CAJ | 학술논문

目的探讨指导喉癌患者家庭康复干预的方法与效果.方法 96例喉癌患者按随机数字表法分对照组和干预组各48例,住院期间接受常规护理及健康教育,干预组还接受出院后家庭康复干预指导,包括成立护理干预组、制订家庭康复干预流程、制订个性化家庭康复计划、培训患者和照顾者掌握营养、运动、气道保护及护理等相关知识和技术,介绍无喉组织活动经验、进行定期复诊和进行随访6个月等.采用《自我护理能力评定量表》评价两组出院后1周、3个月、6个月家庭康复及自我护理能力,比较两组术后回院堵管时间及6个月内因并发症重复住院率.结果干预组家庭康复及自我护理能力评定各维度得分均高于对照组(P＜0.05).结论对喉癌患者实施家庭康复指导能提高自我护理能力,促进早日康复,改善整体生活质量.
목적 탐토지도후암환자가정강복간예적방법여효과.방법 96례후암환자안수궤수자표법분대조조화간예조각48례,주원기간접수상규호리급건강교육,간예조환접수출원후가정강복간예지도,포괄성립호리간예조、제정가정강복간예류정、제정개성화가정강복계화、배훈환자화조고자장악영양、운동、기도보호급호리등상관지식화기술,개소무후조직활동경험、진행정기복진화진행수방6개월등.채용《자아호리능력평정량표》평개량조출원후1주、3개월、6개월가정강복급자아호리능력,비교량조술후회원도관시간급6개월내인병발증중복주원솔.결과 간예조가정강복급자아호리능력평정각유도득분균고우대조조(P＜0.05).결론 대후암환자실시가정강복지도능제고자아호리능력,촉진조일강복,개선정체생활질량.
Objective To explore the effect and methods of the guidance of the rehabilitation at home in patients with laryngeal carcinoma.Methods 96 patients with laryngeal carcinoma were randomly divided into a control group and an intervention group,48 cases for each group.Both groups received routine nursing care and health education during hospitalization.In addition,after discharge,the intervention group received the guidance of rehabilitation at home,including the establishment of nursing intervention group,formulating the process of rehabilitation at home,formulating the individualized plan rehabilitation at home,training the patients,and helping the patients have command of the knowledge and/or technology of nutrition,exercise,airway protection and care,etc,were introduced the experience of no laryngeal tissue activity,demanded to re-visit the doctor regularly,followed up for 6 months.The abilities of rehabilitation at home and self care of both groups were evaluated 1 week,3 months,and 6 months after discharge by "self nursing ability scale".The postoperative tube-blocked times and re-hospitalization rates within 6 months because of complications were compared between the two groups.Results The scores of each dimension in the abilities of rehabilitation at home and self care were higher in the intervention group than in the control group (P ＜ 0.05).Conclusions Guiding patients with laryngeal carcinoma rehabilitating at home can improve the patients' self care ability,promote early rehabilitation,and improve the overall quality of life.