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目的探讨关于奥马哈系统在支撑喉镜下声带息肉切除术患者自我管理中应用的效果。方法采用随机分组法将患者分为实验组和对照组,实验组进行以奥马哈系统为基础的延续性护理,对照组进行常规护理指导,对患者术后14天、30天、3个月进行疗效评估,观察患者嗓音行为自我管理能力、嗓音测试结果。结果实验组在嗓音行为自我管理能力得分高于对照组,术后30天的嗓音行为管理能力得分有统计学意义(P<0.01)。在嗓音测试上,实验组达到良好例数多于对照组,并在术后30天测试结果比较差异具有统计学意义(P<0.01)。结论基于奥马哈系统的延续性护理能提高声带息肉患者自我管理能力,并有助于患者的声带恢复。
Objective To explore the effect of the Omaha system on self-management of patients with vocal cord polyp excision under laryngoscope support. Methods The patients were divided into experimental group and control group by random grouping method. The experimental group was carried out continuous nursing with Omaha system. The control group received routine nursing guidance. The patients were treated 14 days, 30 days and 3 months after operation Efficacy assessment, observation of patients with self-management of voice behavior, voice test results. Results The score of self-management ability in voice behavior was higher in experimental group than in control group, and the score of voice behavior management was statistically significant at 30 days after operation (P <0.01). In the voice test, the experimental group reached a good number of cases more than the control group, and 30 days after the test results were statistically significant differences (P <0.01). Conclusion Omaha-based continuous care can improve the self-management ability of patients with vocal cord polyps and help to restore the vocal cord of patients.