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.