CAJ | 학술논문

目的：探讨综合整体护理干预对策对老年口腔癌患者颌颈联合根治术后患者康复的影响。方法2012年1月－2014年12月收治的行口腔癌颌颈联合根治术进行治疗的60岁以上的老年口腔癌患者78例，按随机数字表法分为观察组和对照组，每组39例。2组患者均行口腔癌颌颈联合根治术，术后对照组给予口腔癌患者相关常规护理，观察组给予全程连续性综合整体护理干预。观察2组患者术后语音恢复情况，此外对2组患者的本病知晓情况、综合护理质量满意度进行比较。结果2组语音功能训练后均较训练前语音清晰度得分显著提高（P＜0．05）；与对照组比较，观察组提高更为显著（P＜0．01）。观察组患者相关知识掌握率、相关技能掌握率及遵医行为均明显高于对照组，差异具有统计学意义（P＜0．05），且观察组患者对综合护理质量满意度的评价也明显高于对照组（P＜0．05）。结论开展优综合整体干预护理服务，对口腔癌患者颌颈联合根治术后患者康复具有较好的促进作用。
목적：탐토종합정체호리간예대책대노년구강암환자합경연합근치술후환자강복적영향。방법2012년1월－2014년12월수치적행구강암합경연합근치술진행치료적60세이상적노년구강암환자78례，안수궤수자표법분위관찰조화대조조，매조39례。2조환자균행구강암합경연합근치술，술후대조조급여구강암환자상관상규호리，관찰조급여전정련속성종합정체호리간예。관찰2조환자술후어음회복정황，차외대2조환자적본병지효정황、종합호리질량만의도진행비교。결과2조어음공능훈련후균교훈련전어음청석도득분현저제고（P＜0．05）；여대조조비교，관찰조제고경위현저（P＜0．01）。관찰조환자상관지식장악솔、상관기능장악솔급준의행위균명현고우대조조，차이구유통계학의의（P＜0．05），차관찰조환자대종합호리질량만의도적평개야명현고우대조조（P＜0．05）。결론개전우종합정체간예호리복무，대구강암환자합경연합근치술후환자강복구유교호적촉진작용。
Objective To explore the effect of the overall nursing intervention measures on the postoperative rehabilitation of the elderly patients with oral cancer after combined radical operation of jaw and neck.Methods 78 elderly patients with o-ral cancer were selected who had undergone combined radical operation of jaw and neck from January 2012 to December 2014. According to the random number table method,they were randomly divided into an observation group and a control group,39 cases in each one.After operation, the patients in the control group were given related conventional nursing while those in the observation group were given comprehensive overall nursing intervention.Postoperative speech recovery of the two groups were observed.The patients'awareness of the disease and satisfaction of the comprehensive nursing quality of the two groups were compared.Results After voice function training,the phonetic intelligibility score of the two groups improved significantly than before(P<0.05) and compared with the control group, the observation group improved more significantly(P=0.01).Be-sides, the patients'awareness of the disease of the observation group was obviously better than that of the control group.The e-valuation on the satisfaction of the comprehensive nursing quality of the observation group was obviously higher than that of the control group and the nurse-patient disputes was significantly lower than that of the control group(P<0.05).Conclusion The optimal integrated overall intervention of nursing service has a good effect on promoting postoperative rehabilitation of pa-tients with oral cancer after combined radical operation of jaw and neck.Therefore it is worth popularizing in clinic.