Effect of long term smoking on secretion nursing for postoperative patients with laryngeal carcinoma

Abstract

Objective To analyze the effect of long term smoking on secretion nursing for postoperative patients with laryngeal carcinoma in order to improve the level of professional nursing.Methods The clinical data of 60 patients with laryngeal carcinoma from February 2007 to December 2012 in the affiliated hospital of Hangzhou Normal University were retrospectively analyzed.32 patients who had longer than 20 years history of smoking were named smoking group and 28 patients who had no smoking history were named non-smoking group.The differences of number of sputum suction,number of cut-off nasal feeding,time of termination of sputum suction and ratio of respiratory tract infection were all compared between the two groups in the process of nursing.Statistical analysis was performed using the SPSS 17.0 software package,P ＜ 0.05 was considered statistically significantly.Results The number of sputum suction,the number of cut-off nasal feeding and the time of termination of sputum suction in the smoking group were respectively (9.49 ± 1.59)/d,(17.01 ±2.79),(11.70±0.81)d,and more than (4.43 ± 1.68)/d,(8.92 ±2.16),(9.14 ±0.67)d in the non-smoking group,and the differences were statistically significant (t =3.04,2.36,2.29,respectively; P ＜ 0.05).However,the ratio of respiratory tract infection was 6.3％ in the smoking group,and 3.6％ in the non-smoking group,and the difference was not statistically significant (x2 =0.000,P ＞ 0.05).Conclusions The long-term smoking has a great effect on the nursing work for secretion after laryngeal carcinoma surgery,and we should take scientific and individualized nursing measure for this kind of patients. Key words: Smoking; Secretions; Laryngeal carcinoma; Nursing