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头颈外科围手术期患者教育的重建

Reconstructing Perioperative Patient Education in Head and Neck Surgery.

作者信息

Matthews Makayla R, Fonseca Victoria I, Eadie Reid Hannah L, Hackman Trevor G

机构信息

University of North Carolina at Chapel Hill School of Medicine Chapel Hill NC USA.

Department of Otolaryngology/Head and Neck Surgery University of North Carolina at Chapel Hill Chapel Hill NC USA.

出版信息

Laryngoscope Investig Otolaryngol. 2025 Aug 25;10(4):e70249. doi: 10.1002/lio2.70249. eCollection 2025 Aug.

DOI:10.1002/lio2.70249
PMID:40861168
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12375982/
Abstract

Patients undergoing extirpative oncologic and/or reconstructive head and neck surgery face complex postoperative milestones required for safe discharge. Through this quality improvement project, we evaluated our current practices in perioperative patient education and its impact on 30-day metrics. In this baseline assessment, 15 patients (mean 66 years; 60% male; 80 white; 73% with 12th grade education or higher; 60% undergoing free flap reconstruction) who underwent extensive head and neck reconstruction at a tertiary care institution between August and December 2024 were surveyed. Most (93%) were satisfied with the timing of the information received but suggested additional visual aids and information about various recovery timelines. Preliminary findings from this ongoing quality improvement project reveal a need for more comprehensive perioperative education, particularly regarding support services and side-effect management. In response, we have introduced procedure-specific educational packets and preoperative phone calls to help patients better understand and navigate the recovery process. 4.

摘要

接受根治性肿瘤和/或重建性头颈手术的患者面临着安全出院所需的复杂术后关键节点。通过这个质量改进项目,我们评估了我们目前在围手术期患者教育方面的做法及其对30天指标的影响。在这个基线评估中,对2024年8月至12月期间在一家三级医疗机构接受广泛头颈重建手术的15名患者(平均年龄66岁;60%为男性;80名白人;73%接受过12年级或更高教育;60%接受游离皮瓣重建)进行了调查。大多数(93%)对所接收信息的时机感到满意,但建议增加视觉辅助工具以及关于各种恢复时间线的信息。这个正在进行的质量改进项目的初步结果表明,需要更全面的围手术期教育,特别是关于支持服务和副作用管理方面。作为回应,我们推出了针对特定手术的教育资料包和术前电话,以帮助患者更好地理解和应对恢复过程。 4.

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1455/12375982/957670810fc6/LIO2-10-e70249-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1455/12375982/957670810fc6/LIO2-10-e70249-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1455/12375982/957670810fc6/LIO2-10-e70249-g001.jpg

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本文引用的文献

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Prediction of postoperative complications in patients undergoing head and neck surgery with free-flap reconstruction.对头颈部手术游离皮瓣重建患者术后并发症的预测
Br J Oral Maxillofac Surg. 2025 Sep;63(7):486-495. doi: 10.1016/j.bjoms.2024.10.240. Epub 2024 Nov 15.
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Eur Arch Otorhinolaryngol. 2022 Aug;279(8):4069-4075. doi: 10.1007/s00405-021-07242-1. Epub 2022 Jan 5.
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Pilot of the Patient Concerns Inventory - Ward Discharge in Patients following major reconstructive surgery for head and neck cancer.患者关注清单-头颈部癌症患者大重建手术后的病房出院情况(试行版)。
Br J Oral Maxillofac Surg. 2021 May;59(4):425-432. doi: 10.1016/j.bjoms.2020.08.080. Epub 2020 Aug 21.
8
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OTO Open. 2020 Jun 2;4(2):2473974X20931037. doi: 10.1177/2473974X20931037. eCollection 2020 Apr-Jun.
9
Optimal Perioperative Care in Major Head and Neck Cancer Surgery With Free Flap Reconstruction: A Consensus Review and Recommendations From the Enhanced Recovery After Surgery Society.头颈部大型肿瘤根治术后游离皮瓣重建的围手术期最佳护理:术后快速康复学会的共识审查和推荐意见。
JAMA Otolaryngol Head Neck Surg. 2017 Mar 1;143(3):292-303. doi: 10.1001/jamaoto.2016.2981.
10
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