综合护理对颌面肿瘤及骨折术后患者饮食及张口锻炼依从性的影响分析

Effect of Comprehensive Nursing on Diet and Open-mouth Exercise Compliance in Patients with Maxillofacial Tumors and Fractures after Surgery

目的探究综合护理干预措施应用在颌面肿瘤及骨折术后患者护理中的效果及对患者饮食及张口锻炼依从性的影响。方法随机选取2023年1—9月盐城市第三人民医院收治的90例颌面肿瘤及骨折患者为研究对象,均接受手术治疗。经过抛硬币法随机分成两组,对照组(45例)实行常规护理,观察组(45例)实行综合护理干预。从心理状态、饮食及张口锻炼依从性、生活质量以及术后并发症4个方面评估并对比护理干预效果。结果观察组护理后焦虑和抑郁情绪评分低于对照组,差异有统计学意义(P均<0.05);观察组饮食及张口锻炼总依从率(95.56%)远高于对照组的80.00%,差异有统计学意义(χ^(2)=5.075,P=0.024);观察组生活质量评分高于对照组,差异有统计学意义(P<0.05);观察组术后并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论综合护理用于颌面肿瘤及骨折术后患者护理中具有突出意义,特别是在维持患者的乐观心态、提高其饮食及张口锻炼依从性和生活质量、降低术后并发症发生率方面,具有显著意义。

Objective To explore the effect of comprehensive nursing intervention in nursing care of patients with max-illofacial tumors and fractures after surgery and the influence on patients'diet and open-mouth exercise compliance.Methods A total of 90 patients with maxillofacial tumors and fractures admitted to the Third People's Hospital of Yancheng City from January to September 2023 were randomly selected as the study objects,all of whom received surgical treatment.After coin toss method,they were randomly divided into two groups,the control group(45 cases)received routine nursing,and the observation group(45 cases)received comprehensive nursing intervention.The effects of nursing intervention were evaluated and compared from four aspects:psychological state,diet and open-mouth exercise compliance,quality of life and postoperative complications.Results The score of anxiety and depression after nursing in the observation group was lower than that in the control group,and the differences were statistically significant(both P<0.05).The total compliance rate of diet and mouth opening exercise in the observation group was 95.56%,which was significantly higher than that in the control group(80.00%),and the difference was statistically significant(χ^(2)=5.075,P=0.024).The life quality score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The incidence of postoperative complications in the observa-tion group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion Comprehensive nursing is of great significance in nursing patients with maxillofacial tumors and fractures after surgery,especially in maintaining patients'optimistic attitude,improving their diet and open-mouth exercise compliance and quality of life,and reducing the probability of postoperative complications.