Application of nursing under nutritional risk assessment in patients with mandibular tumors undergoing fibula musculocutaneous flap grafting
Objective To explore the clinical effect of nursing under nutritional risk assessment(NUNRA)in patients with mandibular tumors undergoing fibula musculocutaneous flap grafting.Methods A total of 120 patients with mandibular tumor who underwent fibula musculocutaneous flap grafting in the Department of Otolaryngology of the First Affiliated Hospital of Nanjing Medical University from January 2018 to December 2022 were selected as research objects.They were numbered in the order of 1-120 and divided into control group and intervention group according to odd and even numbers,with 60 cases in each group.The control group received routine rehabilitation nursing.The intervention group were given NUNRA.The mandibular joint function,nutritional index and complications were compared between the two groups before intervention and 14 d after intervention.Results There was no significant difference in the mandibular joint function or nutrition index between the two groups before intervention(P>0.05).After 14 d of intervention,the scores of mandibular movement,joint pressing diagnosis and muscle pressing diagnosis of the intervention group were higher than those of the control group(P<0.05);the nutritional indexes,such as transferrin(TRF),albumin(ALB),total protein(TP)and prealbumin(PAB)in the intervention group were superior to those in the control group(P<0.05);and the incidences of gastrointestinal disorders,infection,wound swelling and malnutrition in the intervention group were lower than those in the control group(P<0.05).Conclusion NUNRA can improve mandibular function and nutrition index and reduce the incidences of postoperative complications in patients with mandibular tumors undergoing fibula musculocutaneous flap grafting.
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