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目的探讨强化认知干预对喉癌术后患者生活质量的影响。方法选取2015年1月至2015年12月间首都医科大学附属北京同仁医院收治的行全喉或部分喉切除手术的52例喉癌患者,根据患者的入院顺序分为观察组和对照组,每组26例。观察组患者在常规围手术期护理基础上采用强化认知干预,对照组患者实施常规围手术期护理,采用生活质量核心量表(QLQ-C30)对两组患者干预前后生活质量进行测评对比,并采用问卷调查了解两组患者的护理满意度。结果干预前,两组患者各项生活质量评分比较差异无统计学意义(P>0.05)。干预后,观察组患者躯体功能、认知功能、情绪功能及社会功能评分均优于对照组患者,两组比较,差异有统计学意义(P<0.05);观察组患者护理满意度为100.0%,高于对照组患者的76.9%,两组比较,差异有统计学意义(P<0.05)。结论强化认知干预能够有效提高喉癌患者对疾病和治疗方案的认知,提高患者自我护理能力和护理配合度,改善患者生活质量及护理服务质量。
Objective To investigate the effect of intensive cognitive intervention on the quality of life of postoperative patients with laryngeal cancer. Methods Fifty-two laryngeal cancer patients who underwent total laryngectomy or partial laryngectomy admitted to Beijing Tongren Hospital Affiliated to Capital Medical University from January 2015 to December 2015 were divided into observation group and control group according to the admission order Group of 26 cases. The patients in the observation group were treated with intensive cognitive intervention on the basis of conventional perioperative nursing, and the control group were given routine perioperative nursing. Quality of life was compared before and after intervention with QLQ-C30, And using questionnaires to understand the two groups of patients satisfaction with nursing. Results Before intervention, there was no significant difference in quality of life between two groups (P> 0.05). After intervention, the body function, cognitive function, emotional function and social function score of the observation group were better than those of the control group, the difference was statistically significant (P <0.05); the nursing satisfaction of the observation group was 100.0% , Which was higher than that of the control group (76.9%). There was significant difference between the two groups (P <0.05). CONCLUSION: Intensified cognitive intervention can effectively improve the cognition of patients with laryngeal cancer on the disease and treatment plan, improve patient self-care ability and nursing coordination, and improve patients’ quality of life and nursing service.