Evaluation of Postoperative Psychological Distress and Its Driving Factors in Patients with Oral and Maxillofacial Malignant Tumors

Objective:To explore and analyze the evaluation and driving factors of postoperative psychological pain inpatients with oral and maxillofacial malignant tumors.Methods:Relevant data were collected from 80 patients with oral and maxillofacial malignant tumors who attended the outpatient clinic for follow-up consultations between May 2021 to May 2023.The patients used the psychological distress thermometer(DT)to circle words that best described their experiences in the past week,assigning a numerical value(0-10)to indicate their pain level on each day.The scoring results were employed to assess the psychological pain in these patients.A self-developed patient basic information questionnaire was utilized to record demographic details.Logistic regression analysis was employed to evaluate patients two weeks after surgery,focusing on the assessment of psychological distress and the identification and location of driving factors.Results:Following evaluation,the results revealed that the average postoperative DT score for the 80 patients with oral and maxillofacial malignant tumors was 4.53±1.98 points.Scores<4 points indicated no psychological pain(Group N)in 48 cases,while scores≥4 points indicated psychological pain(Group Y)in 32 cases.The differences in postoperative DT scores among patients with varying educational levels,fears and worries about disease progression,economic problems,sleep problems,level of hope,and oral pain were statistically significant(P<0.05).Multiple linear regression analysis results indicated that education level,fear and worry about disease progression,economic problems,sleep problems,level of hope,and oral pain are driving factors of postoperative psychological pain in patients with oral and maxillofacial malignant tumors(P<0.05).Conclusion:The postoperative psychological pain level in patients with oral and maxillofacial malignant tumors is at a moderate level.Educational level,fear and worry about disease progression,economic problems,sleep problems,level of hope,and oral pain were identified as driving factors for postoperative psychological pain in these patients.

Development and Clinical Application of Shapeable Head Braking Device

Objecfive:To evaluate the application effect of a plastic head brake device after radical resection of oral malignant tumors and flap repair for defects.Methods:2018-2019 years,5 months Sun Yat-sen Memorial patients oral and maxillofacial surgery for oral malignant tumor resection surgery period skin flaps hospital 150 patients randomly divided into groups.Test groups 70 examples and the control group of 80 cases,two different head braking methods were used.The experimental group used a self-designed head brake device,which was prepared to suit the height of the patient before operation.lt was used from 0 to 3 days after operation.After the operation,the head lateral range was adjusted according to the braking requirements,and the pillow height was adjusted.The control group wrapped a 500g salt bag with a treatment towel on both sides of the patient's head for head braking.The incidence of flap vascular crisis,head and neck deviation,head occipital pressure ulcer incidence and patient comfort during braking were evaluated in both groups.ResuIts:The occurrence of vascular crisis in patients with oral tumors was significantly corelated with the patient's gender,alcoholism,and head movement(P0.05),and the movement of patients'head and neck was also significantly correlated with the occurrence of vascular crisis.Compared with the control group,the experimental group had sigmificant differences in head and neck deviation,incidence of vascular crisis,incidence of head ulcer pressure ulcers and patient comfort(P<0.05).Conclusion:The degree of head movement and incidence of vascular crisis in patients Closely related.Mouldable head brake device has more than ordinary salt bag ProA better head and neck braking effect can significantly reduce the incidence of postoperative vascular crisis,improve patient comfort,and have a better clinical application effect.In addition,this device can also be used repeatedly,reducing economic costs and better improving the satisfaction of doctors,nurses and patients.