Effect of Continuous Nursing Program Based on Feedback Health Education on Voice Rehabilitation of Patients Un-dergoing Endoscopic Vocal Polypectomy
Objective:To investigate the effects of a continuity of care program based on teach-back health education on voice rehabilitation in patients undergoing endoscopic vocal polyp removal,and to provide a basis for clinical nursing intervention.Methods:64 cases of endoscopic vocal polyp removal admitted to the hospital from January to December 2021 were selected as the study subjects,and were divided into the control group and the teach-back group with random number table method,with 32 cases in each group.The control group received routine out-of-hospital follow-up,and the teach-back group received a continuity of care program based on teach-back health education,and both groups were intervened for 1 month.The degree of voice impair-ment[Chinese version of Voice Handicap Index(VHI)Scale],voice acoustic parameters[fundamental frequency perturbation(Jit-ter),amplitude perturbation(Shimmer),noise harmonic ratio(NHR),highest fundamental frequency(Fhigh),and maximum vocal time(MPT)]before and after the intervention were compared between the two groups.Results:After 1 month of intervention,the F,P,and E scores of the 3 dimensions of the VHI scale and the T score in the teach-back group were significantly lower than those of the control group,and the difference was statistically significant(t=4.567,8.468,6.697,6.577,P＜0.05).At 1 month of interven-tion,Jitter,Shimmer,NHR and DSI were significantly lower and MPT was significantly longer in the teach-back group than in the control group,with statistically significant differences(t=10.219,4.243,5.657,3.628,6.754,P＜0.05).Conclusion:Constructing and implementing a continuity of care program based on teach-back health education is conducive to promoting the recovery of vo-cal fold function and improving voice quality in patients undergoing endoscopic vocal polyp removal.
Endoscopic vocal cord polypectomyFeedback health educationContinuing careVoice rehabilitation
NETL
NSTL
万方数据
