医护一体化全程管理模式在游离组织皮瓣移植术后口腔鳞癌患者中的应用

Application of doctor-nurse integration management mode in patients with oral squamous cell carcinoma after free flap reconstruction

目的 探讨医护一体化全程管理模式对行游离皮瓣修复术后口腔鳞癌患者疗效的影响.方法 将117例行游离组织皮瓣移植术的口腔癌患者,按时间先后顺序分为对照组（n=60）和干预组（n=57）,对照组采用常规的医护管理模式,干预组采用医护一体化全程管理模式.观察两组患者的焦虑情绪水平、康复状况、术后并发症发生情况、满意度、平均住院日、床位周转率等.结果 两组患者手术后及出院时SAS评分、皮瓣坏死方面、疾病围术期相关知识掌握情况、满意度、平均住院日、床位周转率、生活质量方面比较差异均有统计学意义（P〈0.05）.结论 行游离组织皮瓣移植术的口腔癌患者,实行全程医护一体化管理模式,能有效缓解患者的焦虑情绪,减少术后并发症,提高医疗质量,改善患者的生活质量,提高患者的满意度.

Objective To investigate the effects of the doctor-nurse integration management mode on the treatment efficacy in oral squamous cell carcinoma patients after free flaps reconstruction. Methods Totally 117 patients were assigned into the control group （n=60） and the experimental group （n=57） according to chronological order. The control group was treated with routine management mode, while the experimental group was treated with the doctor-nurse integration management mode. The indicatiors of patients＇anxiety, rehabilitaion, postoperative complications, satisfaction, average hospitalization duration and bed turnover rate were compared between the two groups. Results The differences between the two groups in the score of Self-rating Anxiety Scale （SAS）, flap necrosis, the mastery of perioperative knowledge, safisfaction, average hospitalization duration, bed turnover rate and quality of life were statistically significant （P〈 0.05）. Conclusions The medical integration management mode in oral squamous cell carcinoma patients after free flap reconstruction helps alleviate the anxiety, reduces the incidence of postoperative complications, improves medical quality, improves the quality of life and satisfaction in patients.