| Objective:To study the situation of the needs of life quality and the mastery of the skills of self-nursing in the patients of larynx carcinoma after the operation of laryngeal cut off,to discuss and establish a suit of effective and feasible psychological and behavior intervention models in patients of larynx carcinoma,to improve the life quality of patients and to make them recover and return the society early.Methods:All the patients were divided into two groups(intervention group and control group) and given questionnaire of life quality,questionnaire of the needs of tracheostomy related knowledge, questionnaire of the situation of mastery of tracheostomy related knowledge and the skills of self-nursing.Then the intervention group were given centralized training,repeated measurement analysis of covariance was used to analyz the data.Results:1.A total of 84 patients was divided into intervention and control groups in this investigation,a balanced test was used in the general characteristics of the intervention group and control group,the intervention group and control group patients in gender,age,educational level,occupation type have no significant difference.2.Anxiety and depression self-rating scale scores by repeated measure analysis of variance that scores before and after the intervention of the main differences are statistically significant, time and the interaction between the group had a significant effect,the intervention had a significant effect.3.Intervention and control groups in the purpose of knowing the right rate there is no difference before intervention,that is balanced comparable,the skin around the stoma care, tracheal casing cleansing and disinfection,daily attention to issues and functional training jets pronunciation of the master degree,with the exception of the environment suitable for the control(P＞0.078),the use of electronic communication jets(P＞0.334) was not significant,the remaining projects are significant differences(p＜0.05),grasp the correct intervention group was significantly higher than that in the intervention group after the intervention.4.The quality of life was analyzed in the control group and intervention group,repeated measure analysis of variance were used to analyz the pain,activity,entertainment,work and exchange of words.the group(the intervention group and control group) had a significant interaction,The effect is significant,the purpose of scoring higher.The appearance,chewing, shoulder function,using repeated measure analysis of variance found that group(the intervention group and control group) interaction was not significant,the group(the intervention group and control group) the effect of intervention was not significant.5.Multiple regression analysis about the Influencing factors of life quality of the patients of the larynx carcinoma showed,the main Influencing factors were economy situation(b=5.32, p＜0.01),skill of self-nursing(b=4.35,p＜0.01),mental intervention(b=3.58,p＜0.01),age (b=3.45,p＜0.01),culture degree(b=2.45,p＜0.01),family support(b=2.31,p＜0.01) and payment type(b=1.95,p＜0.01).Conclusions:1.Health guidance of multiple styles could improve the mastery extents of the knowledge of tracheostomy of the patients and improve their life qualities.2.Anxiety and depression were popular among the patients of larynx carcinoma.3.Mental intervention could improve the mental states of the patients of larynx carcinoma, improve their life qualities effectively.4.Zung SAS and SDS could reflects the mental states of the patients of larynx carcinoma,it is very essential to give the patients of larynx carcinoma mental intervention,it is favorable for the patients recover and return the society early.
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