Application of multi-dimensional crisis control concept in airway management of elderly patients after resection surgery for laryngeal cancer

CAO Yan; ZHOU Min

doi:10.7619/jcmp.20232865

Journal of Clinical Medicine in Practice > 2023 > 27(23): 95-99. > DOI: 10.7619/jcmp.20232865

CAO Yan, ZHOU Min. Application of multi-dimensional crisis control concept in airway management of elderly patients after resection surgery for laryngeal cancer[J]. Journal of Clinical Medicine in Practice, 2023, 27(23): 95-99. DOI: 10.7619/jcmp.20232865

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Application of multi-dimensional crisis control concept in airway management of elderly patients after resection surgery for laryngeal cancer

CAO Yan,
ZHOU Min^,

Department of Otolaryngology, the First Affiliated Hospital of Air Force MedicalUniversity of the Chinese People's Liberation Army, Xi'an, Shaanxi, 710032

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Received Date: September 09, 2023
Revised Date: November 05, 2023
Available Online: December 25, 2023

Graphical Abstract

Abstract

Abstract

Objective
To observe the application effect of multi-dimensional crisis control concept in postoperative airway management of elderly patients with resection surgery for laryngeal cancer.
Methods
A total of 208 elderly patients with resection surgery for laryngeal cancer and tracheotomy were randomly divided into intervention group (n=104) and control group (n=104). The control group was given routine nursing, while the intervention group was given multi-dimensional crisis control concept nursing on the basis of the control group. The airway humidification effect, occurrence of complications and accidental tracheal tube extubation, psychological status and comfort degree werecompared between the two groups.
Results
The satisfaction degree of airway humidification in the intervention group was 96.15%, which was significantly higher than 81.73% in the control group (P < 0.05). The incidence of complications in the intervention group was 11.54%, which was significantly lower than 24.04% in the control group (P < 0.05). The total incidence of accidental extubation in the intervention group was 0.96%, which was significantly lower than 6.73% in the control group (P < 0.05). After 3 months of intervention, the scores of the Self-rating Anxiety Scale (SAS) and the Self-rating Depression Scale (SDS) in both groups decreased significantly when compared to those before intervention, and the scores of SAS and SDS in the intervention group were significantly lower than those in the control group (P < 0.05). After intervention, the scores of items of comfort degree and the total score in the intervention group were significantly higher than those in the control group (P < 0.05).
Conclusion
In the airway management of elderly patients after laryngeal cancer surgery, application of multi-dimensional crisis control concept nursing intervention can reduce the incidence of complications and accidental tracheal tube extubation, improve airway humidification effect, effectively alleviate psychological pressure of patients, and improve patient's comfort degree.

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