Objective To analyze the perioperative anxiety status in the patients with total laryngectomy and its relationship with self care ability .Methods Forty-eight cases of laryngeal carcinoma treated in our hospital from 2010 to 2015 were selected as the research subjects and observed for three time ,i .e .,before operation ,on postoperative 7 ,14 d;the Hospital Anxiety and Depres-sion Scale(HADS) was adopted to assess the anxiety status ;the self care ability was analyzed and evaluated .Results The patients showed high levels of anxiety before and after surgery ,moreover the anxiety status on postoperative 7 d was more significant that before operation(P<0 .05) ,while the anxiety status on postoperative 14 d was more improved compared with that on postoperative 7 d(P<0 .05) .Conclusion The patients with total laryngectomy always show the symptoms of anxiety .Therefore improving the self-care ability can effectively alleviate anxiety ,but can not completely eliminate anxiety .%目的 分析全喉切除术患者围术期的焦虑状况,以及焦虑与自我护理能力之间的关联.方法 选取2010-2015年在该院接受治疗的48例喉癌患者作为研究对象,分别对所有患者进行3次观察,即术前、术后第7天及术后第14天;采用医院焦虑抑郁量表(HADS)评估焦虑状况;分析和评价患者自我护理能力.结果 在术前及术后,患者表现出高度焦虑,且术后第7天较术前患者焦虑情况更为明显(P<0.05),而术后第14天较术后第7天焦虑情况有明显改善(P<0.05).结论 全喉切除术患者在围术期一直表现出焦虑症状,提高自我护理能力可有效缓解焦虑,但不能完全消除焦虑.
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