Effect of mindfulness-based stress reduction combined with phased rehabilitation nursing on swallowing function and negative emotion in patients with laryngeal cancer after partial laryngectomy
Objective To investigate the effect of mindfulness-based stress reduction combined with phased rehabilitation nursing on swallowing function and negative emotion in patients with laryngeal cancer after partial laryngectomy.Methods 90 patients who underwent partial laryngectomy for laryngeal cancer were selected as subjects.They were randomly divided into a control group and an observation group,with 45 cases in each group.The control group was given routine nursing intervention,and the observation group was given mindfulness-based stress reduction combined with phased rehabilitation nursing.The swallowing function,mental state,cancerous fatigue,quality of life and complications were compared between two groups.Results At 8 weeks after intervention,the Standardized Swallowing Assessment(SSA)score of two groups was lower than that before intervention and 4 weeks after intervention,and the M.D.Anderson Dysphagia Inventory(MDADI)score was higher than that before intervention and 4 weeks after intervention;at 4 weeks after intervention,SSA score in both groups was lower than that before intervention,and MDADI score was higher than that before intervention(P<0.05).At 4 and 8 weeks after intervention,SSA score in the observation group were(10.41±1.88)and(8.72±1.25)points,which were lower than(11.51±1.67)and(9.63±1.19)points in the control group;MDADI score were(65.41±5.33)and(75.82±5.13)points,which were higher than(62.81±5.67)and(73.42±5.50)points in the control group(P<0.05).At 8 weeks after intervention,the scores of Self-Rating Depression Scale(SDS)and Self-Rating Anxiety Scale(SAS)in both groups were lower than those before intervention and 4 weeks after intervention;at 4 weeks after intervention,the scores of SAS and SDS in both groups were lower than those before intervention(P<0.05).At 4 and 8 weeks after intervention,SAS scores and SDS scores in the observation group were lower than those in the control group(P<0.05).At 8 weeks after intervention,the Piper Fatigue Scale(PFS)score in both groups was lower than that before intervention and 4 weeks after intervention,and quality of life instruments for cancer patients-head and neck cancer(QLICP-HN)score was higher than that before intervention and 4 weeks after intervention;at 4 weeks after intervention,PFS score in both groups was lower than that before intervention,and QLICP-HN score was higher than that before intervention(P<0.05).At 4 and 8 weeks after intervention,PFS scores in the observation group were lower than those in the control group and QLICP-HN scores were higher than those in the control group(P<0.05).The complication rate of the observation group was 6.67%,which was lower than 22.22%of the control group(P<0.05).Conclusion Mindfulness-based stress reduction combined with phased rehabilitation nursing can effectively improve the swallowing function and negative emotions of patients with laryngeal cancer after partial laryngectomy,alleviate cancerous fatigue,improve quality of life,and reduce the occurrence of complications.
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