Application of Gugging Swallowing Screen in rehabilitation of swallowing function in patients after laryngeal function preservation operation
10.3760/cma.j.issn.1674-2907.2019.25.026
- VernacularTitle:吞咽功能评估量表在喉功能保全术后患者吞咽康复中的应用
- Author:
Yihua GUI
1
;
Zhenghua WU
;
Qi HUANG
;
Yan ZHOU
;
Yahua ZHENG
Author Information
1. 宁波市医疗中心李惠利东部医院耳鼻喉头颈外科 315040
- Keywords:
Laryngocarcinoma;
Laryngeal function preservation operation;
Swallowing training;
Deglutition disorders;
Gugging Swallowing Screen
- From:
Chinese Journal of Modern Nursing
2019;25(25):3280-3283
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To explore the application of Gugging Swallowing Screen(GUSS) in swallowing rehabilitation of patients after laryngeal function preservation operation. Methods? Using convenience sampling method, 110 patients with first diagnosed laryngeal cancer who underwent laryngeal function preservation operation from February 2016 to February 2018 in two Class Ⅲ Grade A hospitals in Ningbo were selected as subjects. By complete random method, the patients were divided into control group (n=50) and intervention group (n=49). Patients in the control group were given routine nursing care, relying on the sphincter function of the residual larynx to gradually compensate for the recovery of swallowing function, and the nasogastric tube was removed after eating fluids without obvious cough. The intervention group used GUSS scale to guide swallowing rehabilitation training once they started eating. The nasogastric feeding tube was removed when GUSS score equaled or exceeded 17. The swallowing function, indwelling time of nasogastric tube, re-intubation rate of nasogastric tube, incidence of aspiration pneumonia and patients' confidence in recovery were compared between the two groups. Results? The recovery of swallowing function in the intervention group was better than that in the control group at 3 and 4 weeks after operation (P＜0.05). The self-efficacy score of intervention group was better than that of control group at 2, 3 and 4 weeks after operation (P＜0.05). The indwelling time of nasogastric tube in the intervention group was shorter than that in the control group (P＜ 0.05), and there was no statistical difference in the re-intubation rate of nasogastric tube between the two groups (P＞ 0.05). The incidence of aspiration pneumonia in intervention group was lower than that in control group (P＜ 0.05). Conclusions? Using GUSS scale to guide swallowing training for patients after laryngeal function preservation operation can effectively promote the recovery of swallowing function, shorten the indwelling time of nasogastric feeding tube, reduce the incidence of aspiration pneumonia,and improve patients' confidence in recovery.
