Clinical study on the influence of continuous nursing via WeChat on patients undergoing partial or total laryngectomy.

OBJECTIVE: Patients who undergo a partial or total laryngectomy experience severe negative effects. The present study aimed to explore the impact of continuous nursing care via WeChat on patients undergoing partial or total laryngectomies. METHODS: A total of 86 patients who underwent partial or total laryngectomies were enrolled in this study and divided into two groups: an observation group and a control group. The observation group received continuous nursing via WeChat, while the control group received routine nursing care. Psychological status, degree of cancer fatigue, and changes in quality of life before and after intervention were compared using a satisfaction questionnaire, self-rating depression scale (SDS), self-rating anxiety scale (SAS), piper fatigue scale (PFS), and the quality-of-life questionnaire of the European Organisation for Cancer Therapy and Research. RESULTS: The total satisfaction rate of the observation group (95.35%) was higher than that of the control group (74.42%) (P < 0.05). After intervention, the SDS, SAS, and cognitive, sensory, emotional, and behavioral scores of both groups were lower than before intervention (P < 0.05), with those of the observation group being lower than those of the control group (P < 0.05). The quality-of-life scores after intervention were higher in both groups than before intervention (P < 0.05), with those of the observation group being higher than those of the control group (P < 0.05). CONCLUSION: Continuous nursing via WeChat has a significant effect on patients who have undergone a partial or total laryngectomy, and it can improve a patient's psychological status, alleviate cancer fatigue, and improve quality of life.

The application value of the clinical nursing pathway for patients with head and neck cancer.

OBJECTIVE: The objective of this study was to explore the effect of using the clinical nursing pathway (CNP) to provide high-quality nursing care to patients undergoing head and neck cancer surgery and provide a theoretical basis for clinical practice. METHODS: In this study, 303 surgical patients with head and neck cancers were recruited. Participants were divided into 2 groups, based on 2 different nursing methods, i.e.., the control group (152 cases) and the intervention group (151 cases). The control group was given routine nursing care, and the intervention group was assigned high-quality nursing care following the CNP. The knowledge mastery, treatment, psychological status, quality of life, and nursing satisfaction of the two groups were compared. RESULTS: The knowledge mastery score of the intervention group was higher compared with the control group (p < 0.05); the psychological state score of the intervention group was less than the control group's score (p < 0.05); the quality-of-life score of the intervention group was higher than the control group's score (p < 0.05), and the nursing satisfaction score was higher for the intervention group compared with the control group (p < 0.05). CONCLUSION: High-quality nursing using the CNP for patients undergoing head and neck cancer surgery helps to improve patients' knowledge mastery, mental state, quality of life, and nursing satisfaction.

Perioperative Nursing of Patients with Reoperation of Recurrent Parathyroid Carcinoma Invading the Upper Digestive or Respiratory Tract.

OBJECTIVE: The aim of this study was to summarize the perioperative nursing care of patients with recurrent parathyroid carcinoma. METHODS: A retrospective analysis of 10 patients with recurrent parathyroid carcinoma was performed. The clinical data, diagnosis, treatment process, and nursing process (including clinical nursing intervention of various complications) were analyzed. The nursing experience and methods were discussed, summarized, and analyzed. RESULTS: A total of 10 patients were reviewed (male : female 7 : 3; aged 48.6 ± 14.60 years). The mean interval between the initial operation and reoperation was 2.23 ± 1.65 years. The mean number of operations was 4.00 ± 1.41. Invasion of the trachea or esophagus was evident in 7 patients, larynx in 6 patients, recurrent laryngeal nerve in 1 patient, and cyclic cartilage in 2 patients. Serum calcium range was 3.20-4.68 mmol/L, and parathyroid hormone (PTH) range was 860-2830 pg/ml at admission. 6 patients underwent prophylactic tracheostomy, 2 patients underwent partial laryngectomy, and 2 patients underwent total laryngectomy. 1 patient experienced temporary water-electrolyte disorder and hypoproteinemia. The median serum calcium was 2.28 mmol/L (1.66-3.18 mmol/L) and median PTH level was 82.60 pg/ml (63.70-900.00 pg/ml) postoperatively. Serum PTH and calcium were still higher than the upper limit of normal in 2 patients after surgery. 2 of the other 8 patients relapsed within 8-11 months, and 6 patients remained normal for 11-40 months. CONCLUSION: For patients with reoperation of recurrent parathyroid carcinoma, high-quality, reasonable, and careful perioperative nursing ensured a successful operation and optimized outcome.

Effects of ovarian reserve and hormone therapy on hearing in premenopausal and postmenopausal women: A cross-sectional study.

OBJECTIVES: To observe the hearing function around menopause, to analyze the effects of ovarian reserve and hormone therapy on hearing, and to study factors related to hearing loss among women around menopause. STUDY DESIGN: In this cross-sectional study, we evaluated 109 women around menopause aged 45-55 years, including 40 women with ovarian failure, 48 with ovarian non-failure, and 21 receiving hormone therapy. All women underwent an audiologic evaluation, and hormone blood testing was performed. The general condition, reproductive history, medical history, lifestyle, and menopausal symptoms were collected through a questionnaire. MAIN OUTCOME MEASURE: The auditory threshold and anti-Mullerian hormone level. RESULTS: Women in the ovarian failure group presented with a decreased hearing level in all frequency bands compared with those in the ovarian non-failure group; the significant differences occurred at 8000 Hz, 10 000 Hz, 12 500 Hz, and 16 000 Hz in the right-ear air conduction. The auditory threshold was lower in the hormone therapy group than in the ovarian failure group, but the difference was statistically significant only in the right-ear air conduction at 10 000 Hz. There were two risk factors for hearing loss: an anti-Mullerian hormone level <0.01 ng/mL (odds ratio [OR] = 2.624) and frequent earphone use (OR = 3.846). CONCLUSIONS: A decline in ovarian function is associated with hearing loss in women, especially in relation to extended high-frequency air conduction of the right ear. Preserving ovarian function and reducing earphone use are important measures to protect women's hearing. However, the effect of hormone therapy on hearing requires further investigation.