个体化护理干预在血管化腓骨移植修复下颌骨成釉细胞瘤术后中的应用观察

A Study on the Application of Individualized Nursing Intervention for Patients Undergoing Vascularized Fibula Grafting for Mandibular Ameloblastoma

摘要: 目的：探讨个体化护理干预用于血管化腓骨移植修复下颌骨成釉细胞瘤术后的临床效果。方法：选取2018年1月至2025年1月的25例患者，采用随机数字表法分为对照组(13例，实施围手术期常规护理)与观察组(12例，在常规护理的基础上实施个体化护理)。对比分析两组的术后并发症发生率、干预前后的SF-36生活质量评分及护理满意度。结果：观察组的术后并发症发生率显著低于对照组，护理满意度高于对照组，且干预后SF-36量表中的总体健康及各维度评分均显著优于对照组，上述差异均具有统计学意义(p < 0.05)。结论：围手术期的个体化护理对接受血管化腓骨移植修复下颌骨成釉细胞瘤的患者可有效降低术后并发症风险，改善患者的生活质量，并提升护理满意度。

Abstract: Objective: To investigate the clinical effect of individualized nursing intervention in patients undergoing vascularized fibular grafting for reconstruction of mandibular defects after resection of ameloblastoma. Methods: A total of 25 patients admitted from January 2018 to January 2025 were selected and randomly divided into a control group (n = 13, receiving routine perioperative nursing) and an observation group (n = 12, receiving individualized nursing on the basis of routine care) using a random number table. The incidence of postoperative complications, SF-36 quality of life scores before and after intervention, and nursing satisfaction were compared between the two groups. Results: The observation group had a significantly lower incidence of postoperative complications and higher nursing satisfaction than the control group. After intervention, overall health scores and all dimensions of the SF-36 scale in the observation group were significantly better than those in the control group, with statistically significant differences (p < 0.05). Conclusion: Perioperative individualized nursing can effectively reduce the risk of postoperative complications, improve quality of life, and enhance nursing satisfaction in patients undergoing vascularized fibular grafting for mandibular reconstruction after ameloblastoma resection.