摘要
目的探讨风险评估下分级护理对食管癌术后吞咽困难患者吞咽功能改善效果。方法纳入我院2021年1月至2023年1月100例食管癌术后吞咽困难患者,所有患者以随机数字表法分组,每组各50例,对照组行常规术后护理,研究组基于对照组行风险评估下分级护理,统计两组误吸率、误吸相关并发症发生情况,应用吞咽障碍指数量表(DHI)评估两组干预前后吞咽功能,应用癌症患者生存质量调查问卷中文版(EORTC QLQ-C30)评估两组干预前后生存质量。结果研究组误吸率及相关并发症发生率低于对照组(均P<0.05)。干预前,两组吞咽功能及生存质量评分无统计学差异(均P>0.05);干预后,两组吞咽功能评分均下降,研究组更低(P<0.05);两组生存质量评分均提升,研究组更高(P<0.05)。结论风险评估下分级护理不仅可以改善食管癌术后吞咽困难患者吞咽功能,还可最大限度避免误吸及相关并发症发生,有效提高患者生存质量。
Objective To explore the effect of graded nursing based on risk assessment on the swallowing improvement in postoperative dysphagia patients with esophageal cancer.Methods A total of 100 postoperative dysphagia patients with esophageal cancer admitted in our hospital from January 2021 to January 2023 were included in this study,all patients were divided ed into two groups by the random number table method,with 50 cases in each group.The control group performed conventional postoperative care,and the study group performed risk assessment-based graded nursing care based on the control group.The rate of aspiration,the occurrence of aspiration-related complications to were counted in the two groups.The Dysphagia Handicap Index(DHI)was applied to assess the swallowing function before and after the intervention in both groups.The EORTC QLQ-C30(Chinese version)was used to assess the quality of survival before and after the intervention in both groups.Results The rate of aspiration and aspiration-related complications were lower in the study group than that in the control group(P<0.05);before the intervention,there were no significant differences in the swallowing function scores and the quality of survival scores between the two groups(both P>0.05);and after the intervention,the swallowing function scores of the two groups decreased,and the study group was lower than the control group(all P<0.05),the quality of survival scores of the two groups increased,and the study group was higher than the control group(P<0.05).Conclusions The Graded nursing care based on risk assessment can not only improve swallowing function in postoperative dysphagia patients with esophageal cancer,but also reduce the occurrence of aspiration-related complications,to and effectively improve the quality of survival of patients.
作者
李桂芳
卓龙彩
LI Guifang;ZHUO Longcai(Department of Cardiothoracic Surgery,The 73rd Army Group Military Hospital,Xiamen 361000,China)
出处
《中国医药指南》
2024年第28期41-44,共4页
Guide of China Medicine
关键词
食管癌
风险评估下分级护理
术后吞咽困难
误吸
生存质量
Esophageal cancer
Graded nursing based on risk assessment
Postoperative dysphagia
Misabsorption
Quality of life
