喉癌患者应用同伴教育护理模式对其术后康复影响

The Postoperative Rehabilitation of Laryngeal Patients with Peer Education Nursing Mode

摘要: 目的：探究喉癌患者应用同伴教育护理模式对其术后康复的影响。方法：将我院于2016.1~2017.2收治的220名喉癌患者作为研究对象，随机分为两组各110例，对照组患者应用常规护理，实验组在其基础上应用同伴教育护理。回顾性分析两组患者在术后不适与并发症的发生情况、术后华盛顿大学生存质量量表(UW-QOL)评分和艾森克个性问卷(EPQ)评分的差异，据此评估同伴教育对患者术后康复的影响。结果：实验组患者在术后不适及术后并发症方面的发生率显著低于对照组(P < 0.05)；在UW-QOL评分中的娱乐、职业、肩功能方面，两组患者无明显统计学差异(P > 0.05)，在其他方面及总分上实验组患者的评分都高于对照组(P < 0.05)；实验组患者在艾森克人格问卷(EPQ)量表中的P分值和N分值都低于对照组，E分值高于对照组(P < 0.05)。结论：同伴教育护理模式，有利于消除喉癌患者的焦虑情绪，增强其治疗信心，从而提高术后治疗依从性，减少术后不适和并发，提高生存质量。

Abstract: Objective: To explore the postoperative rehabilitation of Laryngeal patients with peer education nursing mode. Methods: 220 patients with laryngeal cancer were selected as the research object in our hospital from 2016.1 to 2017.2. They were randomly divided into two groups; each group had 110 cases. The control group patients used conventional nursing; the experimental group was taken peer education care on the basis of conventional nursing. Two groups of patients were retrospectively analyzed in postoperative discomfort and complications, postoperative life quality scale by the university of Washington (UW-QOL) score and the score difference by eysenck personality questionnaire (EPQ). We assessed the effect of peer education to patients’ postoperative rehabilitation. Results: The discomfort after surgery and postoperative complication incidence of the experimental group patients was significantly lower than that in control group (P < 0.05). The UW-QOL scores in the functional aspects of entertainment, professional, shoulder of two groups patients had no significant statistical difference (P > 0.05). The other aspects and the total score of the experimental group patients were higher than control group (P < 0.05); P and N scores in the eysenck personality questionnaire (EPQ) scale of the experimental group patients are lower than the control group. E score was higher than the control group (P < 0.05). Conclusion: The peer education nursing mode is beneficial to eliminate the anxiety of patients with laryngeal cancer, enhance their confidence in treatment, so as to improve the postoperative treatment compliance, reduce postoperative discomfort and concurrent, and improve the quality of survival.