摄食细节管理结合舒适护理模式在口腔癌游离皮瓣移植术后患者康复中的应用  

Application of Detailed Feeding Management Combined with Comfort Nursing in Rehabilitation of Patients with Oral Cancer after Free Flap Transplantation and Repair

作　　者：李平[1] 刘世卿 王烨华[1] LI Ping;LIU Shi-qing;WANG Ye-hua(Second Ward of Stomatology Department,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院口腔科二病区,郑州450000

出　　处：《四川解剖学杂志》2024年第2期84-87,共4页Sichuan Journal of Anatomy

摘　　要：目的:探讨摄食细节管理结合舒适护理模式在口腔癌游离皮瓣移植术后患者康复中的应用效果.方法:选取2020年3月至2023年3月本院收治的122例口腔癌游离皮瓣移植术后患者为研究对象.采取随机数字表法将其分为观察组(n=62,采用摄食细节管理和舒适护理模式)和对照组(n=60,采用常规饮食干预模式).对两组患者吞咽功能、舒适度及并发症发生率进行统计学分析.结果:干预后,观察组患者洼田饮水试验(WST)评分低于对照组,改良曼恩吞咽能力评估量表(MMASA)、Kolcaba的舒适状况量表(CGQ)评分均高于对照组,差异均有统计学意义(P<0.05).观察组患者并发症发生率低于对照组,差异有统计学意义(P<0.05).结论:摄食细节管理结合舒适护理模式在口腔癌游离皮瓣移植术后患者康复中效果理想,可有效调整患者的吞咽功能障碍,改善舒适度,降低并发症发生率.Objective:To explore the application effects of detailed feeding management combined with comfort nursing in the rehabilitation of patients with oral cancer after free flap transplantation.Methods:A total of 122 patients with oral cancer who underwent free flap transplantation and repair surgery in our hospital from March 2020 to March 2023 were selected as the research subjects.And they were randomly divided into observation group(n=62,received detailed feedingmanagement and comfort care)and control group(n=60,received conventional dietary intervention).The swallowing function,nutritional status,comfort and complications were compared between the two groups.Results:After intervention,the scores of water swallowing test(WST)in observation group were lower than those in control group,the scores of modified Mann assessment of swallowing ability(MMASA)and Kolcaba's general comfort questionnaire(CGQ)in observation group were higher than those in control group,and the differences were statistically significant(P<0.05).The incidence of complications in observation group was lower than that in control group,and the difference was statistically significant(P<0.05).Conclusion:Feeding detail management combined with comfort nursing is ideal in the rehabilitation of patients with oral cancer after free flap transplantation,which can effectively adjust the swallowing dysfunction,improve the nutritional status and comfort level,and reduce the incidence of complications.

关 键 词：摄食细节管理 舒适护理模式 口腔癌 游离皮瓣移植术 护理效果 生活质量 

分 类 号：R473.78[医药卫生—护理学]