强化认知干预对喉癌术后患者生活质量的影响

Effect of intensive cognitive intervention on quality of life in patients with laryngeal carcinoma

目的探讨强化认知干预对喉癌术后患者生活质量的影响。方法选取2015年1月至2015年12月间首都医科大学附属北京同仁医院收治的行全喉或部分喉切除手术的52例喉癌患者,根据患者的入院顺序分为观察组和对照组,每组26例。观察组患者在常规围手术期护理基础上采用强化认知干预,对照组患者实施常规围手术期护理,采用生活质量核心量表(QLQ-C30)对两组患者干预前后生活质量进行测评对比,并采用问卷调查了解两组患者的护理满意度。结果干预前,两组患者各项生活质量评分比较差异无统计学意义(P>0.05)。干预后,观察组患者躯体功能、认知功能、情绪功能及社会功能评分均优于对照组患者,两组比较,差异有统计学意义(P<0.05);观察组患者护理满意度为100.0%,高于对照组患者的76.9%,两组比较,差异有统计学意义(P<0.05)。结论强化认知干预能够有效提高喉癌患者对疾病和治疗方案的认知,提高患者自我护理能力和护理配合度,改善患者生活质量及护理服务质量。

Objective To explore the impact of intensive cognitive intervention on quality of life in patients with laryngeal carcinoma. Methods The study selected 52 patients with laryngeal carcinoma who experienced total or partial laryngectomy at Beijing Tongren Hospital Affiliated to Capital Medical University from January 2015 to December 2015. Patients were randomly divided into an observation group and a con- trol group according to the admission sequence with 26 patients in each group. The observation group was given intensive cognitive intervention in addition to conventional perioperative nursing and the control group was given conventional perioperative nursing. Using the core quality of life scale （QLQ-C30） quality of life in the two groups before and after intervention was measured and evaluated. Using a questionnaire patient＇ satisfaction with care was examined. Results There was no significant difference in scores of quality of life between the two groups （P 〉 0. 05）. After intervention, scores of physical function, cognitive function, e- motional function and social function were significantly better in the observation group than in the control group （P 〈 0.05 ）. The rate of patients＇ satisfaction with nursing was 100. 0% for the observation group which was significantly higher than 76. 9% of the control group （P 〈 0.05 ）. Conclusion To strengthen cognitive intervention can effectively improve disease awareness, self-care, coordination degree in nursing, quality of life and nursing quality in patients with laryngeal cancer.