健康教育路径对舌癌患者术后语言功能及并发症影响.docVIP

健康教育路径对舌癌患者术后语言功能及并发症的影响 　　[摘要] 目的 探讨健康教育路径对舌癌患者术后语言功能及并发症的影响。 方法 选取2012年6月～2014年6月我院68例行手术治疗的舌癌患者为研究对象，根据随机数字表将患者分为观察组及对照组各34例，对照组患者术后行常规健康教育，观察组患者行健康教育路径护理，对比分析两组患者并发症发生情况及干预前后语言功能、生存质量的变化。 结果 观察组术后切口感染、切口出血、皮瓣坏死、吞咽功能障碍、发音不清等并发症发生率显著低于对照组，差异有统计学意义（P0.05）。观察组患者干预后语音清晰度评分显著高于对照组，差异有统计学意义（P0.05）。观察组干预后生理领域、心理领域、社会领域、环境领域及总生存质量评分高于对照组，差异有统计学意义（P0.05）。 结论 健康教育路径能有效降低舌癌患者术后并发症的发生率，提高患者术后语言功能，提高患者生存质量。 　　[关键词] 健康教育路径；舌癌；术后语言功能；并发症 　　[中图分类号] R473.73 [文献标识码] B [文章编号] 1673-9701（2014）36-0090-03 　　The impact of health education path on surgery’s complications and language function in patients with tongue cancer 　　LIN Miaoying GUO Cuilan LI Qiuping 　　Department of Otolaryngology，Baoan District Peoples Hospital of Shenzhen City，Shenzhen 518101，China 　　[Abstract] Objective To investigate the effect of health education path on the tongue language function and postoperative complications in patients with tongue cancer. Methods A total of 68 patients were divided into observation group（n=34） and control group （n=34） from June 2012 to June 2014. The control group were underwented with health education and the observation group were underwented with health care and education path.The intervention and language function， quality of life of two groups were compared before and after the intervention. Results The postoperative wound infection，wound bleeding，flap necrosis，swallowing dysfunction，lisp and other concurrent incidence of observation group were lower than the control group（P0.05）.The intelligibility scores of observation group were higher than the control group（P0.05）.The areas physiological， psychological realm，the social sphere，the field of environment and overall quality of life score of observation group were higher than control groups（P0.05）. Conclusion Health education path can effectively reduce the incidence of postoperative complications in patients with tongue cancer， and improve postoperative language function， improve the quality of life of patients. 　　[Key