摘要
目的:探讨对口腔颌面外科肿瘤患者游离皮瓣移植修复术实施精准护理的效果,为进一步提高游离皮瓣移植修复术患者的预后提供参考依据。方法:选取弋矶山医院口腔颌面外科2015年2月~2018年2月收治的游离皮瓣移植修复术患者共44例为研究对象。对2017年1月前入院的患者实施常规护理(23例),2017年1月开始对入院患者实施精准护理(21例)。结果:精准护理组血肿、皮瓣局部坏死发生率分别为33.33%、19.05%,常规护理组血肿、皮瓣局部坏死发生率分别为47.83%、39.13%。精准护理组的VAS评分低于常规护理组(P<0.05),随着时间的延长VAS得分下降(P<0.05);精准护理组患者满意度平均得分(95.76±2.47)高于常规护理组(90.61±7.63)(P<0.05);精准护理组患者住院天数[(21.71±5.34)d]少于常规护理组[(28.43±4.51)d(P<0.05)]。结论:精准护理可以缓解颌面部肿瘤游离皮瓣移植修复术患者疼痛,减少住院天数,提高患者满意度。
Objective:To observe the effect of precision nursing for patients of oral cancer undergoing maxillofacial free skin flap grafting for improving the prognosis in such patients.Methods:Totally,44 patients with oral tumor undergone maxillofacial free skin grafting in our department were included from February 2015 to February 2018.Patients admitted before January 2017 received conventional nursing(n=23),and those admitted after January 2017 were given precision nursing(n=21).Results:The incidences of hematoma and flap local necrosis were 33.33%and 19.05%,respectively for patients by precision nursing,and 47.83%and 39.13%for those respectively by conventional nursing.Repeated measures and two-factor analysis of variance showed that patients received precision nursing had lower VAS scoring than those received conventional nursing(P<0.05),and the VAS scoring was decreased with prolonged time(P<0.05).The average satisfaction score was higher,and the days of hospital stay were lower in patients by precision care than in those by conventional care[(95.76±2.47)points vs.(90.61±7.63)points,P=0.005;(21.71±5.34)days vs.(28.43±4.51)days,P<0.05,respectively].Conclusion:Precise nursing has certain clinical significance in relieving the pain,reducing the hospital stay and improving the nursing satisfaction in patients of oral cancer undergoing maxillofacial free skin flap transplantation.
作者
滕晓菊
方媛媛
程婷
刘欢
TENG Xiaoju;FANG Yuanyuan;CHENG Ting;LIU Huan(Department of Oral and Maxillofacial Surgery,The First Affiliated Hospital of Wannan Medical College,Wuhu 241001,China)
出处
《皖南医学院学报》
CAS
2020年第6期601-603,共3页
Journal of Wannan Medical College
基金
皖南医学院质量工程项目(2018kfkc06)。
关键词
精准护理
口腔肿瘤
游离皮瓣
移植修复
precision nursing
oral neoplasm
free skin flap
transplantation,repair
