Application of esophageal vocalization training based on health empowerment in patients with laryngeal cancer after total laryngectomy
10.3969/j.issn.1009-0754.2025.11.017
- VernacularTitle:健康赋权模式在全喉切除术后患者食管发声训练中的应用效果
- Author:
Qinghua GE
1
;
Zhenhua JI
;
Qilin MA
;
Hanyan PENG
;
Dong LIU
Author Information
1. 200433 上海,海军军医大学第二附属医院
- Keywords:
Laryngeal cancer;
Total laryngectomy;
Esophageal vocalization training;
Health empowerment;
Self-efficacy;
Self-management;
Compliance
- From:
Journal of Navy Medicine
2025;46(11):1162-1166
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effects of esophageal vocalization training based on health empowerment model on self-efficiency,self-management ability and vocal function in patients with laryngeal cancer after total laryngectomy.Methods A total of 86 patients with laryngeal cancer who underwent total laryngectomy in The Second Affiliated Hospital of Naval Medical University from January 2023 to June 2024 were selected as the research subjects.The patients returned to the hospital to receive esophageal vocalization training 2 months after surgery.According to the random number table method,patients were assigned to control group(43 cases,receiving routine care)or observation group(43 cases,receiving routine care and nursing based on health empowerment).The training continued for 3 months.The general self efficacy scale(GSES)score,exercise of self-care agency scale(ESCA),voice handicap index(VHI)score,and training compliance were compared between the two groups before and after nursing care.Results After 3 months of vocal training,the GSES and ESCA scores of both groups increased,while VHI score decreased.The observation group had higher GSES and ESCA scores and lower VHI score than the control group(P<0.05).The overall compliance rate of the observation group was higher than that of the control group(P<0.05).Conclusion The esophageal vocalization training based on health empowerment can improve self-efficacy,self-management ability,training compliance,and vocal function in patients with laryngeal cancer after total laryngectomy.
