|
|
Statistical analysis of the application of continuity nursing management measures after resection of vocal cord polypectomy |
Huang Shuilian |
Armed Police Corps Hospital in Jiaxing, Jiaxing 314000, China |
|
|
Abstract Objective To research into the application of continuity nursing management measures after vocal cord polypectomy. Methods Totally 130 patients with vocal polyps polypectomy in our hospital were selected as the research objects. According to the order of surgery, they were divided into the observation group (69 cases) and the control group (61 cases). The control group received routine nursing management measures, and the observation group was given continuous nursing management measures from the 7th after the operation on the basis of the treatment in the control group. The vocal cords recovery, voice acoustic recovery and the satisfaction of the patients in both groups were compared and analyzed. Results Fourteen days, 30 days and 90 days after the operation, the recovery rates of vocal cords in the observation group were 20.29%, 82.61% and 95.65% respectively, significantly higher than those in the control group (4.92%, 57.38% and 83.61%, respectively), and the differences were statistically significant (P<0.05). There was no significant difference in voice acoustic parameters between both groups (P>0.05) 7 days after surgery. Fourteen days, 30 days and 90 days after the operation, the levels of Jitter and Shimmer in the observation group were significantly lower than those in the control group, the levels of MPT and dSI were significantly higher than those of the control group, and the difference was statistically significant (P<0.05). The overall satisfaction degree of the patients in the observation group was 91.30%, significantly higher than that in the control group (77.05%, P<0.05). Conclusion Carrying out continuity nursing management measures for patients with vocal cord polyp after the operation can significantly improve the patients′ self-management ability, promote the vocal cord and voice function of the rapid recovery effectively, so that patients′ satisfaction with the nursing work greatly improved.
|
Received: 27 August 2017
|
|
|
|
[1] 智强,吴铖林,毛海燕,等.嗓音学分析在声带息肉手术疗效评估中的应用[J].医学综述,2014,20(2):325-327. [2] MINAMINO H, NAGAMI Y, TOMINAGA K, et al. Endoscopic resection of a vocal cord polyp with a bipolar snare in a patient with cervicaldisc herniation[J]. Clin J Gastroenterol,2014,7(2):136-9. [3] 陈闽琪,彭文静,陈舒华.阿克森疗法对声带息肉术后嗓音恢复的疗效探讨[J].山东大学耳鼻喉眼学报,2014,28(6):61-64. [4] 杨春平,孙秋桢,陈丽娜,等.不同手术方式对声带息肉术后恢复时间的观察[J].临床耳鼻咽喉头颈外科杂志,2014,28(8):564-565. [5] 李毅,徐宇红,王珂,等.临床护理路径在声带息肉切除术病人中的应用[J].护理研究,2014,28(6):715-716. [6] 罗红强,谢强,陈丹,等.围手术期平衡康复疗法结合电子喉镜手术治疗声带息肉90例疗效观察[J].中国中西医结合杂志,2015,35(3):372-375. [7] 李莹. 奥马哈系统在声带息肉切除术患者护理中的应用[J].中国病案,2016,17(5):94-96. [8] 何其英.秩和比法在护理工作质量综合评价中的应用[J].中国医院统计,2015,22(3):203-204. [9] 楚红梅,王高君,杨曦,等.规范化优质护理在声带息肉摘除术中的应用分析[J].实用临床医药杂志,2016,20(10):151-153. [10]李晓琴,何曼曼,潘聪桃,等.基于无缝隙护理管理基础上的跨科室协作模式在手术室护理中的应用[J].中国医院统计,2016,23(2):130-132. [11]程东斌,赵萍.支撑喉镜治疗声带息肉手术护理方案的对比研究[J].中国医学装备,2014,11(1):459. [12]李娜.持续护理质量改进在糖尿病足护理中的应用[J].中国医院统计,2014,21(1):34-36. [13]高晓葳,黄永望,刘丽燕,等.手术联合嗓音训练对伴肌紧张性发声障碍声带息肉患者的疗效分析[J].听力学及言语疾病杂志,2015,23(6):585-588. [14]林建潮,应鉴林,卢晓媛,等.运用TOPSIS法综合评价医院护理质量[J].中国医院统计,2016,23(3):208-209. [15]RADHAKRISHNA N, YAMINI BK, KADAM AS,et al. Acoustic analysis of voice in nonlaryngeal head and neck cancer patients post chemoradiotherapy[J]. Cancer Res Ther,2017,13(1):113-117. [16]刘敏杰,张兰凤,刘谆谆,等.采用结构—过程—结果三维质量评价模式实施延续护理的实践[J].中华护理杂志,2015,50(1):74-78. [17]陈红,徐克,魏新民.声带息肉不同术式治疗前后嗓音声学分析与疗效比较[J].中国临床研究,2014,27(6):703-705. [18]刘利军,唐洪波,廖剑绚.嗓音声学分析在声带息肉术式的选择及治疗中的应用[J].中国耳鼻咽喉颅底外科杂志,2017,23(2):117-120. [19]KANEKO M, SHIROMOTO O, FUJIU-KURACHI M, et al. Optimal duration for Voice Rest After Vocal Fold Surgery: Randomized Controlled Clinical Study[J]. Voice,2017,31(1):97-103. [20]赵鹏举,李进让.临床路径在声带息肉手术治疗中的应用价值[J].临床耳鼻咽喉头颈外科杂志,2014,28(18):1397-1399. |
[1] |
Yao Jinjiang, Xu Yongyong, Guo Lingxia, Yang Liping, Pan Jing, Zhao Qianfou, Tan Zhijun. Analysis of job satisfaction and its influence factors among medical staffs in Shaanxi province[J]. journal1, 2018, 25(2): 81-84. |
[2] |
. [J]. journal1, 2017, 24(3): 215-217. |
[3] |
. [J]. journal1, 2017, 24(2): 128-131. |
[4] |
Li Ruibo, Zhang Qiao, Xiang Jing. Analysis of the admission process satisfaction degree of patients in five 3A hospitals[J]. journal1, 2016, 23(5): 340-341. |
[5] |
. [J]. journal1, 2016, 23(4): 292-293. |
[6] |
. [J]. journal1, 2016, 23(3): 201-203. |
|
|
|
|