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目的探讨集束化护理干预对口腔恶性肿瘤患者术后的临床应用价值。方法选取2012年3月至2014年4月行手术治疗的87例口腔恶性肿瘤患者,按照随机数字表法分为观察组(45例)和对照组(42例)。观察组患者采用集束化护理干预,对照组患者采用常规护理方法。比较两组患者术后3d、术后7d、出院时、出院后1个月口腔健康评估、口腔健康影响程度的差异以及患者出院后1个月对口腔肿瘤术后相关健康知识的掌握程度。结果观察组患者术后3d、术后7d、出院时、出院后1个月口腔健康评分和口腔健康影响程度评分均低于对照组,差异均有统计学意义(均P<0.05)。出院后1个月,观察组患者对口腔肿瘤术后相关健康知识掌握率为93.3%,高于对照组的78.6%,差异有统计学意义(P<0.01)。结论集束化护理干预不仅能提高术后口腔恶性肿瘤患者口腔健康和口腔健康影响程度评分,还可以提高患者对口腔肿瘤术后相关健康知识的掌握率,促进患者的身心康复,值得临床推广。
Objective To investigate the clinical value of intensive nursing intervention on postoperative patients with oral malignant tumor. Methods Eighty-seven patients with oral malignant tumor undergoing surgery from March 2012 to April 2014 were divided into observation group (45 cases) and control group (42 cases) according to random number table. Patients in the observation group received intensive care intervention and patients in the control group received conventional nursing. The postoperative 3d, postoperative 7d, discharge, discharge 1 month after oral health assessment, the difference of oral health effects and the degree of mastery of postoperative oral health related knowledge were compared between the two groups. Results The scores of oral health and oral health in the observation group at 3 days after operation, at 7 days after operation, at discharge from hospital and at 1 month after discharge were both lower than those in control group (all P <0.05). One month after discharge, the observation group had 93.3% of the knowledge of postoperative oral health, which was higher than that of the control group (78.6%) (P <0.01). Conclusion Cluster nursing intervention can not only improve the degree of oral health and oral health effects in patients with oral malignant tumors, but also improve the patients’ mastery rate of oral health related knowledge and promote the physical and psychological rehabilitation of patients with oral malignant tumors, which deserves clinical promotion.