喉癌手术患者围术期综合护理效果分析(1)
[摘要] 目的 探讨喉癌手术患者围术期综合护理的效果。 方法 收集自2015年12月～2016年12月我院住院治疗的喉癌患者60例，均为鳞状细胞癌。所有患者均行手术治疗，根据护理方法不同随机分为两组，每组各30例，其中对照组采取常规对症护理，观察组实施综合性护理干预，采用汉密尔顿焦虑量表(HAMA)及汉密尔顿抑郁量表(HAMD)对患者的负性心理进行评价，并观察和比较两组患者的护理满意度、知识掌握率。 结果 两组患者干预前HAMA评分、HAMD评分组间比较差异无统计学意义，干预后，观察组的HAMA评分、HAMD评分显著低于对照组，差异有统计学意义(P<0.05)。观察组患者的护理满意度、知识掌握率显著高于对照组，差异有统计学意义(P<0.05)。 结论 喉癌手术患者围术期综合护理能显著缓解患者的负性心理，提高护理满意度。
[关键词] 喉癌手术；围术期；综合护理；护理满意度
[中图分类号] R473.73 [文献标识码] B [文章编号] 1673-9701(2017)19-0146-03
[Abstract] Objective To investigate the effect of perioperative integrated care in patients with laryngeal cancer surgery. Methods 60 patients with laryngeal cancer(all of squamous cell carcinoma) treated in our hospital from December 2015 to December 2016 were collected. All patients were treated with surgery. The patients were randomly divided into two groups according to the different nursing methods， with 30 cases in each group. The control group was treated with routine symptomatic care， and the observation group was given integrated care intervention. The Hamilton Anxiety Scale(HAMA) and Hamilton Depression Scale(HAMD) were used to evaluate the negative psychology of patients. The nursing satisfaction and mastery of knowledge between the two groups of patients were observed and compared. Results There were no significant differences in HAMA score and HAMD score between the two groups before intervention. After intervention， the HAMA score and HAMD score of the observation group were significantly lower than those of the control group， and the difference was statistically significant(P<0.05). The nursing satisfaction and mastery of knowledge of the observation group were significantly higher than those of the control group， and the difference was statistically significant(P<0.05).Conclusion The perioperative integrated care of patients with laryngeal cancer can significantly relieve the negative psychology of patients and improve the nursing satisfaction.
[Key words] Laryngeal cancer surgery； Perioperative period； Integrated care； Nursing satisfaction
喉癌是耳鼻喉科常見的恶性肿瘤之一，手术后患者丧失部分发声功能、吞咽功能，对患者的心理、生理均造成较大影响[1]，降低机体免疫力[2]，也增加了护理工作的难度。研究发现，实施良好的护理干预措施为改善喉癌手术患者生活质量的重要因素[3]，对患者围术期同时进行心理护理，可使患者积极配合治疗和护理工作，有利于促进疾病恢复以及提高生活质量。现报道如下。
1 资料与方法
1.1 临床资料
收集自2015年12月～2016年12月我院住院治疗的喉癌患者60例，均为鳞状细胞癌。患者均行手术治疗，其中男31例，女29例；年龄45～69岁，平均(53.8±8.1)岁。所有患者根据护理方法不同随机分为两组，每组各30例，其中对照组采取常规对症护理，观察组实施综合性护理干预。两组一般资料比较差异无统计学意义(P>0.05)。见表1。
1.2 护理干预方法
对照组采取常规对症护理，观察组实施综合性护理干预，具体内容包括以下几方面。, 百拇医药(杨燕)
[关键词] 喉癌手术；围术期；综合护理；护理满意度
[中图分类号] R473.73 [文献标识码] B [文章编号] 1673-9701(2017)19-0146-03
[Abstract] Objective To investigate the effect of perioperative integrated care in patients with laryngeal cancer surgery. Methods 60 patients with laryngeal cancer(all of squamous cell carcinoma) treated in our hospital from December 2015 to December 2016 were collected. All patients were treated with surgery. The patients were randomly divided into two groups according to the different nursing methods， with 30 cases in each group. The control group was treated with routine symptomatic care， and the observation group was given integrated care intervention. The Hamilton Anxiety Scale(HAMA) and Hamilton Depression Scale(HAMD) were used to evaluate the negative psychology of patients. The nursing satisfaction and mastery of knowledge between the two groups of patients were observed and compared. Results There were no significant differences in HAMA score and HAMD score between the two groups before intervention. After intervention， the HAMA score and HAMD score of the observation group were significantly lower than those of the control group， and the difference was statistically significant(P<0.05). The nursing satisfaction and mastery of knowledge of the observation group were significantly higher than those of the control group， and the difference was statistically significant(P<0.05).Conclusion The perioperative integrated care of patients with laryngeal cancer can significantly relieve the negative psychology of patients and improve the nursing satisfaction.
[Key words] Laryngeal cancer surgery； Perioperative period； Integrated care； Nursing satisfaction
喉癌是耳鼻喉科常見的恶性肿瘤之一，手术后患者丧失部分发声功能、吞咽功能，对患者的心理、生理均造成较大影响[1]，降低机体免疫力[2]，也增加了护理工作的难度。研究发现，实施良好的护理干预措施为改善喉癌手术患者生活质量的重要因素[3]，对患者围术期同时进行心理护理，可使患者积极配合治疗和护理工作，有利于促进疾病恢复以及提高生活质量。现报道如下。
1 资料与方法
1.1 临床资料
收集自2015年12月～2016年12月我院住院治疗的喉癌患者60例，均为鳞状细胞癌。患者均行手术治疗，其中男31例，女29例；年龄45～69岁，平均(53.8±8.1)岁。所有患者根据护理方法不同随机分为两组，每组各30例，其中对照组采取常规对症护理，观察组实施综合性护理干预。两组一般资料比较差异无统计学意义(P>0.05)。见表1。
1.2 护理干预方法
对照组采取常规对症护理，观察组实施综合性护理干预，具体内容包括以下几方面。, 百拇医药(杨燕)