个体化护理对舌癌术后效果及口腔清洁度、肌皮瓣成活率的影响  

Effect of Individualized Nursing on Postoperative Effect of Tongue Cancer,Oral Cleanliness and Survival Rate of Musculocutaneous Flap

作　　者：颜少观[1] 何静 郭巧玲[1] YAN Shaoguan;HE Jing;GUO Qiaoling(Department of Otolaryngology,the First Affiliated Hospital of Xiamen University,Xiamen Fujian 361003,China)

机构地区：[1]厦门大学附属第一医院耳鼻咽喉头颈外科,福建厦门361003

出　　处：《中国卫生标准管理》2023年第10期172-176,共5页China Health Standard Management

基　　金：福建省自然科学基金项目(2020J011225)。

摘　　要：目的探讨个体化护理干预措施对舌癌术后患者的效果及对口腔清洁度、肌皮瓣成活率的影响。方法选取厦门大学附属第一医院2020年10月—2022年6月进行舌癌手术治疗的患者86例,按照双盲法分为对照组(n=43)与观察组(n=43)。对照组采用常规护理干预,观察组在对照组基础上实施个性化护理干预。对比两组患者口腔清洁度、肌皮瓣成活率、吞咽功能恢复率、体质量损失率、护理满意度评分及住院时间。结果干预后,观察组患者口腔清洁度优良率及肌皮瓣成活率均高于对照组(P<0.05)。干预后,观察组患者吞咽功能恢复率高于对照组,体质量损失率低于对照组(P<0.05)。干预后,观察组患者护理满意度及发音标准评分均高于对照组,住院时间及住院费用均低于对照组(P<0.05)。干预后,观察组抑郁、强迫症状、躯体化、敌对、偏执、恐怖、人际关系敏感,焦虑,精神病性及其他各维度评分均低于对照组(P<0.05)。结论对舌癌患者采取个体化护理干预措施可以提高口腔清洁度以及肌皮瓣成活率,促进患者吞咽功能恢复,减少体质量损失;同时提高护理满意度,缩短住院时间,促进患者恢复。Objective To explore the effect of individualized nursing interventions on tongue cancer patients after surgery and the impact on oral cleanliness and the survival rate of myocutaneous flaps.Methods A total of 86 patients with tongue cancer surgery in the First Affiliated Hospital of Xiamen University from October 2020 to June 2022 were selected and divided into the control group(n=43)and the observation group(n=43)according to the double-blind method.The control group received routine nursing intervention,while the observation group received personalized nursing intervention on the basis of the control group.The oral cleanliness and the survival rate of musculocutaneous flap were compared between the two groups.Swallowing function recovery rate,weight loss rate,nursing satisfaction score,hospital stay.Results After intervention,the excellent oral cleanliness rate and the survival rate of myocutaneous flap in the observation group were higher than control group(P<0.05).After intervention,the swallowing function recovery rate of the observation group was higher than that in the control group,and the weight loss rate was lower than control group(P<0.05).After intervention,the nursing satisfaction and pronunciation standard scores of the observation group were higher than those in the control group.After intervention,the scores of depression,obsessivecompulsive symptoms,somatization,hostility,paranoia,terror,interpersonal sensitivity,anxiety,psychosis and other dimensions in the observation group were lower than control group(P<0.05).Conclusion Individualized nursing intervention measures for tongue cancer patients can improve oral cleanliness and the survival rate of musculocutaneous flaps,promote the recovery of swallowing function,reduce weight loss,improve nursing satisfaction,shorten the length of hospital stay,and promote the recovery of patients.

关 键 词：个体化护理干预 舌癌术 临床效果 口腔清洁度 肌皮瓣成活率 吞咽功能恢复率 体质量损失率 

分 类 号：R473[医药卫生—护理学]