医护患一体化模式在口腔癌患者术后口腔功能康复中的应用效果评价  

Application of integrated model of medical care and patient care in postoperative oral function rehabilitation of patients with oral cancers

作　　者：赵小妹[1] 黄晨 胡龙威[1] 沈超群 钱珍 郝桂华[1] ZHAO Xiao-mei;HUANG Chen;HU Long-wei;SHEN Chao-qun;QIAN Zhen;HAO Gui-hua(Department of Oromaxillofacial Head and Neck Oncology,Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine,College of Stomatology,Shanghai Jiao Tong University,National Center for Stomatology,National Clinical Research Center for Oral Diseases,Shanghai Key Laboratory of Stomatology,Shanghai Head and Neck Tumor Diagnosis and Translational Medicine Center.Shanghai 200011)

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,上海市头颈肿瘤诊治和转化医学中心,上海200011

出　　处：《中国口腔颌面外科杂志》2024年第6期558-562,共5页China Journal of Oral and Maxillofacial Surgery

基　　金：上海交通大学医学院科技基金项目(Jyhz2208);上海交通大学医学院护理学科建设人才培养计划项目学科骨干(SJTUHLXK2024);上海申康医院发展中心研究型医师创新转化能力培训项目(SHDC2023CRS001)。

摘　　要：目的:探讨医护患一体化模式在口腔癌患者术后口腔功能康复中的临床应用效果。方法:选择上海交通大学医学院附属第九人民医院2023年1—3月收治的40例口腔癌患者作为对照组,2023年4—6月收治的40例口腔癌患者作为试验组,对照组予以常规护理,试验组给予医护患一体化护理。随访3个月,比较2组患者口腔功能和心理健康情况。采用SPSS 23.0软件包对数据进行统计学分析。结果:试验组吞咽功能、言语功能得分分别为(2.20±0.90)和(76.50±9.7)分,开口度为(39±2.2)mm,对照组分别为(2.70±0.7)分、(64.57±8.2)分和(38±4.3)mm,2组比较差异均有统计学意义(P<0.05);试验组口腔卫生检查合格率、洁牙合格率、冲牙合格率分别为87.5%(35/40)、97.5%(39/40)和92.5%(37/40),对照组分别为67.5%(27/40)、57.5%(23/40)和75.0%(30/40),2组比较有统计学差异(P<0.05)。试验组焦虑、抑郁得分分别为(42.10±3.37)、(40.33±3.56)分,对照组分别为(45.26±3.27)、(46.39±3.10)分,2组比较有统计学差异(P<0.05)。结论:医护患一体化模式可促进口腔癌患者口腔功能康复,提高口腔健康状态,缓解焦虑抑郁状态,改善术后营养状况。PURPOSE:To explore the clinical value of integrated model of medical caregiver and patient in postoperative oral function rehabilitation of patients with oral cancers.METHODS:Forty patients with oral cancer admitted to Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine from January to March 2023 were selected as the control group,and 40 patients with oral cancer admitted from April to June 2023 were selected as the experimental group.Conventional nursing care was given to the control group,while the experimental group was given nursing care with integration of healthcare professionals and patients.All patients were followed up for 3 months,oral function and mental health were compared between the two groups.SPSS 23.0 software package was used for data analysis.RESULTS:The scores of swallowing function and speech function in the experimental group were(2.20±0.90)and(76.50±9.7),and mouth opening degree was(39±2.2)mm,respectively,while those in the control group were(2.70±0.7),(64.57±8.2)and(38±4.3)mm,respectively and the differences between the two groups were statistically significant(P<0.05).The number of qualified oral hygiene examination,the number of qualified dental cleaning and the number of qualified dental flushing in the experimental group were 87.5%(35/40),97.5%(39/40),92.5%(37/40),and 67.5%(27/40),57.5%(23/40),75.0%(30/40)in the control group,respectively;the differences between the two groups were statistically significant(P<0.05).The anxiety and depression scores were(42.10±3.37)and(40.33±3.56)in the experimental group and(45.26±3.27)and(46.39±3.10)in the control group,respectively;the differences between the two groups were statistically significant(P<0.05).CONCLUSIONS:Integrated model of medical care can promote the rehabilitation of oral function,improve oral health,relieve anxiety and depression,and improve postoperative nutritional status of patients with oral cancer.

关 键 词：口腔癌 医护患一体化模式 口腔功能 焦虑 抑郁 

分 类 号：R739.8[医药卫生—肿瘤]