- 期刊
提昇護理人員頭頸部顯微游離皮瓣重建術後照護認知之專案改善
Improve Nurse' Knowleage for Post Operative Care after Head and Neck Microreconstruction Free Flap Surgery
摘要
Head and neck free microreconstructive surgery is the main method to treat patients who need to reconstruct tissue defect and perform resection of oral cancer. According to a brief survey, the average test score on nurses knowledge of caring patients with head and neck free flap microreconstructive surgery was only 57.2% at one regional hospital in south Taiwan. The assessment of flap is also inconsistent. The rate of abnormal flap circulation is high as 12.1%. In addition, the hospital did not hold continued education for nurses. The purposes of this project are to prevent re-operation due to abnormal flap circulation, improve quality of post operative care, and enhace nurse's recognition of post-operative care for head and neck free flap microreconstruction surgery. This project would improve continued education for nurses and develop a booklet about the assessment of free flap. The result of this project shows that the test score of nurses' knowledge was progressed to 92.1%, and achieved statistically significance (p＜0.000). Therefore, the result of this project can be applied to improving care quality of patients who are receiving head and neck free flap microsurgery.
並列摘要
Head and neck free microreconstructive surgery is the main method to treat patients who need to reconstruct tissue defect and perform resection of oral cancer. According to a brief survey, the average test score on nurses knowledge of caring patients with head and neck free flap microreconstructive surgery was only 57.2% at one regional hospital in south Taiwan. The assessment of flap is also inconsistent. The rate of abnormal flap circulation is high as 12.1%. In addition, the hospital did not hold continued education for nurses. The purposes of this project are to prevent re-operation due to abnormal flap circulation, improve quality of post operative care, and enhace nurse's recognition of post-operative care for head and neck free flap microreconstruction surgery. This project would improve continued education for nurses and develop a booklet about the assessment of free flap. The result of this project shows that the test score of nurses' knowledge was progressed to 92.1%, and achieved statistically significance (p＜0.000). Therefore, the result of this project can be applied to improving care quality of patients who are receiving head and neck free flap microsurgery.