Related Factors and Nursing Countermeasures for Psychonosema in Postoperative Laryngeal Cancer Patients_West China Medical Journal

Authors：

 GUDe-ying , ZHOUQi , DAILi

Department of Otolaryngology, Head and Neck Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

Keywords：

Laryngectomy; Psychonosema; Related factors; Nursing

DOI：

10.7507/1002-0179.20150324

Video：

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Objective To explore the related factors and nursing countermeasures for psychonosema in postoperative laryngeal cancer patients. Methods We retrospectively analyzed the clinical data of eight patients who accepted laryngectomy and developed psychonosema from January 2008 to April 2013. The related factors for psychonosema in these patients were analyzed and nursing countermeasures were summarized. Results Eight patients had different degree of psychonosema, and it was correlated with psychological factors, various channels of undesirable stimulation, sleep disorders, drug and other factors. After treatment and careful nursing, within three to seven days, all patients' abnormal mental symptoms were alleviated, and all of them were discharged. Conclusion There are many factors which can cause psychonosema after laryngectomy for laryngeal carcinoma. Medical staff should try to reduce or avoid inducing factors. Once it happens, medical staff should carry out psychiatric treatment in time to avoid accidents and promote the rehabilitation of patients.

Citation： GUDe-ying, ZHOUQi, DAILi. Related Factors and Nursing Countermeasures for Psychonosema in Postoperative Laryngeal Cancer Patients. West China Medical Journal, 2015, 30(6): 1127-1129. doi: 10.7507/1002-0179.20150324 Copy

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1. 王娟, 余雨, 李志偉. 骨科術后精神障礙的臨床分析[J]. 重慶醫學, 2010, 39(21):2958-2960.
2. 黃婷敏, 伍霞菊, 李靜. 骨科老年患者術后精神障礙15例原因分析與護理干預[J]. 中國誤診學雜志, 2010, 10(35):8749.
3. 沈漁邨. 精神病學[M]. 4版. 北京:人民衛生出版社, 2001:213.
4. 劉占坡, 肖仁俊. 全麻術后精神異常1例[J]. 中國醫藥導報, 2006, 3(27):159.
5. Thompson SN. 全身麻醉與認知功能(英文)[J]. 中國臨床心理學雜志, 2003, 11(1):71-72.
6. 徐菊玲. 全麻術后精神障礙的觀察及護理[J]. 護士進修雜志, 2004, 19(8):728-729.
7. 黃秋明. 藥源性精神異常不良反應文獻分析[J]. 藥物流行病學雜志, 2009, 18(3):188-190.
8. 衡新華, 羅用宇. 老年非心臟手術患者麻醉手術后中樞神經功能障礙[J]. 昆明醫學院學報, 2007, 4(4):129-132.
9. Bryson GL, Wyand A. Evidence-based clinical update:general anesthesia and the risk of delirium and postoperative cognitive dysfunction[J]. Can J Anaesth, 2006, 53(7):669-677.
10. 張立強, 欒信庸, 潘新良, 等. 喉切除術后患者生活質量的調查研究[J]. 中華護理雜志, 2003, 38(11):10-13.
11. 丁蘭平, 巢文萍, 王麗艷. 肝移植患者術后精神狀態異常的護理[J]. 中華現代中西醫雜志, 2005, 3(10):948.
12. 胡麗, 曹秉蓉. 對苯丙胺類興奮劑所致精神障礙患者的護理[J]. 華西醫學, 2012, 27(10):1536-1537.
13. 陸玉梅. 肝移植術后早期精神異常的原因分析與護理[J]. 護理實踐與研究, 2007, 4(10):44-45.
14. 李小艷, 宋劍喬, 嚴火榮. 老年患者術后認知功能障礙4例臨床分析[J]. 全科醫學臨床與教育, 2011, 9(1):61-62.
15. 張倬秋, 李水英, 賴華. 精神分裂癥患者全程式康復護理模式的探討[J]. 華西醫學, 2012, 27(1):109-111.

West China Medical Journal

Related Factors and Nursing Countermeasures for Psychonosema in Postoperative Laryngeal Cancer Patients

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