多学科协作模式在血管化游离皮瓣修复颌面部重大缺损围术期患者中的应用

Application of Multidisciplinary Collaboration Mode in Perioperative Patients with Vascularized Free Flap Repaired Maxillofacial Major Defect

目的:探讨多学科协作(MDT)模式在血管化游离皮瓣修复颌面部重大缺损围术期患者中的应用效果。方法:将2017年1月1日~2019年12月31日口腔颌面外科实施血管化游离皮瓣移植修复口腔颌面部缺损的30例患者作为常规组,实施常规护理干预;将2020年2月1日~2022年2月28日口腔颌面外科实施血管化游离皮瓣移植修复口腔颌面部缺损的30例患者作为MDT组,实施MDT模式。比较两组手术前后负性情绪[采用焦虑自评量表(SAS)和抑郁自评量表(SDS)]、疼痛情况[采用视觉模拟评分法(VAS)]、并发症发生率。结果:术后,MDT组SAS、SDS评分均低于常规组(P<0.01);MDT组VAS评分低于常规组(P<0.05);MDT组术后并发症发生率低于常规组(P<0.05)。结论:对血管化游离皮瓣修复颌面部重大缺损围术期患者应用MDT模式,可降低术后并发症发生率,缓解患者术后疼痛程度及负性情绪。

Objective:To explore the application effect of multidisciplinary collaboration mode in perioperative patients with vascularized free flap repaired maxillofacial major defect.Methods:A total of 30 cases of perioperative patients with vascularized free flap repaired maxillofacial major defect during January 1,2017 to December 31,2019 were as the routine group,and the routine group was given routine nursing intervention,and another 30 cases during February 1,2020 to February 28,2022 were as the MDT group.The MDT group was given multi-disciplinary cooperation mode nursing intervention.Comparison was made between the two groups on negative emotions by the self-rating anxiety scale(SAS)and the self rating depression scale(SDS),pain by visual analogue scale(VAS),and the incidence of complications.Results:After surgery,the SAS and SDS scores were lower in the MDT group than those in the routine group(P<0.01).The VAS scores were lower in the MDT group than those in the routine group(P<0.05).And the incidence of complications was lower in the MDT group than that in the routine group(P<0.05).Conclusion:Application of multidisciplinary collaboration mode in perioperative patients with vascularized free flap repaired maxillofacial major defect can not only reduce the incidence of postoperative complications,but also reduce the degree of postoperative pain and negative emotions,improve the comfort,and improve the quality of postoperative nursing.