持续负压引流在喉癌术后的护理应用
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摘要
目的探究针对性护理在喉癌患者术后持续负压引流中的应用。方法选取86例行术后持续负压引流的喉癌患者为受试对象,随机数字表法分为观察组与对照组,各43例。对照组患者仅给予喉癌术后常规护理干预,观察组患者则在其基础上提供针对性护理。比较干预3d后两组患者生活质量[癌症患者生命质量量表-头颈癌(QLICP-HN)]、3d内并发症发生情况、引流管留置时间差异。结果干预3d后,观察组患者QLICP-HN各项评分及总分均明显低于对照组(P<0.05)。干预3d内,观察组患者并发症发生率明显低于对照组(P<0.05)。观察组患者引流管留置时间明显短于对照组(P<0.05)。结论有针对性的护理干预措施在喉癌患者术后持续负压引流中可获得良好应用效果,有利于其预后康复。
Objective To explore the application of targeted nursing in postoperative continuous negative pressure drainage of patients with laryngeal carcinoma. Methods Eighty-six cases of patients with laryngeal carcinoma treated with continuous negative pressure drainage were selected as subjects.The random number table method was divided into observation group(n=43) and control group(n=43) according to the random number table method.The control group was only given routine nursing intervention after laryngeal carcinoma surgery, and the observation group was given targeted nursing on this basis. The quality of life at 3 d after intervention(quality of life scale for cancer patients-head and neck cancer(QLICP-HN)],the occurrence of complications within 3 d,and the retention time of drainage tube were compared between the two groups. Results After intervention 3 d,the scores and total scores of QLICP-HN in the observation group were significantly lower than those in the control group(P < 0.05).Within 3 d of intervention,the incidence rate of complications in the observation group was significantly lower than that in the control group(P < 0.05).The retention time of drainage tube in the observation group was significantly shorter than that in the control group(P < 0.05). Conclusion Targeted nursing intervention for postoperative continuous negative pressure drainage in patients with laryngeal carcinoma can obtain good effects and it is conducive to the prognosis and recovery.
Objective To explore the application of targeted nursing in postoperative continuous negative pressure drainage of patients with laryngeal carcinoma. Methods Eighty-six cases of patients with laryngeal carcinoma treated with continuous negative pressure drainage were selected as subjects.The random number table method was divided into observation group(n=43) and control group(n=43) according to the random number table method.The control group was only given routine nursing intervention after laryngeal carcinoma surgery, and the observation group was given targeted nursing on this basis. The quality of life at 3 d after intervention(quality of life scale for cancer patients-head and neck cancer(QLICP-HN)],the occurrence of complications within 3 d,and the retention time of drainage tube were compared between the two groups. Results After intervention 3 d,the scores and total scores of QLICP-HN in the observation group were significantly lower than those in the control group(P < 0.05).Within 3 d of intervention,the incidence rate of complications in the observation group was significantly lower than that in the control group(P < 0.05).The retention time of drainage tube in the observation group was significantly shorter than that in the control group(P < 0.05). Conclusion Targeted nursing intervention for postoperative continuous negative pressure drainage in patients with laryngeal carcinoma can obtain good effects and it is conducive to the prognosis and recovery.
引文
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[2]汤玮晶,陶磊.喉癌患者术后生存质量的研究进展[J].中国眼耳鼻喉科杂志,2014,14(2):124-126.
[3]陈冬华,杨徐静.负压引流装置在头颈外科引流管应用失效的原因分析及护理[J].护士进修杂志,2014,29(18):1717-1719.
[4]肖雪霞.头颈部术后负压引流装置的设计[J].中华现代护理杂志,2014,20(24):3139.
[5]中华耳鼻咽喉头颈外科杂志编辑委员会头颈外科组,李晓明.喉癌外科手术及综合治疗专家共识[J].中华耳鼻咽喉头颈外科杂志,2014,49(8):620-626.
[6]王令焕,刘大响,徐梅.改良护理模式对头颈肿瘤患者术后引流液观察的相关研究[J].广东医学,2017,38(9):1461-1463.
[7]王营,皇甫辉,韩瑞.改良式闭式负压引流冲洗治疗颈部坏死性筋膜炎疗效分析及护理[J].中华临床感染病杂志,2017,10(3):223-226.
[8]龚润萍,刘秀林,洪燕.人性化护理干预对喉癌术后患者生活质量的影响[J].广东医学,2015,36(9):1464-1466.
[9]杜仲,黄昕,闫子玉,等.封闭负压引流术(VSD)应用进展[J].口腔医学,2016,36(7):670-672.
[10]李忠,杨治,张堃,等.负压封闭引流技术的作用机制研究进展[J].中国矫形外科杂志,2013,21(20):2080-2083.
[11]张华,杏玲芝,陆皓,等.封闭式负压引流治疗护理技术操作规范的标准化制定研究[J].中国护理管理,2014,14(10):1029-1032.
[12]张大明,王友元,梁启祥,等.负压封闭引流技术在头颈部恶性肿瘤根治重建后下颌下瘘口中的应用评价[J].中国口腔颌面外科杂志,2015,13(5):452-455.
[13]李云,金莉,马士崟.联合护理干预对喉癌患者术后生活质量的影响[J].蚌埠医学院学报,2014,39(7):973-976.
[14]曲学华,马肖男,李丽,等.喉癌全喉切除术后患者生活质量影响因素调查及护理对策[J].现代生物医学进展,2013,13(7):1353-1355.
[15]陈瑶.人性化护理对喉癌患者生存质量的影响[J].河北医学,2013,19(5):780-782.