中国健康心理学杂志2019，Vol.27Issue(1)：41-45,5.DOI:10.13342/j.cnki.cjhp.2019.01.016
自我效能护理对声带息肉术后发声障碍患者训练期间心理障碍和认知行为的影响
Effect of self-efficacy nursing on mental disorders and cognitive behavior of patients with dysphonia during training after surgery of vocal cord polyp
摘要
Abstract
Objective:To explore the effect of self-efficacy nursing on mental disorders and cognitive behavior of patients with dysphonia during training after surgery of vocal cord polyp.Methods:A total of 64patients who planned to receive voice training after surgery of vocal cord polyp in our hospital were selected as subjects, and they were divided into the observation group (n=32) and the control group (n=32) by the random number table method.The two groups were given routine nursing intervention during the perioperative period while the observation group were additionally given self-efficacy nursing intervention.Changes in self-efficacy[General Self-efficacy Scale (GSES) ], negative emotion[Hamilton Depression Scale (HAMD), Liebowitz Social Anxiety Scale (LSAS) ], clear awareness rate of the disease (causes of dysphonia, procedures of rehabilitation training, voice care measures), the type of behavior reaction[Type A Behavior Questionnaire (TABQ) ], the degree of dysphonia[maximum phonation time (MPT), voice handicap index (VHI) ], acoustic indexes of voice[fundamental frequency perturbation (jitter), amplitude perturbation (shimmer), harmonics to noise ratio (NHR) ]at 5days and 15days after surgery were compared between the two groups.Results:GSES scores, MPT and VHI scores of the two groups at 15days after surgery were significantly higher than those at 5days after surgery (P<0.05), and they were significantly higher in the observation group than that in the control group at the same time (t=3.182, 2.685, 2.455;P<0.05).HAMD scores, LSAS scores, jitter, shimmer and NHR of the two groups at 15days after surgery were significantly lower than those at 5days after surgery (P<0.05), and they were significantly lower in the observation group than that in the control group (t=-2.571, -2.299, -2.656, -2.427, -2.500;P<0.05).The clear awareness rates of causes of dysphonia, procedures of rehabilitation training and voice care measures in the two groups at 15days after surgery were significantly higher than those at 5days after surgery (P<0.05), and the rates were significantly higher than in the observation group than that in the control group at the same time (χ2=4.267, 5.143, 4.433;P<0.05).The rates of TABQ type A in the two groups were significantly lower, compared with those before treatment (P<0.05), and the rate was significantly lower in the observation group than that in the control group (χ2=4.654, P<0.05).Conclusion:Self-efficacy nursing can effectively improve the mental disorders and cognitive behavior of patients with dysphonia after surgery of vocal cord polyp, and it is beneficial to the prognosis and rehabilitation of patients.关键词
声带息肉/发声障碍/自我效能/心理障碍/认知行为/发声训练Key words
Vocal cord polyps/Dysphonia/Self-efficacy/Mental disorders/Cognitive behavior/Voice training分类
医药卫生引用本文复制引用
胡安梅,戴艳..自我效能护理对声带息肉术后发声障碍患者训练期间心理障碍和认知行为的影响[J].中国健康心理学杂志,2019,27(1):41-45,5.基金项目
四川省卫生厅科研课题(编号:120447) （编号:120447）
