摘要
目的探究思维导图在喉癌行全喉切除术后患者出院康复指导中的应用效果。方法选取2012年1月—2014年1月于哈尔滨医科大学附属第一医院行全喉切除术的喉癌患者共84例,按照随机数表法将患者分为2组,对照组和实验组各42例。对照组采用常规出院指导方法进行干预,实验组采用思维导图对其进行出院康复指导。采用自行设计问卷对2组患者出院指导效果进行调查分析,统计2组患者复诊情况及对出院康复指导的满意度,采用欧洲癌症研究与治疗组织生命质量测定量表对患者的生存质量进行评价并加以比较,应用焦躁量表对患者的心理情况进行评定。结果实验组患者在如何预防并发症、如何用药、恢复期间饮食及生活习惯、复诊时间及要点等出院指导知识知晓例数分别为32例、34例、34例、40例,明显高于对照组的21例、26例、23例、31例,差异均有统计学意义(均P<0.05)。实验组患者复诊率为88.1%,明显高于对照组的69.0%,对出院康复指导满意度为71.4%,高于对照组的52.4%,2组比较差异均有统计学意义(均P<0.05)。实验组欧洲癌症研究与治疗组织生命质量测定量表中得分分别为整体功能(90.1±2.4)分、情绪功能(89.9±3.2)分、躯体功能(86.4±1.7)分、角色功能(94.1±2.7)分、认知功能(90.8±3.0)分,对照组各项得分分别为(82.8±1.6)分、(81.4±2.1)分、(80.8±2.5)分、(86.6±3.1)分、(83.4±2.6)分,实验组患者心理状态正常的患者(81.0%)与对照组(38.1%)比较,差异有统计学意义(P<0.05)。结论思维导图对喉癌行全喉切除术后患者进行出院康复指导,可提高患者出院康复相关知识的知晓率,增加患者满意度及提高患者生活质量,值得临床推广应用。
Objective To explore the application and effect of mind map in the rehabilitation guidance in laryngeal carcinoma patients after total laryngectomy. Methods Total 84 laryngeal carcinoma patients undergoing total laryngectomy were selected from January 2012 -2014 year in January in our hospital. According to the random number table, the patients were divided into control group and experimental group with 42 eases in each group. The control group received routine discharge guidance, while the experimental group received rehabilitation guidance with mind map. The discharge guidance effect was investigated by using self-designed questionnaire and the satisfaction of patients for the referral and rehabilitation guidance were recorded and ana- lyzed. The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire was used to evaluate the quality of life of patients, and the Hamilton Anxiety Rating Scale（HAM-A） was used to assess the psychological condition of patients. Results The cases with a good awareness of prevention of the complications, medication administration, diet and living habits during the recovery period, revisiting time and key points 32 cases, 34 cases, 34 cases and 40 cases in the experi- mental group, which were significantly higher than the control group（21 cases, 26 cases, 23 cases and 31 cases）, the differ- ence was statisticaUy significant（P 〈 0.05 ）. The revisiting rate was 88.1% in the experimental group, which was significantly higher than 69.0% in the control group ;the satisfaction of patients to the rehabilitation guidance was 71.4% in the experimen- tal group, which was higher than 52.4% in the control group, with statistically significant differences between the two groups of data （P 〈 0.05 ）. The score for the quality of life by the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire were as follow： the overall function was （90. 1 ± 2.4）, emotional function （89.9 ± 3.2）, physical function （86.4 ± 1.7）, role function （94. 1 ± 2.7）, cognitive function （90.8 ± 3.0） points in the experiment group, and were （82.8 ± 1.6）, （81.4 ± 2. 1 ）, （80.8 ± 2.5 ）, （86.6 ± 3.1 ） and （ 83.4 ± 2.6）. The state of the heart was significantly better than the control group, the experimental group of patients with normal heart state patients accounted for 81.0%, the control group of patients with normal heart state patients accounted for 38. 1%, the difference was statistically significant （P 〈0. 05 ）. Conclusion The mind map used in the rehabilitation guidance in laryngeal carcinoma patients after total laryngectomy can improve the awareness rate of patients with the rehabilitation related knowledge, increase patient satisfaction and improve the quality of life of patients, worthy of clinical application.
作者
张丽娜
ZHANG Li-na(Department of ENT, the First Affiliated Hospital of Harbin Medical University, Harbin, Heilongfiang 150000, China)
出处
《中华全科医学》
2018年第1期126-129,共4页
Chinese Journal of General Practice
基金
国家临床重点专科建设项目经费资助(2012-649)
关键词
思维导图
喉癌
全喉切除术
出院康复指导
Mind map
Laryngeal carcinoma
Laryngectomy
Discharge instructions for rehabilitation
