二期喉重建术患者的生活质量调查及护理

目的　研究二期喉重建术患者的生活质量及护理。方法　采用欧洲肿瘤病研究生活质量核心问卷 (EORTCQLQ C3 0 )、头颈癌模型 (EORTCQLQ H&N3 7)、抑郁自评量表 (SDS)、焦虑自评量表 (SAS)、咽喉功能调查表对 12 6例二期喉重建术患者进行术前、术后问卷调查 ,并进行统计学处理。结果　二期喉重建术术后患者的焦虑、抑郁较术前明显改善 (P <0 .0 1) ;在角色功能、情感功能、社会功能和生活质量四方面得到提高 ,表现为交流、嗅觉、进食、打电话等各方面的改善。结论　二期喉重建术可以提高长期失喉者的生活质量 ,术前及术后护理对于辅助二期喉重建术达到预期的效果至关重要

Nursing and Life Quality Change of Patients Receiving Laryngeal Reconstruction

Objective To discuss nursing life quality change of patients who underwent laryngeal reconstruction. Methods All patients undergoing laryngeal reconstruction who received holistic nursing were investigated by questionnaires at 3 preoperative days and 6 postoperative months using EORTC QLQ-C30,EORTC QLQ-H&N37,SDS,SAS and scale of laryngeal functions. The data were analyzed by SPSS 10.0.Results After layngeal reconstruction, the life quality and moods of the laryngectomees improved significantly (P<0.01) with respect to communication, taste and smell, food ingestion and telephone calls. Conclusion Laryngeal reconstruction is a good method of improving the life quality and moods of laryngectomees. Appropriate preoperative and postoperative nursing is vital to laryngeal reconstruction.