护理风险管理在口腔癌行前臂皮瓣游离移植术患者中的应用效果

目的探讨护理风险管理在口腔癌行前臂皮瓣游离移植术患者中的应用效果。方法回顾性分析2012年在上海第九人民医院口腔头颈肿瘤科行口腔癌根治术联合前臂皮瓣游离移植术后应用护理风险管理的83例患者(观察组)的临床资料,并与2011年未行风险管理的89例同类型患者(对照组)进行皮瓣危象抢救成功率、患者满意率及患者配合率的比较。结果实施护理风险管理后,对照组和观察组分别有4例和2例患者发生皮瓣危象,其抢救成功率分别为75.00%和100.00%;患者满意度分别为92.13%和98.80%,患者配合率分别为88.76%和92.77%,差异均有统计学意义(均P0.05)。结论实施护理风险管理,提高了皮瓣游离移植术患者皮瓣危象抢救成功率以及患者对治疗的配合程度,并且在一定程度上提高了患者的满意度。

Effects of Nursing Risk Management for Oral Cancer Patients who Underwent Radial Forearm Free Flap Reconstruction for Intraoral Defect

Objective To explore the effects of nursing risk management in oral cancer patients who had underg- one free forearm flap reconstruction. Methods Clinical data about patients＇ satisfaction, survival rate, cooperation rate of 83 patients with free forearm flap reconstruction in our ward in 2012 with nursing risk management （obser- vational group） were analyzed retrospectively, and which was compared to the clinical data of patients in 2011 who had same operation without nursing risk management （control group, n = 89）. Results Levels of satisfaction （98.80% and 92. 13%）, cooperation rate in treatment （92. 77% and 88. 76%） were significantly higher for patients in observational group than those for patients in the control group （P〈0.05）. The survival rate of flap rescue was also significantly higher for patients in observational group （100. 00%） than that for patients in the control group （75.00%）. Conclusion Nursing risk management improves the survival rate of forearm flap rescue, the levels of patient＇s satisfaction,cooperation rate and the enthusiasm of treatment.