首页|健康行动过程取向理论下吞咽功能训练对食管癌术后患者吞咽功能的影响

健康行动过程取向理论下吞咽功能训练对食管癌术后患者吞咽功能的影响

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目的 探讨健康行动过程取向理论下吞咽功能训练对食管癌术后患者吞咽功能的影响.方法 选取2019年4月至2022年4月南京医科大学附属淮安第一医院心胸外科手术治疗的食管癌患者120例,以随机数字表法将其分为对照组和观察组,各60例.对照组行常规吞咽护理,观察组在对照组基础上行健康行动过程取向理论下吞咽功能训练.干预前、干预2周后比较两组自我管理效能量表评分、标准吞咽功能评定量表(SSA)评分、吞咽生存质量问卷评分.结果 干预后,两组正性态度、自我减压、自我决策评分高于干预前,且观察组高于对照组(P<0.05);两组SSA评分低于干预前,且观察组低于对照组(P<0.05);两组进食时间、吞咽负担、吞咽症状评分高于干预前,且观察组高于对照组(P<0.05).结论 健康行动过程取向理论下吞咽功能训练有助于食管癌术后患者自我管理效能的提升,改善吞咽障碍,提升生活质量.
Effect of swallowing function training on swallowing function of patients with esophageal cancer after operation under the theory of healthy action process orientation
Objective To explore the effect of swallowing function training on swallowing function of patients with esophageal cancer after operation under the theory of healthy action process orientation.Methods A total of 120 patients with esophageal cancer treated by cardiothoracic surgery in the Affiliated Huaian No.1 Hospital of Nanjing Medical University,Jiangsu Province from April 2019 to April 2022 were selected,they were divided into control group and observation group by random number table method,with 60 cases in each group.The control group received routine swallowing care,and the observation group received the swallowing function training guided by theory of health action process orientation on the basis of the control group.The scores of strategies used by people to promote health,standardized swallowing assessment(SSA),and swallowing quality of life questionnaire were compared between the two groups before and after two weeks of intervention.Results After intervention,the scores of positive attitude,self-stress reduction,and self-decision making in two groups were higher than those before intervention,and those in observation group were higher than those in control group(P<0.05).SSA scores in both groups were lower than those before intervention,and those in observation group was lower than those in control group(P<0.05).The eating time,swallowing burden,and swallowing symptom score of the two groups were higher than those before intervention,and those in observation group were higher than those in control group(P<0.05).Conclusion The swallowing function training guided by the theory of healthy action process orientation is helpful to improve the self-management efficiency,improve the swallowing disorder and improve the quality of life of patients after esophageal cancer operation.

Theory of health action process orientationSwallowing function trainingEsophageal cancerOperationSwallowing function

姜琪、吴海燕、钱晨

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南京医科大学附属淮安第一医院心胸外科,江苏淮安 223300

健康行动过程取向理论 吞咽功能训练 食管癌 手术 吞咽功能

江苏省自然科学基金面上项目

BK2018022212

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(12)
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