联合护理干预对喉癌患者术后生活质量的影响

目的:探讨自我效能和自我护理联合干预对喉癌术后患者生活质量的影响。方法:选取某三级甲等医院耳鼻喉科经病理组织学确诊的76例喉癌待手术患者作为研究对象，采用标准对照和自身对照，对照组术后常规护理，观察组在常规护理的基础上实施自我效能和自我护理的综合护理，并采用一般自我效能感量表 、自我护理能力测定量表、中国头颈部癌生命质量测定量表对干预效果进行评定。结果:观察组喉癌患者的自我效能、自我护理能力和生活质量均有不同程度的提高，均显著优于对照组（P<0.01）。观察组患者的自我效能、自我护理能力得分均随着时间的推移而升高（P<0.01），患者的生活质量得分在术前、出院时及干预结束后差异均有统计学意义（P<0.05～P<0.01）。结论:联合护理干预能有效提高喉癌术后患者的自我效能水平和自我护理能力，进而提高生活质量。

Effect of the joint nursing intervention on the quality of life of postoperative patients with laryngocarcinoma

Objective：To explore the effects of self-efficacy and self-care intervention on the quality of life of postoperative patients with laryngocarcinoma.Methods：Seventy-nine patients with laryngocarcinoma diagnosed by pathology from the E.N.T.department of a top three hospital were divided into the observation and control group.The control group and observation group were nursed with routine nursing and self-efficacy and self-care on the basis of the routine nursing,respectively.The intervention effects were evaluated using the General Self-Efficacy Scale,the exercise of Self-care Agency and the Chinese quality of life instrument for cancer patients-head and neck cancer.Results：The ability of self-efficacy and self-care and quality of life of patients in observation group increased,which were better than those in control group（P ＜ 0.01）.The scores of self-efficacy and self-care ability in observation group were improved as time went on（P ＜ 0.01）,The differences of the scores of quality of life in patients between the preoperation,discharge and after the intervention were statistically significant（P ＜ 0.05 to P ＜ 0.01）.Conclusions：The joint nursing intervention can significantly improve the ability of self-efficacy and self-care and quality of life of patients with laryngocarcinoma.