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舌癌术后患者吞咽康复配偶同步赋能干预方案的构建及应用

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目的 基于赋能理论构建舌癌术后患者吞咽康复配偶同步赋能干预方案,并验证其应用效果.方法 基于赋能理论,通过文献研究和专家会议构建舌癌术后患者吞咽康复配偶同步赋能干预方案,干预方案框架包括明确问题、表达情感、制定方案、实施方案、评价效果.选取54例舌癌术后患者为研究对象,采用抛硬币法分为干预组和对照组各27例,干预组收住Ⅰ病区,对照组收住Ⅱ病区,对照组实施术后常规护理,干预组在对照组基础上实施配偶同步赋能干预方案,干预3个月.于干预前,干预后2周、1个月、3个月比较两组吞咽功能、摄食功能及自我效能的差异.结果 干预后2周、1个月、3个月,干预组吞咽功能、摄食功能及 自我效能得分显著优于对照组(均P<0.05).两组吞咽功能、摄食功能及自我效能得分比较,组间效应、时间效应、交互效应差异有统计学意义(均P<0.05).结论 舌癌术后患者实施吞咽康复配偶同步赋能干预方案可有效提升患者 自我效能,改善其吞咽功能,促进早日康复.
Construction and application of a spousal synchronous empowerment intervention scheme for swallowing rehabilitation in tongue cancer patients after surgery
Objective To construct a spousal synchronous empowerment intervention scheme for tongue cancer patients after surgery,and to verify its application effect.Methods Based on the theory of empowerment,a spousal synchronous empowerment interven-tion scheme was constructed through literature review and expert meetings,which included clarifying problems,expressing emo-tions,constructing a scheme,implementing the scheme,and evaluating intervention effect.Fifty-four tongue cancer patients after surgery were selected and divided into an intervention group and a control group by coin toss method,with 27 cases in each group.The control group hospitalized in ward Ⅱ and was given routine postoperative care,the intervention group hospitalized in ward Ⅰand additionally received the spousal synchronous empowerment intervention scheme,lasting three months.The swallowing func-tion,feeding function and self-efficacy between the two groups were compared before the intervention,2 weeks,1 month and 3 months after the intervention.Results At 2 weeks,1 month and 3 months after the intervention,the scores of swallowing func-tion,feeding function and self-efficacy of the intervention group were significantly better than those of the control group(all P<0.05),and the intervention effect,time effect and intervention× time effect in the above scores were statistically significant be-tween the two groups(all P<0.05).Conclusion Application the spousal synchronous empowerment intervention scheme in tongue cancer patients after surgery can effectively enhance their self-efficacy,improve their swallowing function and promote early recovery.

tongue cancerswallowing functionspousempowermentfeeding functionself-efficacyrehabilitation nursingevidence-based nursing

邹璐、石柳清、彭玥、刘哲、张芸、王瑞雪

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湖北省肿瘤医院头颈外科(湖北武汉,430070)

舌癌 吞咽功能 配偶 赋能 摄食功能 自我效能 康复护理 循证护理

湖北省肿瘤医院护理科研项目

2022-HL19-07

2024

护理学杂志
华中科技大学同济医学院

护理学杂志

CSTPCD北大核心
影响因子:2.062
ISSN:1001-4152
年,卷(期):2024.39(2)
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