基于同伴教育的食管发音培训在全喉切除术后患者中的应用OA

Objective To evaluate the effect of peer education-based esophageal voice training on esophageal voice quality and resilience in patients who have undergone total laryngectomy.Methods Patients who underwent total laryngectomy in Hubei Cancer Hospital were selected.Patients who underwent surgery from January to June 2021 were included in the control group(n=24)while those who underwent surgery from July to December 2021 were included in the observation group(n=25).The patients in both groups received one intensive esophageal voice training course(6 months postoperative)and two consolidation courses(9 and 12 months postoperative),supplemented by online guidance.The esophageal voice training and online Q&A were performed by the nurses from the Head&Neck Surgery Department in the control group and by five specially recruited and trained peer educators in the observation group.The esophageal voice quality and resilience level[using the Connor-Davidson Resilience scale,(CD-RISC)]in the short-,medium-and long-term postoperative period were compared between the two groups.Results The esophageal voice quality in the observation group was superior to that in the control group in the short-,medium-and long-term postoperative period(P<0.05).After the intensive training course and the second consolidation course,the CD-RISC scores of patients in the observation group were all higher than those in the control group(P<0.05).Conclusion Peer education-based esophageal voice training can restore patients'vocal function to accelerate their speech rehabilitation and adjust their psychological state to enhance their resilience level.