Study on the nursing application effect of swallowing function assessment combined with swallowing function training in patients after thoracoscopic esophagectomy for esophageal cancer
吞咽功能评定联合吞咽功能训练在胸腔镜食管癌根治术后患者中的护理应用效果研究

摘要

目的 以提高胸腔镜食管癌根治术后护理水平为研究目标，在临床护理中实施吞咽功能评定联合吞咽功能训练，明确其对食管癌患者的影响。方法 以2023年1月-12月时间段我科行胸腔镜食管癌根治术患者为分析对象，共计95例，按照诊疗先后顺序设置成对照组（49例）、观察组（46例），分别以常规护理、吞咽功能评定联合吞咽功能训练实施两组护理干预，对干预情况进行分析。结果 临床指标方面，两组相比，观察组各项值更佳（P<0.05）。并发症方面，两组相比，观察组总值更低（P<0.05）。结论 在临床护理中实施吞咽功能评定联合吞咽功能训练，有利于减少胸腔镜食管癌根治术后患者并发症，改善吞咽功能与机体营养状态，减少术后置管时间与住院时间。

Abstract

Objective To improve the nursing level after thoracoscopic radical resection for esophageal cancer, the swallowing function assessment combined with swallowing function training was implemented in clinical nursing, and its impact on patients with esophageal cancer was clearly defined.
Methods A total of 95 patients who underwent thoracoscopic radical resection for esophageal cancer in our department from January to December 2023 were analyzed, and they were divided into control group (49 cases) and observation group (46 cases) according to the order of diagnosis and treatment. The nursing intervention of the two groups was carried out by routine nursing, swallowing function assessment and swallowing function training respectively, and the intervention situation was analyzed.
Results In terms of clinical indexes, the values of observation group were better than those of the two groups (P<0.05). In terms of complications, the total value of the observation group was lower than that of the two groups (P<0.05).
Conclusion   Swallowing function assessment combined with swallowing function training in clinical nursing is beneficial to reduce complications after thoracoscopic radical resection of esophageal cancer, improve swallowing function and nutritional status of the body, and reduce postoperative tube insertion time and hospital stay.