首页|认知行为护理联合早期营养支持在喉癌全喉切除术患者中的应用效果

认知行为护理联合早期营养支持在喉癌全喉切除术患者中的应用效果

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目的:观察认知行为护理联合早期营养支持在喉癌全喉切除术患者中的应用效果.方法:回顾性分析2021年2月至2022年8月于该院接受全喉切除术的62例喉癌患者的临床资料,根据护理方法不同将其分为观察组和对照组各31例.对照组给予早期营养支持,观察组在对照组基础上联合认知行为护理,比较两组护理前后心理弹性[心理弹性量表(CD-RISC)]评分、健康行为[健康促进生活方式量表-Ⅱ(HPLP-Ⅱ)]评分和自我管理能力[自我护理能力量表(ESCA)]评分.结果:护理后,观察组CD-RISC评分高于对照组,差异有统计学意义(P<0.05);护理后,观察组健康责任、人际关系、健康成长、营养、压力管理、运动锻炼等HPLP-Ⅱ评分均高于对照组,差异有统计学意义(P<0.05);护理后,观察组健康知识水平、自我概念、自我责任感、自我护理技能等ESCA评分均高于对照组,差异有统计学意义(P<0.05).结论:认知行为护理联合早期营养支持应用于喉癌全喉切除术患者可提高心理弹性、健康行为和自我管理能力评分,效果优于单纯早期营养支持.
Application effects of cognitive behavioral nursing combined with early nutritional support in patients with laryngeal cancer undergoing total laryngectomy
Objective:To observe application effects of cognitive behavioral nursing combined with early nutritional support in patients with laryngeal cancer undergoing total laryngectomy.Methods:The clinical data of 62 patients with laryngeal cancer who underwent total laryngectomy in this hospital from February 2021 to August 2022 were retrospectively analyzed.According to different nursing methods,they were divided into observation group and control group,31 cases in each group.The control group was given early nutritional support,while the observation group was combined with cognitive behavioral nursing on the basis of that of the control group.The scores of psychological resilience[Connor-Davidson resilience scale(CD-RISC)],health behavior[health promoting lifestyle profile-II(HPLP-II)]and self-management ability[exercise of self-care agency scale(ESCA)]were compared between the two groups before and after the nursing.Results:After the nursing,the CD-RISC score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).After the nursing,the HPLP-II scores of health responsibility,interpersonal relationship,healthy growth,nutrition,stress management and exercise in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,after the nursing,the ESCA scores of health knowledge level,self-concept,self-responsibility and self-care skills in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:Cognitive behavioral nursing combined with early nutritional support can improve the scores of psychological resilience,health behavior and self-management ability in the patients with laryngeal cancer undergoing total laryngectomy.Moreover,it is superior to single early nutritional support.

Laryngeal cancerTotal laryngectomyEarly nutritional supportCognitive behavioral nursingPsychological resilienceHealth behaviorSelf-management ability

张子梓

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郑州大学第一附属医院咽喉头颈外科,河南 郑州 450000

喉癌 全喉切除术 早期营养支持 认知行为护理 心理弹性 健康行为 自我管理能力

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(7)
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