Laryngeal Cancer, Nursing
Conditions
Keywords
Laryngeal cancer, enhanced recovery after surgery, hope level
Brief summary
To explore the effect of perioperative ERAS based nursing model on the hope level and recovery of patients with laryngeal cancer.
Detailed description
200 patients who were diagnosed with laryngeal cancer and received total or partial laryngectomy were included. They were allocated into experimental and control group. Patients in experimental group were given ERAS based nursing intervention. Control group were given routine nursing intervention. Compare hope level, postoperative recovery, complication between two groups.
Interventions
OTHERRoutine nursing care
routine perioperative nursing intervention, including intensive observation of vital signs, preoperative education, postoperative communication and instruction on diet. NPO after the dinner one day before operation. Patients are instructed to NPO 3 days after surgery and patients should stay on the bed for 3 days. Urinary catheter is always kept for 48 hours or more.
OTHERPerioperative Enhanced Recovery After Surgery (ERAS) Based Nursing Model
Establish ERAS nursing team and formulate ERAS nursing intervention. Nothing by mouth (NPO) 6 hours before operation and no water 4 hours before operation. Patients are given fluid food 24 hours after surgery. Urinary catheter is removed within 24 hours after surgery and encourage patient to mobile 24 hours after surgery. Give support to pain control and psychological support. Intensive observation of vital signs, preoperative education, postoperative communication and instruction on diet were also given to patients.
Sponsors
Second Affiliated Hospital, School of Medicine, Zhejiang University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Outcomes Assessor)
Intervention model description
Participants were allocated into two groups randomly.
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Patients were confirmed as laryngeal cancer by CT scan. * Patients were given total or partial laryngectomy.
Exclusion criteria
* Unconscious or psychiatric patients. * Patients with distant metastasis or recurrence of cancer * Patients with coagulation dysfunction * Patients with severe cardiac, hepatic or renal dysfunction.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Hope level | the day before surgery | Herth Hope Index which have 12 items. Each item is rated from 1 to 4. Score 1 represents lowest level. Score 4 represents highest level. Total score is 48. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Ambulation time | Day 3 after surgery | record the time of first ambulation |
| Level of Pain | Day 3 after surgery | Numerical rating scale is a common pain rating scale. The score ranges from 0 to 10. 0 is no pain, 10 is the most severe pain. |
| Postoperative complication | Day 30 after surgery | incidence of infection, malnutrition and Viscosity of sputum |
| Length of stay | Day 30 after surgery | the days of hospitalization |
Countries
China
Contacts
Primary ContactXuefei Yu, bachelor
Outcome results
None listed