Nursing of patients with laryngeal functions preservation in hypopharyngeal carcinoma / 中国实用护理杂志

ABSTRACT

Objective To explore the effective and systematic clinical nursing methods,in order to improve the successful rate of preservation of laryngeal function in hypopharyngeal carcinoma,promote laryngeal function recovery,and improve the life quality of patients.Methods 103 patients with hypopharyngeal carcinoma underwent the operation with preservation of laryngeal function were selected.Detailed psychological nursing and health education were given before the operations,while multi mode communication,intensifying the nursing of respiratory tract,diet nursing,observation of complications,rehabilitation guidance and the hospital discharge guidance after operations were given.And the nursing effects were observed.Results 94 patients got healing by first intention(91.26％).Laryngeal functions were completely restored in 70 patients (67.96％) and partially restored in 33 patients (32.04％).About the postoperative complications,21 cases got stress ulceration,6 cases got pharyngeal fistula,5 cases got cardiac arrhythmia,1 case got ARDS and 1 case got pneumothorax.Conclusions The strict and systematic nursing method can improve the successful rate of surgery,reduce the postoperative complications,reduce the economic burden of the patients,promote laryngeal function recovery and improve the life quality of patients.