快速康复外科理念在口腔颌面部肿瘤患者围术期中的应用
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摘要
目的:分析口腔颌面部肿瘤患者围术期施予快速康复外科理念的效果。方法:选取2017年4月-2018年4月本院收治的口腔颌面部肿瘤患者150例作为研究对象,按电脑数字表法随机将其分为对照组和试验组,各75例。对照组施予常规护理,试验组在此基础上施予快速康复外科理念,比较分析两组希望水平、口腔功能及自我效能评分情况。结果:出院后半年,两组各项Herth希望指数、自我效能评分及总分与护理前比较均明显升高,且试验组均明显高于对照组,差异均有统计学意义(P<0.05)。出院后半年,试验组口腔功能各维度评分均明显高于对照组,差异均有统计学意义(P<0.05)。结论:对口腔颌面部肿瘤患者围术期施予快速康复外科理念有助于提升希望水平及自我效能,促使患者口腔功能恢复,值得推广。
Objective:To analyze the effect of fast rehabilitation surgery concept in perioperative period of patients with oral and maxillofacial tumors.Method:A total of 150 patients with oral and maxillofacial tumors admitted in our hospital from April 2017 to April 2018 were selected as the research objects.According to computer digital table method,they were randomly divided into control group and experimental group,75 cases in each group.The control group was given routine nursing,the experimental group was given fast rehabilitation surgery concept on this basis.The hope level,oral function and self-efficacy scores between the two groups were compared and analyzed.Result:After discharge half a year,the Herth hope index,self-efficacy scores and total scores of the two groups were significantly higher than those before nursing,the experimental group were significantly higher than those of the control group,the differences were statistically significant(P<0.05).After discharge half a year,the scores of each dimension of oral function in the experimental group were significantly higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion:The fast rehabilitation surgery concept in perioperative period of patients with oral and maxillofacial tumors is helpful to improve the hope level and self-efficacy and promote the recovery of oral function of patients,which is worth promoting.
Objective:To analyze the effect of fast rehabilitation surgery concept in perioperative period of patients with oral and maxillofacial tumors.Method:A total of 150 patients with oral and maxillofacial tumors admitted in our hospital from April 2017 to April 2018 were selected as the research objects.According to computer digital table method,they were randomly divided into control group and experimental group,75 cases in each group.The control group was given routine nursing,the experimental group was given fast rehabilitation surgery concept on this basis.The hope level,oral function and self-efficacy scores between the two groups were compared and analyzed.Result:After discharge half a year,the Herth hope index,self-efficacy scores and total scores of the two groups were significantly higher than those before nursing,the experimental group were significantly higher than those of the control group,the differences were statistically significant(P<0.05).After discharge half a year,the scores of each dimension of oral function in the experimental group were significantly higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion:The fast rehabilitation surgery concept in perioperative period of patients with oral and maxillofacial tumors is helpful to improve the hope level and self-efficacy and promote the recovery of oral function of patients,which is worth promoting.
引文
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[15]王秋旭,杨常娱,肖博洋,等.口腔恶性肿瘤患者心理资本在压力与抑郁倾向关系中的作用[J].中国卫生统计,2017,34(5):782-784.
[16]陈琼,田思维.快速康复外科配合心理治疗在口腔癌患者围手术期的应用[J].临床口腔医学杂志,2018,34(2):109-111.
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[18]赵军伟,张鹏,李敬东,等.加速康复外科理念在口腔癌患者围术期护理中的应用[J].湖南中医药大学学报,2016,36(S2):1438.
[19]吕胜.麻醉患者体温变化对麻醉后苏醒效果和拔管时间的影响[J].中国医药导报,2014,11(25):67-70.
[20]张兴安,谭小尧,张兰芳,等.早期营养支持对口腔恶性肿瘤患者术后康复的影响[J].海南医学院学报,2016,22(15):1704-1706.
[2]陈晓涛,刘照永,杨敏.2 123例口腔颌面部肿瘤统计分析[J].新疆医科大学学报,2014,37(6):740-743.
[3]支丹,高玉琴,程丹.穿支皮瓣修复口腔颌面部缺损患者的围术期护理[J].中国医科大学学报,2017,46(3):284-285.
[4]陈志强.围手术期快速康复的研究进展与展望[J].中国中西医结合外科杂志,2012,18(6):547-552.
[5]车国卫,李为民,刘伦旭.快速肺康复需要围手术期流程优化[J].中国胸心血管外科临床杂志,2016,23(3):216-220.
[6]Brown A J,Sun C C,Urbauer D,et al.Targeting those with decreased meaning and peace:a supportive care opportunity[J].Supportive Care in Cancer,2015,23(7):2025-2032.
[7]邵侠,屠呈威,赵磊,等.股前外侧嵌合皮瓣与串联皮瓣修复口腔颌面部肿瘤根治术后缺损的效果比较[J].中华全科医学,2018,16(8):1244-1236,1367.
[8]Feldstain A,Lebel S,Chasen M R.An interdisciplinary palliative rehabilitation intervention bolstering general self-efficacy to attenuate symptoms of depression in patients living with advanced cancer[J].Supportive Care in Cancer,2016,24(1):109-117.
[9]陈彩曼,黎剑云.快速康复外科理念联合超前镇痛在腹部手术患者围术期中的应用[J].现代中西医结合杂志,2016,25(22):2494-2496.
[10]樊献军,谭黄业,肖咏梅,等.快速康复外科理念在腹部创伤围术期的应用[J].解放军医学杂志,2016,41(1):41-45.
[11]毛学惠,张伟,周文红,等.快速康复外科理念在腹腔镜结直肠癌根治术老年患者围术期的应用效果[J].中华现代护理杂志,2016,22(22):3134-3137.
[12]秦兆英,廖莹,黎晔,等.快速康复外科理念在股前外侧皮瓣修复口腔癌患者中的应用[J].护士进修杂志,2017,32(18):1684-1686.
[13]高兰,李雅兰.快速康复理念下的经口腔前庭腔镜甲状腺手术患者麻醉复苏期的临床护理[J].广东医学,2016,37(18):2718-2720.
[14]蒋阳,陈璐,苏琪琴.82例口腔颌面部恶性肿瘤患者术后护理[J].护理学报,2017,24(9):53-55.
[15]王秋旭,杨常娱,肖博洋,等.口腔恶性肿瘤患者心理资本在压力与抑郁倾向关系中的作用[J].中国卫生统计,2017,34(5):782-784.
[16]陈琼,田思维.快速康复外科配合心理治疗在口腔癌患者围手术期的应用[J].临床口腔医学杂志,2018,34(2):109-111.
[17]Melloul E,Hübner M,Scott M,et al.Guidelines for perioperative care for liver surgery:enhanced recovery after surgery(ERAS)society recommendations[J].World Journal of Surgery,2016,40(10):2425-2440.
[18]赵军伟,张鹏,李敬东,等.加速康复外科理念在口腔癌患者围术期护理中的应用[J].湖南中医药大学学报,2016,36(S2):1438.
[19]吕胜.麻醉患者体温变化对麻醉后苏醒效果和拔管时间的影响[J].中国医药导报,2014,11(25):67-70.
[20]张兴安,谭小尧,张兰芳,等.早期营养支持对口腔恶性肿瘤患者术后康复的影响[J].海南医学院学报,2016,22(15):1704-1706.