

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Analysis of peer-support education in patients with continuous nursing after total laryngectomy

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