The research progress of patient transitional care after laryngeal cancer
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摘要: 喉癌是头颈部肿瘤中常见的恶性肿瘤,近年来该病的发病率略呈上升趋势。手术是喉癌患者的主要治疗方法之一,术后出院的患者,往往需要长期乃至终身的治疗和护理。延续性护理是针对出院患者的实际需求而提供的一种连续性、可靠性、安全性的医疗保健服务,通常包括患者回归家庭或社区后的持续随访与指导。对喉癌患者实施延续性护理干预,可能是帮助患者适应术后功能变化,预防并发症和提高生活质量的有效策略。本综述首先从“喉癌术后的特殊生理心理改变需要延续性护理、社会对延续性护理的发展提出了明确的要求”两方面阐述了喉癌术后患者实施延续性护理的必要性;其次从“喉癌术后患者延续性护理的主要内容及主要方式”两方面总结了国内外喉癌术后患者实施延续性护理的现状,并对实施的效果评价进行了清楚的展示;最后,本文通过对喉癌术后患者的延续性护理进行综合的评价,指出了现如今在实施过程中存在的不足,剖析出国内外目前针对喉癌延续性护理研究比较少的两点原因,一是患者的护理需求得不到充分表达;二是喉癌患者出院后延续性护理的内容广泛,专业性强,操作复杂,实施耗费大量的人力物力。这些分析便于指导医护人员结合我国的医疗现状和国外先进经验,积极开展相关研究,以期在未来可以进一步提高喉癌患者的生活质量。Abstract: Laryngeal cancer is a common malignant tumor in head and neck tumors, with increasing morbidity in recent years. Surgery is one of the main treatment methods for patients with laryngeal cancer, and patients who are discharged after surgery often need long-term and life-long treatment and care. Transitional care aims for the needs of discharged patients providing health care services with continuity, reliability, security, usually including continuous follow-up and guidance for patients after returning to the family or community. Transitional care after discharge may be an effective strategy to help patients with laryngeal cancer adapt to postoperative functional changes, prevent complications and improve their quality of life. This review starts from "continuity care for special physiological and psychological changes of postoperative laryngeal cancer, and social development putting forward clear requirements for continuity of care" two aspects this paper expounds the necessity of postoperative patients with laryngeal cancer implementation of continuity of care; followed by "the postoperative patients with laryngeal cancer continuity of care" the main content and main ways both postoperative patients with laryngeal cancer were summarized the present situation of the continuity of care, and to assess the effect on the implementation of the clear display; finally, based on the comprehensive evaluation on the continuity of the postoperative patients with laryngeal cancer care, it points out the shortages existing in the implementation process, analyzes the domestic and foreign current study laryngeal cancer continuity care which is short, because the patient's care needs are not being adequately express and patients with laryngeal cancer after discharge from the hospital have a wide range of content, professional, complex operation, and a large amount of manpower and material resources.These analyses helps to guide the medical staff to actively carry out relevant research based on health status in China and advanced experience abroad, in order to further improve the quality of life in patients with laryngeal cancer in the future.
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Key words:
- Laryngeal cancer /
- Transitional care /
- Necessity /
- Intervention mode
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