强化康复理念干预对喉癌根治术患者术后吞咽功能的影响

Effect of strengthen rehabilitation concept intervention on the postoperative swallowing function of patients undergoing radical laryngeal cancer surgery

目的 探讨强化康复理念干预对喉癌根治术患者术后吞咽功能的影响。方法 将60例喉癌根治术患者根据干预方法的不同分为对照组(n=27,常规干预)和观察组(n=33,强化康复理念干预)。比较两组患者的吞咽状况[安德森吞咽困难量表(MDADI)]、嗓音状况[嗓音障碍指数量表(VHI)]及吞咽功能(洼田饮水试验)。结果干预后,两组患者MDADI量表各维度评分及总分均较干预前升高,且观察组患者MDADI量表各维度评分及总分均高于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者VHI量表各维度评分及总分均较干预前降低,且观察组患者VHI量表各维度评分及总分均低于对照组,差异均有统计学意义(P﹤0.05)。术后1个月,观察组患者吞咽功能优于对照组,差异有统计学意义(P﹤0.05)。结论 强化康复理念干预能够有效改善喉癌根治术患者的吞咽状态以及嗓音状态,有助于促进患者吞咽功能恢复。

Objective To investigate the effect of strengthen rehabilitation concept intervention on the postoperative swallowing function of patients undergoing radical laryngeal cancer surgery.Method A total of 60 patients who under-went radical laryngeal cancer surgery were divided into control group(n=27,conventional intervention)and observation group(n=33,strengthen rehabilitation concept intervention)according to different intervention methods.The swallowing status[MD Anderson dysphasia inventory(MDADI)],voice status[voice handicap index(VHI)]and swallowing function(water swallowing test)were compared between the two groups.Result After intervention,the scores of all dimensions of MDADI scale and total scores in both groups were higher than those before intervention,and the scores of all dimensions of MDADI scale and total score in observation group were higher than those in control group,the differences were statistically significant(P<0.05).After intervention,the scores of all dimensions of VHI scale and total scores in both groups were lower than those before intervention,and the scores of all dimensions of VHI scale and total score in observation group were lower than those in control group,the differences were statistically significant(P<0.05).One month after operation,the swallowing function of the observation group was better than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The strengthen rehabilitation concept intervention can effectively improve the swallowing status and voice status of patients undergoing radical laryngeal cancer surgery,which is help-ful to promote the recovery of swallowing function.