延续性护理对上颌骨缺损并行赝复体修复的患者吞咽功能康复的效果分析  

Analysis on the effect of continuous nursing on swallowing function rehabilitation of maxillary defect patients with concurrent repair

作　　者：王燕香 蒋莉莉[2,3] 沈淑坤[1] 杨文玉[1,2] WANG Yanxiang;JIANG Lili;SHEN Shukun;YANG Wenyu(Department of Oral and Maxillofacial-Head and Neck Oncology,College of Stomatology Shanghai Jiao Tong University,the Ninth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,National Center for Stomatology,National Clinical Research Center for Oral Diseases,Shanghai Key Laboratory of Stomatology,Shanghai 200011,China)

机构地区：[1]上海交通大学医学院附属第九人民医院口腔颌面-头颈肿瘤科,上海交通大学口腔医学院国家口腔医学中心,国家口腔疾病临床医学研究中心,上海市口腔医学重点实验室,上海200011 [2]上海交通大学医学院附属第九人民医院护理部,上海200011 [3]上海交通大学医学院附属第九人民医院耳鼻咽喉头颈外科,上海200011

出　　处：《中国中西医结合耳鼻咽喉科杂志》2022年第5期388-391,351,共5页Chinese Journal of Otorhinolaryngology in Integrative Medicine

摘　　要：目的探讨延续性护理在上颌骨缺损并行赝复体修复患者中的应用效果。方法选取2019年2月~2021年2月于我科手术治疗并行赝复体修复的上颌骨缺损患者80例,随机分为实验组和对照组。手术之后,对照组患者仅行赝复体的使用宣教,实验组患者则进一步结合实施延续性护理,由延续护理小组制定护理方案,如吞咽训练、心理干预等。观察比较两组患者出院前、出院后1周、出院后1个月、出院后3个月4个时间点的吞咽功能状况及焦虑、抑郁水平。结果实验组患者的吞咽功能明显优于对照组,其焦虑、抑郁水平明显低于对照组,差异有统计学意义(P<0.05)。结论对术后上颌骨缺损行赝复体修复患者实施延续性护理,有助于其恢复吞咽功能,减轻焦虑和抑郁症状,提升生活质量。Objective To investigate the adjuvant therapeutic effect of continuous nursing model on patients with maxillary defect repaired by prosthesis. Methods Included in this trial were 80 maxillary defects patients repaired by prosthesis, who underwent the surgery in our department from February 2019 to February 2021, randomly divided into experimental group and control group.Following the operation, cases in the control group(CG) received education on the use of prosthesis only, while those in the experimental group(EG) received continuous care model, such as swallowing function rehabilitation guidance, psychological support,etc. besides education on the use of prosthesis as carried out in CG. Then, indicators observed for evaluation on the adjuvant therapeutic effect of continuous care model were swallowing function and anxiety and depression states, performed at these time points before discharge and one week, one month as well as three months after discharge respectively during the period of following up, in a comparative way between the two groups. Results As evaluated by the end of following up period, the swallowing function of cases in EG was significantly better than that in CG, while the level of anxiety and depression states in those of EG was significantly lower than that in CG, with significantly statistical significance between them(P<0.05). Conclusions Continuous care model holds significant adjuvant therapeutic effect on patients with maxillary defect repaired by prosthesis in restoring swallowing function, relieving anxiety and depression states, and improving quality of life of such patients.

关 键 词：上颌骨缺损 赝复体修复 延续性护理 康复效果 

分 类 号：R473.78[医药卫生—护理学]