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目的探讨行全喉切除的喉癌患者采取癌因性疲乏护理干预的措施及效果。方法 64例行全喉切除的喉癌患者,随机分为观察组和对照组,各32例。对照组进行常规护理,观察组在常规护理的基础上采取癌因性疲乏护理干预。对比两组的护理效果。结果干预后,观察组癌因性疲乏状况优于对照组,差异具有统计学意义(P<0.01)。护理干预后,观察组患者的社会关系、心理状态、喉功能、身体机能、颈前气管造口、独立生活能力得分分别为(75.74±9.23)、(76.83±8.89)、(64.78±10.24)、(76.22±9.16)、(68.62±6.76)、(73.65±10.24)分,均显著高于对照组的(62.24±4.12)、(60.12±10.23)、(49.20±10.16)、(68.15±11.30)、(47.85±7.64)、(64.67±7.69)分,差异均具有统计学意义(P<0.01);观察组总体生存质量得分为(89.94±10.79)分,显著优于对照组的(70.46±10.92)分,差异具有统计学意义(P<0.01)。结论对行全喉切除的喉癌患者采取癌因性疲乏护理干预,可有效提高患者康复速度,改善或缓解临床疲乏程度,值得推广与应用。
Objective To investigate the measures and effects of cancer nursing intervention in patients with laryngeal cancer undergoing total laryngectomy. Methods 64 cases of laryngeal cancer patients undergoing total laryngectomy were randomly divided into observation group and control group, 32 cases in each. Control group for routine care, observation group based on routine care to take cancer due to fatigue nursing intervention. Compare the two groups of nursing effects. Results After intervention, the cancer-induced fatigue in the observation group was better than that in the control group, with statistical significance (P <0.01). After nursing intervention, the scores of social relations, mental status, laryngeal function, physical function, anterior cervical tracheostomy and independent living ability in the observation group were (75.74 ± 9.23), (76.83 ± 8.89), (64.78 ± 10.24), (62.24 ± 4.12), (60.12 ± 10.23), (49.20 ± 10.16) and (68.15 ± 11.30) in the control group were significantly higher than those in the control group (76.22 ± 9.16, 68.62 ± 6.76 and 73.65 ± 10.24, respectively) (47.85 ± 7.64) and (64.67 ± 7.69) points respectively, the difference was statistically significant (P <0.01). The overall quality of life score of the observation group was (89.94 ± 10.79) points, which was significantly better than that of the control group (70.46 ± 10.92) Points, the difference was statistically significant (P <0.01). Conclusions The nursing intervention for cancer patients with laryngeal cancer undergoing total laryngectomy can effectively improve the speed of rehabilitation and improve or relieve the clinical fatigue, which is worthy of popularization and application.