口腔癌皮瓣移植术后皮瓣护理的效果观察  

Analysis of the nursing effect of skin flap after oral cancer skin flap transplantation surgery

作　　者：周阳 陈苗 高阁 ZHOU Yang;CHEN Miao;GAO Ge(Department of Oral and Maxillofacial Surgery,Nanyang Stomatological Hospital,Henan Province,473000,China)

机构地区：[1]南阳市口腔医院口腔颌面外科,河南南阳473000

出　　处：《中国医疗美容》2024年第12期95-98,共4页China Medical Cosmetology

摘　　要：目的观察口腔癌患者皮瓣移植术术后实施皮瓣护理的有效性。方法选择2021年5月至2024年3月南阳市口腔医院收治的80例口腔癌患者,所有患者均接受皮瓣护理,观察患者术后下床活动时间、并发症等指标,对比护理满意率,采用焦虑(SAS)、抑郁自评量表(SDS)对患者负面情绪展开评估,采用华盛顿大学生生存质量调查表(UW-QOL)评估患者生活质量,观察并记录本组皮瓣存活情况。结果80例患者中有1例压疮者、切口感染2例,术后并发症总发生率为3.75%(3/80);本组患者皮瓣存活率97.50%(78/80);护理满意度为98.75%(79/80),皮瓣存活率为97.50%(78/80);本组患者引流拔管时间、术后下床活动时间分别为(3.48±0.29)d、(29.18±2.87)h;80例患者护理前、后抑郁评分依次为(53.21±4.71)分、(39.28±3.26)分,且患者护理后焦虑评分低于护理前,差异有统计学意义(P<0.05);80例患者护理前后UW-QOL评分存在明显差异,且患者护理后UW-QOL评分高于护理前,差异有统计学意义(P<0.05)。结论通过皮瓣护理对口腔癌皮瓣移植术患者实施干预,不仅可以缩短患者术后下床活动时间及引流拔管时间,也能减少术后并发症发生例数,对于改善患者的负面情绪,提高患者生活质量,提升患者护理满意度及皮瓣存活率具有重要的意义。Objective To evaluate the effectiveness of skin flap care for oral cancer patients after skin flap transplantation.Methods 80 oral cancer patients admitted to our hospital from May 2021 to March 2024 were selected as the subjects.All patients received skin flap care,and the postoperative mobilization time,complications,and other indicators of this group of patients were observed.The satisfaction rate of nursing was compared,and the negative emotions of patients were evaluated using the Self Rating Anxiety Scale(SAS)and Self Rating Depression Scale(SDS).The Washington University Quality of Life Questionnaire(UW-QOL)was used to evaluate the quality of life of patients,and the survival of skin flaps in this group was observed and recorded.Results Among the 80 patients,there was 1 case of pressure ulcer and 2 cases of incision infection,with a total incidence of postoperative complications of 3.75%;The number of surviving skin flaps in this group of patients was 78,accounting for 97.50%;The nursing satisfaction rate was 98.75%,and the survival rate of the skin flap was 97.50%;The drainage and extubation time,as well as postoperative mobilization time,for this group of patients were(3.48±0.29)days and(29.18±2.87)hours,respectively;The depression scores of 80 patients before and after nursing were(53.21±4.71)points and(39.28±3.26)points respectively,and the anxiety scores of patients after nursing were lower than before nursing,with statistical significance(P<0.05);There was a significant difference in the UW-QOL scores of 80 patients before and after nursing,and the UW-QOL scores of patients after nursing were higher than before nursing,with statistical significance(P<0.05).Conclusions Intervening in oral cancer skin flap transplantation patients through skin flap care can not only shorten the patient's postoperative mobilization time and drainage and extubation time,but also reduce the number of postoperative complications.It is of great significance for improving patients'negative emotions,enhancing their qualit

关 键 词：口腔癌 皮瓣移植术 皮瓣护理 负面情绪 并发症 

分 类 号：R47[医药卫生—护理学]