基于预见性策略的精准护理用于口腔颌面肿瘤皮瓣修复术后的临床观察

Clinical observation of precise nursing based on predictive strategy after oral and maxillofacial tumor flap repair

目的探讨基于预见性策略的精准护理用于口腔颌面肿瘤皮瓣修复术后的临床效果。方法本研究选取2021年6月至2023年6月于新乡市中心医院收治的口腔颌面肿瘤皮瓣修复术后患者月于新乡市中心医院收治的口腔颌面肿瘤皮瓣修复术后患者81例,所有患者均接受基于预见性策略的精准护理,例,所有患者均接受基于预见性策略的精准护理,对患者护理前后康复情况进行比较分析。结果患者术后3 d的疼痛、皮瓣颜色、温度及毛细血管充盈度评分较术后的疼痛、皮瓣颜色、温度及毛细血管充盈度评分较术后6 h显著降低,差异有统计学意义(P<0.05)。本组患者中发生轻微感染。本组患者中发生轻微感染2例,皮肤感觉异常例,皮肤感觉异常1例,血管危象1例患者,并发症发生例患者,并发症发生率为4.94%(4/81)。护理后患者生活质量评分较护理前高,差异有统计学意义(P<0.05)。护理后患者生活质量评分较护理前高,差异有统计学意义(P<0.05),护理满意度为96.30%。结论口腔颌面肿瘤皮瓣修复术后应用基于预见性策略的精准护理可改善皮瓣状态,减少并发症,患者生活质量及护理满意度高。

Objective To explore the clinical observation of precise nursing based on predictive strategy for oral and maxillofacial tumor flap repair.Methods This study selected 81 patients with oral and maxillofacial tumor after flap repair who were treated in Xinxiang Central Hospital from June 2021 to June 2023.All patients received precision nursing based on predictive strategies,and the rehabilitation of patients before and after nursing was compared and analyzed.Results The scores of pain,skin flap color,temperature and capillary filling degree at 3 d after operation were significantly lower than those at 6 h after operation,and the differences were statistically significant(P<0.05).In this group of patients,there were 2 cases of mild infection,1 case of abnormal skin sensation,and 1 case of vascular crisis.The incidence of complications was 4.94%(4/81).The quality of life score of patients after nursing was higher than that before nursing,the difference was statistically significant(P<0.05),and the nursing satisfaction was 96.30%.Conclusions The application of precise nursing based on predictive strategies after oral and maxillofacial tumor skin flap repair surgery can improve the condition of the skin flap,reduce complications,and improve the quality of life of patients,making them more satisfied with nursing.