自我护理干预对多西他赛序贯放化疗喉癌术后气管切开患者焦虑与疼痛状态的影响被引量：8

Effect of Self-care Intervention on the Anxiety and Pain Status of Patients Undergoing Tracheostomy After Laryngeal Sequential Chemotherapy with Docetaxel

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摘要目的探讨自我护理干预在多西他赛序贯化疗治疗喉癌术后气管切开患者中的应用效果及对患者焦虑、疼痛状态的影响。方法随机选取入院治疗的喉癌术后气管切开患者60例,所有患者术后均采用多西他赛序贯化疗治疗,根据护理方案分为对照组(n=30例)和观察组(n=30例)。对照组采用常规方法护理,观察组采用自我护理干预,两组均进行3个月护理,护理完毕后对患者效果进行评估。比较两组护理效果及对患者焦虑、疼痛状态的影响。结果观察组护理后3个月GSES、ESCA和QLICP-HN量表评分,均高于对照组(P<0.05);观察组护理后3个月SAS、SDS量表评分,均低于对照组(P<0.05);观察组与对照组护理后1个月、2个月、3个月VAS评分,均低于护理前(P<0.05);观察组护理后1个月、2个月、3个月VAS评分,均低于对照组(P<0.05)。结论将自我护理干预用于多西他赛序贯化疗治疗喉癌术后气管切开患者中有助于提高患者自我效能及自我护理能力,改善患者生命质量,减轻焦虑、疼痛状态,值得推广应用。 Objective To investigate the effect of self-care intervention in docetaxel sequential chemotherapy for tracheotomy after laryngeal surgery and its effect on anxiety and pain.Methods A total of 60 patients undergoing tracheotomy after laryngeal cancer were selected.All patients were treated with docetaxel sequential chemotherapy and were divided into control groups group(30 cases)and observation group(30 cases)according to the nursing plan.The control group was treated with conventional methods.The observation group adopted self-care interventions.Both groups were given 3 months of care.The effect of the patients was evaluated after nursing.The effect of nursing care and the influence on anxiety and pain status of the two groups were compared.Results The GSES,ESCA,and QLICP-HN scores in the observation group were higher than those in the control group at 3 months after nursing(P<0.05).The scores of the SAS and SDS scales in the observation group at 3 months after nursing were lower than those in the control group(P<0.05).The VAS scores of the observation group and the control group at 1 month,2 months,and 3 months after nursing were all lower than those before nursing(P<0.05).The VAS scores of the observation group at 1 month,2 months and 3 months after nursing were lower than those of the control group(P<0.05).Conclusion The application of self-care intervention can improve self-efficacy and self-care ability in docetaxel sequential chemotherapy for postoperative tracheotomy patients with laryngeal carcinoma.It could also improve the quality of life of patients,relieve anxiety and pain.It is worthy of promotion.

作者叶琳琳张跃萍文梓力申婧周梅秦梦婷刘丽华 YE Linlin;ZHANG Yueping;WEN Zili;SHEN Jing;ZHOU Mei;QIN Mengting;LIU Lihua(Otorhinolaryngology Department,Chengdu Second People’s Hospital,Chengdu,Sichuan,610000,China;School of Medicine,Hunan Normal University,Changsha,Hunan,410013,China)

机构地区成都市第二人民医院耳鼻咽喉科晓庄学院医学院

出处《肿瘤药学》 CAS 2018年第3期468-472,共5页 Anti-Tumor Pharmacy

关键词自我护理干预多西他赛喉癌术后气管切开自我效能 Self-care intervention Docetaxel Laryngeal carcinoma surgery Tracheotomy Self-efficacy

分类号 R473.73 [医药卫生—护理学]

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