Application of forward recovery concept on swallowing training in patients with partial laryngectomy above cricoid
10.3760/cma.j.issn.1674-2907.2016.11.017
- VernacularTitle:康复前移理念在环状软骨上喉部分切除患者吞咽训练中的应用研究
- Author:
Yuxia FAN
1
;
Dingfen ZENG
;
Hua JIANG
;
Guihua LI
Author Information
1. 四川省肿瘤医院头颈外科
- Keywords:
Forward recovery;
Laryngocarcinoma;
Partial laryngectomy;
Swallowing training
- From:
Chinese Journal of Modern Nursing
2016;22(11):1552-1556
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application effects and safety of forward recovery concept on swallowing training in patients with partial laryngectomy above cricoid.Methods The study investigated 60 patients with partial laryngectomy above cricoid,and they were divided into intervention group (n =30) and control group (n =30) using block randomization.The patients of control group started the rehabilitation training after seven days of the operation as usual;the patients of intervention group received forward recovery during the whole perioperative period including psychological intervention,theoretical training,simulation training,and practical training.Swallowing function,compliance,incision pain,incidence of pneumonia,and extubation rate were compared between the two groups.Results The patients of intervention group had better swallowing function after eight weeks of the operation (Z =-2.202,P ＜ 0.05),much more extubation case (x2 =9.017,P ＜ 0.05),better compliance after 1,4,8 weeks of the operation (P ＜ 0.05).The incision pain and incidence of pneumonia had no statistical significance (P ＞ 0.05).Conclusions The forward recovery can significantly improve the compliance and the recovery of swallowing function,but has no effects on incision pain or incidence of pneumonia among the patients with partial laryngectomy above cricoid.
