保健医学研究与实践2023，Vol.20Issue(z2)：169-172,4.DOI:10.11986/j.issn.1673-873X.2023.S2.47
基于风险理念的护理计划在全喉切除术后气道湿化管理中的应用
Application of risk concept-based nursing plan in airway humidification management after total laryngectomy
摘要
Abstract
Objective To explore the application of a nursing plan based on the risk concept in airway humidification management after total laryngectomy.Methods Thirty-four patients with laryngeal cancer who underwent total laryngectomy in our hospital from June 2021 to May 2022 were selected as the control group,and 37 patients from July 2022 to June 2023 were selected as the study group.Both groups received standardized airway humidification management with an observation period of 14 days.During the airway humidi-fication management period,the control group received routine nursing interventions,while the study group received nursing interven-tions based on the risk concept in addition to those received by the control group.The airway prognosis and quality of life of patients in both groups were observed.Results The incidence of complications during the nursing period in the study group was not significantly lower than that in the control group(5.41％,vs.17.65％;P＞0.05).The self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores of patients in both groups were significantly lower after nursing compared to before nursing,with the scores in the study group being significantly lower than those in the control group(P＜0.05).Before nursing,there was no statistically significant difference in the characteristics of airway secretions between the two groups(P＞0.05).After nursing,the grading of airway secretion characteristics in the study group was significantly lighter than that in the control group(P＜0.05).Before nursing,no statistically significant difference was found in the scores of each dimension of the of quality of life instruments for cancer patients:head and neck cancer(QLICP-HN)between the two groups(P＞0.05).After nursing,the subscale scores of the QLICP-HN inventory in the study group were significantly higher than those in the control group(P＜0.05).Conclusion The application of a nursing plan based on the risk concept in airway humidification management after total laryngectomy can reduce the risk of airway complications,alleviate anxie-ty and depression symptoms,promote the characteristics of airway secretions,and raise the quality of life of patients.关键词
风险理念/护理计划/喉癌/气道湿化/气道Key words
Risk concept/Nursing plan/Laryngeal cancer/Airway humidification/Airway分类
医药卫生引用本文复制引用
何竹韵,唐磊磊..基于风险理念的护理计划在全喉切除术后气道湿化管理中的应用[J].保健医学研究与实践,2023,20(z2):169-172,4.基金项目
江苏省科教能力提升工程《"十四五"省医学重点学科》项目(ZDXK202243). （ZDXK202243）
