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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:

期数:

2021年12期

页码:

170-173

栏目:

出版日期:

2021-12-10

文章信息/Info

Title:

Application of Individualized Nursing Based on Adopt Problem-Solving Model in Repairing the Wound of Patients with Oral And Maxillofacial Tumors

文章编号:

1008-6455（2021）12-0170-04

作者:

吴青竹; 黄凤梅

(中国人民解放军联勤保障部队第九○八医院鹰潭医疗区 江西 鹰潭 335000)

Author(s):

WU Qing-zhu; HUANG Feng-mei

(Yingtan Medical Area,the 908th Hospital of the Joint Logistical Support Force of the Peoples Liberation Army,Yingtan 335000,Jiangxi,China)

关键词:

ADOPT模式; 个体化护理; 口腔颌面部; 肿瘤; 游离皮瓣移植; 修复; 自我管理; 生活质量; 心理

Keywords:

ADOPT model;  individualized nursing;  or al and maxillofacial;  tumors;  free skin flap transplantation;  repair;  self-management;  quality of life;  psychology

分类号:

R622+.1

文献标志码:

B [

摘要:

目的：观察基于ADOPT问题解决模式的个体化护理在游离皮瓣移植修复口腔颌面部肿瘤切除后创面患者中的应用效果。方法：选取2018年10月-2020年10月于笔者医院收治的66例口腔颌面肿瘤游离皮瓣移植修复术患者为研究对象，使用随机数字表法将患者分为观察组（n=33）及对照组（n=33）。对照组患者予以常规护理，观察组患者实施基于ADOPT问题解决模式的个体化护理。比较两组患者干预前及干预3个月后自我管理能力（ESCA）、生活质量[（OHIP-14）、(UW-QOL)]、心理痛苦程度（DT）差异，探究干预期间两组患者术后并发症发生区别。结果：干预3个月后，两组患者ESCA得分、UW-QOL得分均较干预前上升，且观察组高于对照组，差异有统计学意义（P＜0.05）；两组患者OHIP-14得分、DT得分均较干预前下降，且观察组得分低于对照组（P＜0.05）；干预期间，两组患者术后并发症发生差异不显著（P＞0.05）。结论：基于ADOPT问题解决模式的个体化护理应用于口腔颌面肿瘤游离皮瓣移植修复术患者中可有效改善患者自我管理能力，提升患者生活质量，缓解患者心理痛苦程度，对患者术后并发症发生情况无影响。

Abstract:

Objective To observe the application effect of individualized nursing based on ADOPT problem-solving model on patients with oral and maxillofacial tumors undergoing free skin flap transplantation and repair. Methods Sixty-six patients undergoing oral and maxillofacial tumor free skin flap transplantation and repair who were admitted to the author’s hospital from October 2018 to October 2020 were selected as the research objects, and the patients were divided into observation group (n=33) and control group using random number table method. Group (n=33). Patients in the control group received routine care, and patients in the observation group received individualized care based on the ADOPT problem-solving model. Compare the differences in self-management ability (ESCA), quality of life [(OHIP-14), (UW-QOL)], and degree of psychological distress (DT) between the two groups of patients before and 3 months after the intervention, and explore the differences between the two groups of patients during the intervention period. Differences occur after complications. Results After 3 months of intervention, the ESCA scores and UW-QOL scores of the two groups of patients increased compared with those before the intervention, and the observation group was higher than the control group, the difference was statistically significant (P ＜0.05). the two groups of patients OHIP-14 scores, DT The scores were lower than before the intervention, and the scores of the observation group were lower than those of the control group (P＜0.05), During the intervention period, there was no significant difference in postoperative complications between the two groups (P＞0.05). Conclusion The application of individualized nursing based on ADOPT problem-solving model for patients with oral and maxillofacial tumors undergoing free skin flap transplantation and repair can effectively improve the self-management ability, enhance the quality of life and relieve the psychological distress, and it has no effect on the occurrence of postoperative complications.

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更新日期/Last Update: 2022-01-21