头颈组织瓣修复术后患者症状报告特点的调查研究

目的 :调查头颈组织瓣修复术后住院治疗期间患者自我报告的症状特点,为后续症状负担研究提供理论依据。方法 :便利抽取2017年9—11月行组织瓣移植的术后患者,每日收回患者以书写形式报告的各种症状与不舒服,并进行内容分析,以症状种类饱和为观察终止点。结果:共纳入31位患者。症状以疼痛、不舒适、呼吸困难、入睡困难、热/多汗和口干为代表,占报告症状的29.0%以上。有67.7%的患者合并出现了3个以上的症状,其中最多见的合并为5个(16.1%)和4个(12.9%)种类,一名患者最多合并出现10个种类不适症状。不同人口学特征、软硬组织瓣种类及组织瓣是否血管化的患者报告的症状数量比较,差异无统计学意义(P>0.05)。结论 :头颈部组织瓣移植修复术后患者自我报告的症状种类多样,且比较集中在少数症状。

Investigation on patient-reported symptoms after head and neck tissue flap repair

Objectives: To investigate the characteristics of self-reported symptoms of patients during hospitalization after head and neck tissue flap repair, to provide a theoretical basis for subsequent symptom burden research. Methods: Convenient sample of postoperative patients who underwent tissue flap transplantation from September to November, 2017. Patients’ written reports of various symptoms and discomforts were collected and analyzed. Data collection was stopped with the saturation of symptoms. Results: A total of 31 patients were enrolled, including 17 males and 14 females. Symptoms of pain, discomfort, dyspnea, difficulty in falling asleep, heat/hyperhidrosis, and dry mouth were often reported and account for more than 29.0% of the reports. Most patients(67.7%) had more than 3 symptoms, and some reported combination of 5 items(16.1%) and 4 items(12.9%). One patient reported 10 types of uncomfortable symptoms. There were no statistical differences in the number of self-reported symptoms among demographic factors, types of soft and hard tissue flaps, or whether tissue flaps were vascularized(P<0.05). Conclusion: The self-reported symptoms of patients after head and neck tissue flap transplantation are vary, but they are concentrated in a few major symptoms.