循证护理干预对改善喉癌术后气管切开患者睡眠质量的影响

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AbstractObjective：To explore the value of implementing evidence-based nursing in postoperative laryngeal cancer patients with tracheostomyMethods：Atotalof1laryngealcancerpatientsadmitedtotheDepartmentofHeadandNeck Surgeryatthe 900th HospitaloftheJointLogisticsSupportForceoftheChinesePeople's Liberation ArmyfromJanuary2O22 to November2023 were selected asthe studysubjects.They were divided intoacontrol groupandanobservation groupaccording totherandom number table，with55cases ineach group.Thecontrolgroupreceivedroutinenursing intervention，whiletheobservationgroupreceived evidence-based nursing intervention.TBedside monitors wereusedtomeasurepatients'bloodgasparameters，includingactual base excess（ABE），partial pressure of oxygen（ PaO2 ），and partial pressure of carbon dioxide（ PaCO2 ）. The Pittsburgh Sleep QualityIndex（PSQI）wasusedtocomparethediferences insleepqualitybetweenthetwogroupsof patientsbeforeandafter intervention.The Hamilton AnxietyScale（HAMA）wasusedtocomparetheimprovement efectofanxietysymptoms beforeandafterinterventionandtheincidenceofcomplicationswascomparedbetweenthetwogroups.Results：fterintervention，televelsof ABE and PaCO2 decreased in both groups，with the observation group showing significantly lower levels than the control group. PaO2 levels increased in both groups，with the observation group showing significantly higher levels than the control group. The differences between the two groups were statistically significant（ P<0.05， ；After intervention，PSQI scores and HAMA scores decreased inboth groups，with theobservation group showingsignificantlylower scores thanthecontrolgroup，and the differences were statistically significant（ P<0.05） . The incidence of complications in the observation group was significantly lower than that in the control group，with statistically significant differences（ P<0.05 ）. Conclusion： vidence-based nursing is highly ffective forpostoperativelaryngealcancerpatientswithtracheostomy.Itnotonlyimprovesbloodgasparametersandslpquality butalso aleviatesanxietyand reduces the incidenceofcomplications.Iis worthyof clinical promotionand application.

KeywordsLaryngeal cancer;Evidence-based nursing；Tracheotomy；Sleepquality；Blood gas indicators；Negativeemotions; complications；Airway obstruction

中图分类号：R739.6;R338.63 文献标识码：A doi：10.3969/j. issn.2095 -7130.2025.05.045

喉癌，一种起源于喉部的恶性肿瘤，其发生主要由于喉部组织的异常增生，遗传因素、吸烟、酗酒以及病毒感染均为引发喉癌的潜在因素。（剩余6064字）