精细化管道护理在口腔癌围手术期的应用效果观察

Observation on the effect of fine tube nursing in perioperative period of oral cancer

目的:分析精细化管道护理在口腔癌围手术期的应用效果。方法:选择2022年5月~2024年5月接诊的50例口腔癌需进行口腔癌根治手术的患者为研究对象,对照组接受(围术期)常规护理,对照组在常规护理基础上增加精细化管道护理。分析干预前后两组口腔舒适度、清洁度、自我管理能力,统计管道不良事件的发生概率及置管后并发症发生情况。结果:干预前,两组术后口腔舒适度、清洁度比较,差异无统计学意义(P>0.05),干预后,观察组术后口腔舒适度、清洁度评分均高于对照组(P<0.05)。干预前,两组自我效能、自我管理行为及总分比较,差异无统计学意义(P>0.05);干预后,观察组自我效能、自我管理行为及总分高于对照组(P<0.05)。干预后,观察组管道扭曲、管道脱落、管道堵塞的发生率及总管道不良事件发生率低于对照组(P<0.05)。干预后,观察组患者置管处血栓形成、静脉炎、置管处渗血渗液、管道感染发生率及置管后并发症发生情况低于对照组(P<0.05)。结论:在口腔癌围术期应用精细化管道护理,能够提高口腔舒适度、清洁度及自我管理能力,降低患者管道不良事件及置管后并发症发生率,值得临床推广。

Objective:To analyze the effect of fine duct nursing in perioperative period of oral cancer.Methods:Fifty patients with oral cancer who needed radical surgery for oral cancer received from May 2022 to May 2024 were selected as the study objects. The control group received routine nursing(perioperative), and the control group received refined pipeline nursing on the basis of routine nursing.The post-intervention oral comfort levels, cleanliness, self-efficacy, self-management behaviors, and incidence of complications were compared between the two groups.Results:Before intervention, the postoperative oral comfort, cleanliness of the two groups was not statistically significant(P>0.05).After intervention, the scores of the postoperative oral comfort, cleanliness of the observation group was higher than that of the control group(P<0.05).Before intervention, self-efficacy, self-management behavior and total score of the two groups were not statistically significant(P>0.05).After intervention, self-efficacy, self-management behavior and total score of the observation group were higher(P<0.05).After intervention, the incidence of pipe distortion, pipe disconnection, pipe blockage and total pipe adverse events in the observation group were lower(P<0.05),the incidence of thrombus formation, phlebitis, blood seepage, pipe infection and complications after catheterization in observation group were lower(P<0.05).Conclusion:The application of refined pipeline nursing in perioperative period of oral cancer can improve oral comfort, cleanliness and self-management ability, and reduce the probability of adverse events and complications after catheterization, which is worthy of clinical promotion and application.