喉癌患者手术前后症状变化及其影响因素分析

Symptom changes before and after laryngeal cancer surgery and the influencing factors

目的探讨喉癌患者手术前后症状变化情况及其影响因素,为针对性干预提供参考。方法对129例喉癌手术患者,采用安德森症状评估量表-头颈部模块于患者手术前后进行调查。结果患者手术前后症状种数、症状发生率、症状严重程度及症状困扰程度得分比较,差异有统计学意义(P<0.05,P<0.01);术前症状的主要影响因素为症状种数、吸烟(调整R^2=0.723);术后症状的主要影响因素为症状种数、手术的同时行气管切开(调整R^2=0.824)。结论喉癌患者手术前后症状差异显著,护理人员应针对手术前后症状不同的影响因素实施干预,以减轻患者不适感。

Objective To assess the symptom changes in patients before and after laryngeal cancer surgery and the influencing factors, and to provide reference for targeted interventions. Methods One hundred and twenty-nine patients receiving surgery for laryngeal cancer were surveyed using the M. D. Anderson's Symptom Inventory-Head and Neck Module before and after the surgery. Results There were statistically significant differences in the number of symptoms, symptom incidence,symptom severity and distress before and after the surgery (P<0. 05,P<0. 01). Multiple linear regression analysis revealed that the number of symptoms and smoking habit affected patients' pre-operative symptom (adjusted R^2 = 0. 723), and the number of postoperative symptoms and tracheotomy during the operation were predictors of post-operative symptoms (adjusted R^2 = 0. 824). Conclusion Patients undergoing laryngeal cancer surgery experienced different symptoms before and after the surgery, so nurses should take measures targeting the influencing factors to alleviate patients7 symptom burden.