基于前馈控制的全方位护理干预对喉癌根治术患者应用价值分析

Value of feedforward control-based all-round nursing intervention in patients with laryngeal carcinoma undergoing radical operation

目的探讨基于前馈控制的全方位护理干预对喉癌根治术患者吞咽功能、创伤后成长水平、心理状态、并发症、生活质量的影响。方法选取2020-01-01-2022-03-31南阳市中医院收治的78例喉癌根治术患者为研究对象,随机数字表法分为常规干预组和前馈控制干预组,各39例。常规干预组予以常规护理干预,前馈控制干预组在常规干预组基础上采取基于前馈控制的全方位护理干预。干预3个月后,安德森吞咽困难量表(MDADI)评估患者的吞咽功能,创伤后成长量表(PTGI)评估患者的创伤后成长水平,疾病感知问卷(BIPQ)评估患者的疾病感知力,汉密顿抑郁量表(HAMD)评估患者的心理状态,欧洲癌症研究与治疗组织生命质量测定量表(EORTC-QLQ)评估患者的生活质量,并比较2组的并发症。结果干预3个月后,前馈控制干预组MDADI评分、PTGI评分分别为(63.59±7.25)、(73.85±8.39)分,高于常规干预组的(57.41±6.13)、(62.46±7.43)分,差异有统计学意义,F值分别为9.984、21.937,均P<0.001;前馈控制干预组BIPQ评分、HAMD-17评分、EORTC-QLQ评分分别为(48.05±4.32)、(12.64±2.56)、(46.33±5.58)分,低于常规干预组的(51.36±4.58)、(17.67±2.88)、(53.41±5.64)分,差异有统计学意义,F值分别为5.317、33.862、16.137,P值分别为0.007、<0.001、<0.001;前馈控制干预组并发症发生率为5.13%,低于常规干预组的23.08%,差异有统计学意义,χ^(2)=5.183,P=0.023。结论基于前馈控制的全方位护理干预可改善喉癌根治术患者的疾病感知及负性心理状态,改善吞咽功能,提高其创伤后成长水平,减少并发症的发生,有助于提升患者术后生活质量。

Objective To explore the effects of feedforward control-based comprehensive nursing intervention on swallowing function,post-traumatic growth level,mental state,complications and quality of life in patients undergoing radical laryngeal cancer surgery.Methods A total of 78 patients with laryngeal carcinoma underwent radical operation in Nanyang Hospital of Traditional Chinese Medicine from January 1,2020 to March 31,2022 were selected and divided into conventional intervention group and feedforward control intervention group according to random number table method,with 39 cases in each group.The conventional intervention group received routine nursing intervention,and the feedforward control intervention group received feedforward control based all-round nursing intervention on the basis of the conventional intervention group.After 3 months of intervention,M.D.Anderson dysphagia inventory(MDADI)was used to evaluate swallowing function,post-traumatic growth scale(PTGI)was used to evaluate post-traumatic growth level,brief illness perception questionnaire(BIPQ)was used to evaluate the disease perception,Hamilton depression scale(HAMD)was used to evaluate the mental state,European Organization for Research and Treatment of Cancer Quality of Life Questionnaire(EORTC-QLQ)was used to evaluate the quality of life,complications were compared between the two groups.Results After 3 months of intervention,the MDADI score and PTGI score in the feedforward control intervention group were(63.59±7.25)points and(73.85±8.39)points,respectively,which were higher than those in the conventional intervention group(57.41±6.13)points and(62.46±7.43)points,and the differences were statistically significant,F values were 9.984 and 21.937,all P<0.001;the BIPQ score,HAMD-17 score and EORTC-QLQ score in the feedforward control intervention group were(48.05±4.32)points,(12.64±2.56)points and(46.33±5.58)points,respectively,which were lower than those in conventional intervention group(51.36±4.58)points,(17.67±2.88)points and(53.41±5.64)points,the differences were statistically significant,F values were 5.317,33.862 and16.137,and P values were 0.007,<0.001 and<0.001,respectively.The complication rate of the feedforward control intervention group(5.13%)was significantly lower than that of conventional intervention group(23.08%),the difference was statistically significant,χ^(2)=5.183,P=0.023.Conclusion Comprehensive nursing intervention based on feedforward control can improve the disease perception and negative psychological state,improve swallowing function,increase the level of post-traumatic growth,reduce the occurrence of complications,and help improve the quality of life of patients after radical laryngotomy.