A Study Of Influence Of Systemic Self-care Management Interventions On Quality Of Life Of Patients With Larynx Carcinoma

Objectives:(1)To describe the self-care agency in patients with larynx carcinoma. (2)To Describe the quality of life.(3)To find out the relationship between the self-care agency and quality of life.(4) To explore the effects in patients with larynx carcinoma of systemic self-care management interventions on self-care agency. (5)To explore the effects of systemic self-care management interventions on quality of life in patients with larynx carcinoma.Methods:The study used an experimental design. The 76 patients who came from the ENT Institute inpatient department of the Second Clinical Hospital of Jilin University from Dec 2006 to Dec 2007 were randomly allocated to a control or intervention group.The patients in the control group received routine nursing care.The intervention group received systemic self-care management interventions which included improvement of self–care ability, self-care responsibility, self-esteem and health knowledge. The intervention time was four months. Four questionnaires were used for data collection:a general information sheet of patients,the exercise of Self-care Agency(ESCA), EORTC QLQ-C30 and EORTCQLQ-H&N35 questionnaires.The statis -tical software SPSS for windows version 14.0 was used for data analysis. Results:(1)ESCA scores of All larynx carcinoma was patients 98.12士14.32,perceived a low level of self-care agency. Only 7.89%patients perceived a high level of self-care agency. Factors that can influence significantly self-care agency,used by Linear Regression,were educational level, profession, operating manner and family relationship. (2) EOR-TCQLQ-C30 quality of life scores of all patients was95.57±10.63,EORTCQLQ-H&N35 quality of life scores of all patients was20.37±11.05.patients perceived a middle level of quality of life.(3 )Findings from the present study revealed that there are a significant positive relationship between the self-care agency and quality of life in patients with larynx carcinoma. (4) Systemic self-care management interventions improved self-care agency(P<0.05). (5)Systemic self-care management interventions were significantly improved larynx carcinoma quality(P<0.05). Conclusions: From the results of this study it can be concluded that larynx carcinoma patients perceived a low level of self-care agency and quality of life. There are a significant positive relationship between the self-care agency and quality of life inpatients with larynx carcinoma .Self-care education could improve the self-care agency,enhance quality of life.