Influence of ADOPT mode nursing intervention on airway self-care ability in patients after total laryngectomy
10.3760/cma.j.cn211501-20211230-03575
- VernacularTitle:ADOPT模式护理干预对全喉切除患者气道自我护理能力的影响研究
- Author:
Lan HU
1
;
Huifen WANG
;
Chun XU
;
Zhen LUO
;
Liyuan ZHENG
Author Information
1. 湖北省肿瘤医院头颈外科，武汉 430079
- Keywords:
ADOPT mode nursing intervention;
Total laryngectomy;
Airway self-protection ability
- From:
Chinese Journal of Practical Nursing
2022;38(29):2254-2260
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of ADOPT mode nursing intervention on airway self-care ability in patients with total laryngectomy.Methods:50 patients who received total laryngectomy were randomly divided into control group (25 cases) and observation group (25 cases). The control group received routine nursing, while the observation group received ADOPT mode nursing intervention on the basis of routine nursing. The Exercise of Self-Care Agency Scale and self-made airway self-care knowledge questionnaire were used to evaluate the airway self-care ability and the incidence of airway related complications was also evaluated.Results:On discharge and 3 months after discharge, total scores about self-care knowledge of airway were 83.80 ± 5.06 and 89.40 ± 4.86 in the experimental group, which were significantly higher than those in the control group (68.75 ± 5.57, 72.50 ± 6.76), the differences were statistically significant ( t = -9.91, -10.09, both P<0.05). On discharge and 3 months after discharge, total scores in ESCA were 126.88 ± 9.77 and 133.60 ± 8.10 in the experimental group, which were significantly higher than those in the control group (113.29 ± 17.06 and 119.13 ± 15.30). The differences were significant ( t = -3.42, -4.12, both P<0.05). The incidence of airway complications was 41.67% (10/24) in the control group and 12.00%(3/25) in the observation group, which was statistically significant ( χ2 = 5.53, P<0.05). Conclusions:ADOPT mode nursing intervention can significantly improve the airway self-care ability of patients with total laryngectomy, reduce the incidence of airway complications, and is beneficial to patients′ physical and mental recovery.
