摘要
目的探讨多学科协作快速康复联合正念减压训练在喉癌术后康复中的应用效果.方法选取2020年5月—2022年5月于本院接受手术治疗的喉癌患者74例为研究对象,采用红蓝双色球法将其分为对照组(n=37)及联合组(n=37).两组均接受常规干预,在此基础上,对照组进行正念减压训练,联合组采用多学科协作快速康复联合正念减压训练.比较两组患者的恢复情况、并发症发生情况、营养状况、癌因性疲乏程度及生活质量.结果联合组的伤口愈合、气管套管佩戴、胃管留置及术后住院时间均短于对照组,组间差异有统计学意义(P<0.05).联合组的术后并发症发生率为2.70%,低于对照组的21.62%,差异有统计学意义(P<0.05).干预后,联合组的血红蛋白、血浆前白蛋白水平分别为(131.29±11.09)g/L、(200.58±20.08)mg/L,均高于对照组的(121.59±10.22)g/L、(154.38±15.12)mg/L,组间差异有统计学意义(P<0.05).干预后,联合组的行为、情感、躯体感知、认知疲乏评分均低于对照组,组间差异有统计学意义(P<0.05).干预后,联合组的功能领域、症状领域、总体生活质量、单项测量条目评分均高于对照组,组间差异有统计学意义(P<0.05).结论喉癌术后患者采用多学科协作快速康复联合正念减压训练的效果显著,可加快术后恢复速度,降低术后并发症发生率,改善其营养状况、癌因性疲乏程度及生活质量,值得临床推广使用.
Objective To explore the application of multi-disciplinary fast track surgery combined with mindfulness decompression training in laryngeal cancer postoperative rehabilitation.Methods 74 patients with laryngeal cancer who received surgical treatment in the hospital from May 2020 to May 2022 were selected as the research objects.They were divided into a control group(37 cases)and a combined group(37 cases)by red and blue ball method.Both groups received routine intervention.On this basis,the control group received mindfulness decompression training,and the combination group received multi-disciplinary fast track surgery combined with mindfulness decompression training.The recovery,complications,nutritional status,cancer-related fatigue and quality of life were compared between the two groups.Results The wound healing,tracheal tube wearing,gastric tube indwelling and postoperative hospital stay in the combined group were shorter than those in the control group,and the differences between the groups were statistically significant(P<0.05).The incidence of postoperative complications in the combined group was 2.70%,lower than 21.62%in the control group,and the difference was statistically significant(P<0.05).After intervention,the hemoglobin and plasma prealbumin levels of the combined group were(131.29±11.09)g/L and(200.58±20.08)mg/L,respectively,which were higher than(121.59±10.22)g/L and(154.38±15.12)mg/L of the control group,the differences between the groups were statistically significant(P<0.05).After intervention,the scores of behavior,emotion,body perception and cognitive fatigue in the combination group were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).After intervention,the scores of functional areas,symptom areas,overall quality of life and single measurement items in the combination group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion The effect of multidisciplinary fast track surgery combined with mindfulness decompression training is significant in patients with laryngeal cancer after surgery,which can accelerate the speed of postoperative recovery,reduce the incidence of postoperative complications,improve the nutritional status of patients,cancer-related fatigue degree and quality of life,and is worthy of clinical promotion and use.
作者
赵华殿
黄霞
叶靖
ZHAO Huadian;HUANG Xia;YE Jing(Department of Otorhinolaryngology Head and Neck Surgery,Affiliated Hospital of Youjiang Medical College for Nationalities,Baise Guangxi,533000,China)
出处
《反射疗法与康复医学》
2023年第3期90-93,97,共5页
Reflexology And Rehabilitation Medicine
关键词
多学科协作快速康复
正念减压训练
喉癌
并发症
Multi-Disciplinary fast track surgery
Mindfulness decompression training
Laryngeal cancer
Complication
作者简介
赵华殿(1986-),女,广西百色人,本科,主管护师,研究方向:耳鼻喉科康复;通信作者:叶靖(1989-),女,广西靖西人,本科,主管护师,研究方向:康复,邮箱:njovl9335myp@163.com。
