个体化口腔护理干预措施对舌癌术后患者的效果  

Effect of Individualized Oral Care Interventions on Postoperative Patients With Tongue Cancer

作　　者：陈瑞玲[1] 骆献阳[1] 郭巧玲[1] CHEN Ruiling;LUO Xianyang;GUO Qiaoling(Department of Otolaryngology Head and Neck Surgery,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》2024年第14期171-174,共4页China Health Standard Management

基　　金：福建省自然科学基金项目(2021J011358)。

摘　　要：目的分析个体化口腔护理干预措施对舌癌术后患者口腔清洁度、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1月—2023年4月收治的104例舌癌患者,按其住院号单双数分为参照组(住院号单数患者52例)与研究组(住院号双数患者52例)。参照组实施常规护理,研究组在参照组常规护理基础上实施个体化口腔护理干预。比较2组患者护理前后口腔菌落计数,统计2组口腔清洁度、肌皮瓣成活率,并对比2组护理前后生活质量评分。结果护理后,2组口腔菌落计数低于护理前,且研究组口腔菌落计数为(24.71±6.34)×10^(4),低于参照组的(38.34±5.66)×10^(4)(P<0.05);研究组口腔清洁度优良率为96.15%,高于参照组的78.85%(P<0.05);研究组肌皮瓣成活率为98.08%,高于参照组的84.62%(P<0.05);护理后,研究组生活质量评分为(74.56±6.12)分,高于参照组的(69.72±6.07)分(P<0.05)。结论实施个体化口腔护理可有效减少患者术后口腔菌落,提高其口腔清洁度,确保肌皮瓣成功存活,进而改善患者生活质量。Objective To analyze the effects of individualized oral care interventions on oral cleanliness and survival rate of musculocutaneous flap in patients with tongue cancer after surgery.Methods A total of 104 cases of tongue cancer patients admitted to the First Affiliated Hospital of Xiamen University from January 2020 to April 2023 were divided into the reference group(52 cases of patients with singular hospitalization number)and the study group(52 cases of patients with even hospitalization number)according to their odd-even hospitalization number.The reference group was given routine nursing,and the study group was given individualized oral nursing intervention on the basis of routine nursing in the reference group.Oral colony counts were compared between the two groups before and after care,oral cleanliness and survival rate of musculocutaneous flap were counted,and quality of life scores were compared between the two groups before and after care.Results After care,the oral colony count of the 2 groups was lower than that before care,and the oral colony count of the study group was(24.71±6.34)×10^(4),which was lower than 4(38.34±5.66)×10^(4) of the reference group(P<0.05).The rate of oral cleanliness in the study group was 96.15%,higher than 78.85%in the reference group(P<0.05).The survival rate of myocutaneous flap in the study group was 98.08%,higher than 84.62%in the reference group(P<0.05).After nursing,the quality of life score of the study group was(74.56±6.12)points,which was higher than(69.72±6.07)points of the reference group(P<0.05).Conclusion The implementation of individualized oral care can effectively reduce the postoperative oral colonies,improve the oral cleanliness,ensure the successful survival of musculocutaneous flap,and improve the quality of life of patients.

关 键 词：舌癌 个体化口腔护理 口腔菌落计数 口腔清洁度 肌皮瓣成活率 生活质量 

分 类 号：R473[医药卫生—护理学]