Barthel指数评估操在全喉切除患者术后分级护理中的应用

Application of Barthel index assessment exercise in postoperative grading nursing among total laryngectomy patients

目的探讨Barthel指数评估操在全喉切除患者术后分级护理中的应用效果。方法采用便利抽样法,选取2018年1月—2019年6月在南京大学医学院附属鼓楼医院耳鼻咽喉头颈外科行全喉切除术的喉癌患者51例为研究对象。采用随机数字表法将其分为对照组(n=24)和观察组(n=27)。比较两组患者分级护理的等级、术后早期下床活动依从性以及自我护理能力的差异。结果两组患者术后护理分级比较差异无统计学意义(P>0.05)。观察组患者术后早期下床活动依从性优于对照组,差异有统计学意义(P<0.05)。出院前1 d观察组患者自我护理能力总分及各维度得分均高于对照组,差异有统计学意义(P<0.05)。结论Barthel指数评估操可客观评估全喉切除术后患者生活自理能力,提高患者术后早期下床活动依从性,增强患者自我护理能力。

Objective To explore the effects of Barthel index assessment exercise in postoperative grading nursing among total laryngectomy patients.Methods From January 2018 to June 2019,we selected 51 laryngeal carcinoma patients undergoing total laryngectomy in Otolaryngology Head and Neck Surgery at Nanjing Drum Tower Hospital,the Affiliated Hospital of Nanjing University Medical School,as subjects by convenience sampling.All of patients were divided into control group(n=24)and observation group(n=27)with the method of random number table.We compared the differences in the levels of grading nursing,compliance of early ambulation after surgery and self-care ability of patients between two groups.Results There were no statistical difference in the levels of grading nursing of patients between two groups after surgery(P>0.05).The compliance of early ambulation of patients after surgery in observation group was better than that in control group with a statistical difference(P<0.05).The total score and dimension scores of self-care ability of patients in observation group were higher than those in control group one day before discharge with statistical differences(P<0.05).Conclusions Barthel index assessment exercise can objectively assess the activities of daily living of total laryngectomy postoperative patients,improve the compliance of early ambulation after surgery and self-care ability of patients.