| 胡万娟,史亚伟,张瑾,张欣雨,徐筱璐.基于时机理论的分阶段干预对舌癌术后患者预后的影响[J].上海护理,2024,24(9): |
| 基于时机理论的分阶段干预对舌癌术后患者预后的影响 |
| The impact of phased intervention based on timing theory on the prognosis of postoperative patients with tongue cancer |
| 投稿时间：2023-12-08 修订日期：2024-08-29 |
| DOI： |
| 中文关键词: 舌癌 时机理论 分阶段干预 生活质量 功能康复 预后 |
| 英文关键词:Tongue cancer Timing theory Staged intervention Quality of life Functional rehabilitation Prognosis |
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| 中文摘要: |
| 摘 要：目的 探讨基于时机理论的分阶段干预对舌癌患者术后预后结局的影响，以改善患者生活质量。方法 采用方便抽样方法，选取2022年1－12月至南京医科大学附属口腔医院颌面外科门诊就诊拟住院收治的60例舌癌患者作为研究对象。按照入院先后顺序将其分为观察组（n=30）和对照组（n=30），对照组实施常规护理方案，观察组在对照组的基础上实施基于时机理论的分阶段护理干预，比较两组患者的生活质量水平，功能康复程度（吞咽功能、语音清晰度、颈肩功能）、以及情绪状态。结果 实施基于时机理论的分阶段干预后，观察组患者FACT-H&N得分高于对照组，差异有统计学意义（P＜0.05）；观察组患者洼田饮水试验结果、语音清晰度、CMS评分与对照组相比有明显统计学差异（P＜0.05）；观察组患者HADS评分低于对照组，差异有统计学意义（P＜0.05）。 结论 实施基于时机理论的分阶段干预方案不仅能改善患者生活质量，有效促进舌癌患者术后功能的恢复，还可以减轻患者的负性情绪，加速患者预后康复。 |
| 英文摘要: |
| Abstract：Objective: Exploring the impact of staged intervention based on timing theory on the postoperative prognosis of tongue cancer patients, in order to improve their quality of life. Methods: Using convenience sampling method, 60 tongue cancer patients who were admitted to the Maxillofacial Surgery Outpatient Department of Nanjing Medical University Affiliated Stomatological Hospital from January to December 2022 were selected as the study subjects.According to the order of admission, they were divided into an observation group (n=30) and a control group (n=30),the control group received routine preoperative nursing, the observation group implemented phased nursing interventions based on timing theory on the basis of the control group,compare the quality of life, degree of functional recovery （swallowing function, speech clarity, neck and shoulder function）, and emotional status between two groups of patients.Results:After implementing a phased intervention based on timing theory, the FACT-H&N scores of the observation group were higher than those of the control group, and the difference was statistically significant (P<0.05)；there were significant statistical differences (P<0.05) in the results of the Wada drinking water test, speech clarity, and CMS score between the observation group and the control group of patients;the HADS scores of patients in the observation group were lower than those in the control group,the difference was statistically significant （P<0.05）.Conclusion:Implementing a phased intervention plan based on timing theory can not only improve the quality of life of patients, effectively promote postoperative functional recovery of tongue cancer patients, but also alleviate negative emotions and accelerate patient prognosis and recovery. |
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