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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15.	张倬秋, 李水英, 赖华. 精神分裂症患者全程式康复护理模式的探讨[J]. 华西医学, 2012, 27(1):109-111.

1. 王娟, 余雨, 李志伟. 骨科术后精神障碍的临床分析[J]. 重庆医学, 2010, 39(21):2958-2960.
2. 黄婷敏, 伍霞菊, 李静. 骨科老年患者术后精神障碍15例原因分析与护理干预[J]. 中国误诊学杂志, 2010, 10(35):8749.
3. 沈渔邨. 精神病学[M]. 4版. 北京:人民卫生出版社, 2001:213.
4. 刘占坡, 肖仁俊. 全麻术后精神异常1例[J]. 中国医药导报, 2006, 3(27):159.
5. Thompson SN. 全身麻醉与认知功能(英文)[J]. 中国临床心理学杂志, 2003, 11(1):71-72.
6. 徐菊玲. 全麻术后精神障碍的观察及护理[J]. 护士进修杂志, 2004, 19(8):728-729.
7. 黄秋明. 药源性精神异常不良反应文献分析[J]. 药物流行病学杂志, 2009, 18(3):188-190.
8. 衡新华, 罗用宇. 老年非心脏手术患者麻醉手术后中枢神经功能障碍[J]. 昆明医学院学报, 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. 张立强, 栾信庸, 潘新良, 等. 喉切除术后患者生活质量的调查研究[J]. 中华护理杂志, 2003, 38(11):10-13.
11. 丁兰平, 巢文萍, 王丽艳. 肝移植患者术后精神状态异常的护理[J]. 中华现代中西医杂志, 2005, 3(10):948.
12. 胡丽, 曹秉蓉. 对苯丙胺类兴奋剂所致精神障碍患者的护理[J]. 华西医学, 2012, 27(10):1536-1537.
13. 陆玉梅. 肝移植术后早期精神异常的原因分析与护理[J]. 护理实践与研究, 2007, 4(10):44-45.
14. 李小艳, 宋剑乔, 严火荣. 老年患者术后认知功能障碍4例临床分析[J]. 全科医学临床与教育, 2011, 9(1):61-62.
15. 张倬秋, 李水英, 赖华. 精神分裂症患者全程式康复护理模式的探讨[J]. 华西医学, 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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