CAJ | 학술논문

目的探讨术后早期实施自我护理教育和后期指导护理包使用对无喉患者产生的效果.方法符合入组条件40例喉全切除术后患者按手术日期分为对照组和观察组各20例,对照组接受常规护理;观察组除接受常规护理措施外由专业护士进行系统干预,干预内容包括早期自我护理教育和后期指导使用护理包.分别于术后15 d、3个月进行问卷调查,比较2组应对方式、自护能力及生存质量.结果应对方式比较2次测评结果均有显著差异.自护能力比较术后15 d自护技能和健康知识水平有差异,其他2项比较无差异;术后3个月自护4个项目比较均有显著差异.患者生存质量总分评定2组比较有差异.结论术后早期进行系统自护教育和后期指导使用护理包可以推动患者积极应对,提高自理能力和生存质量.
목적 탐토술후조기실시자아호리교육화후기지도호리포사용대무후환자산생적효과.방법 부합입조조건40례후전절제술후환자안수술일기분위대조조화관찰조각20례,대조조접수상규호리;관찰조제접수상규호리조시외유전업호사진행계통간예,간예내용포괄조기자아호리교육화후기지도사용호리포.분별우술후15 d、3개월진행문권조사,비교2조응대방식、자호능력급생존질량.결과 응대방식비교2차측평결과균유현저차이.자호능력비교술후15 d자호기능화건강지식수평유차이,기타2항비교무차이;술후3개월자호4개항목비교균유현저차이.환자생존질량총분평정2조비교유차이.결론 술후조기진행계통자호교육화후기지도사용호리포가이추동환자적겁응대,제고자리능력화생존질량.
Objective To discuss the effect of self- care education at the early time of postoperation and the use of nursing packages during the later period on non- throat patients. Methods 40 patients having un-dergone total laryngectomy were divided into the control group and the experimental group according to the surgery date with 20 cases in each group. The control group received conventional nursing, while the experi-mental group was given the system intervention by specialized nurses. The intervention content included self-care education at the early time of postoperation and the use of nursing packages during the later period. The questionnaire survey was carried out 15 days and 3 months after operation.The coping style,self-care ability and survival quality were compared between the two groups. Results The comparison of coping style showed re-markable difference in the two groups. The comparison of self- care ability and level of health knowledge showed significant difference 15 days after operation except two other items,but the four items demonstrated significant difference 3 months after operation. Difference also existed in the total scorn of survival quality. Conclusions Early system serf- care education after operation and the use of nursing package during the later period can impel the patients to cope positively, enhance self-care ability and survival quality.