摘要
目的 探讨计划行为理论的护理模式下阿克森疗法在声带息肉术后嗓音恢复中应用效果。方法 选取我科2023年3-12月声带息肉患者150例，随机分组。对照组采用症状护理。实验组在对照组基础上进行心理行为干预，术后1周进行阿克森疗法训练院外随访6月。结果 两组患者术前1日、术后6月嗓音障碍指数对照组49±1.31，32±1.03 ，实验组48±1.36 、24±1.36；嗓音嘶哑度术前1日、术后6月对照组 155±0.30、 124±0.68，实验组 138±2.53 、103±0.53 ；术后1月HAMA对照组10±0.24、实验组7±0.98；SDS对照组36±0.16、实验组32±0.66。各项参数值较治疗前显著改善。结论 以计划行为理论为基础的护理模式下阿克森疗法对声带息肉术后嗓音恢复疗效确切，值得临床推广应用。
关键词： 计划行为理论；阿克森疗法；声带息肉；嗓音
Abstract
Objective To explore the application effect of Axen therapy under the nursing model based on the Theory of Planned Behavior in the recovery of voice after vocal cord polyp surgery. Methods A total of 150 patients with vocal cord polyps in our department from March to December 2023 were randomly divided into groups. The control group received symptomatic care. The experimental group received psychological and behavioral intervention on the basis of the control group, and Axen therapy training was conducted one week after surgery, with a six-month follow-up outside the hospital. Results The Voice Handicap Index of the two groups one day before surgery and six months after surgery were 49 ± 1.31 and 32 ± 1.03 for the control group, and 48 ± 1.36 and 24 ± 1.36 for the experimental group; the degree of hoarseness one day before surgery and six months after surgery were 155 ± 0.30 and 124 ± 0.68 for the control group, and 138 ± 2.53 and 103 ± 0.53 for the experimental group; the HAMA one month after surgery was 10 ± 0.24 for the control group and 7 ± 0.98 for the experimental group; the SDS was 36 ± 0.16 for the control group and 32 ± 0.66 for the experimental group. All parameter values were significantly improved compared with those before treatment. Conclusion Axen therapy under the nursing model based on the Theory of Planned Behavior has a definite therapeutic effect on the recovery of voice after vocal cord polyp surgery and is worthy of clinical promotion and application.
Key words： Planned behavior theory; Axon therapy; Vocal cord polyps; Voice
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