China Journal of Oral and Maxillofacial Surgery ›› 2024, Vol. 22 ›› Issue (6): 558-562.doi: 10.19438/j.cjoms.2024.06.007

• Original Articles • Previous Articles     Next Articles

Application of integrated model of medical care and patient care in postoperative oral function rehabilitation of patients with oral cancers

ZHAO Xiao-mei, HUANG Chen, HU Long-wei, SHEN Chao-qun, QIAN Zhen, HAO Gui-hua   

  1. Department of Oromaxillofacial Head and Neck Oncology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Center for Stomatology; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology; Shanghai Head and Neck Tumor Diagnosis and Translational Medicine Center. Shanghai 200011
  • Received:2024-04-11 Revised:2024-05-08 Online:2024-11-20 Published:2024-12-11

Abstract: PURPOSE: To explore the clinical value of integrated model of medical caregiver and patient in postoperative oral function rehabilitation of patients with oral cancers. METHODS: Forty patients with oral cancer admitted to Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine from January to March 2023 were selected as the control group, and 40 patients with oral cancer admitted from April to June 2023 were selected as the experimental group. Conventional nursing care was given to the control group, while the experimental group was given nursing care with integration of healthcare professionals and patients. All patients were followed up for 3 months, oral function and mental health were compared between the two groups. SPSS 23.0 software package was used for data analysis. RESULTS: The scores of swallowing function and speech function in the experimental group were (2.20±0.90) and (76.50±9.7), and mouth opening degree was (39±2.2) mm, respectively, while those in the control group were (2.70±0.7), (64.57±8.2) and (38±4.3) mm, respectively and the differences between the two groups were statistically significant(P<0.05). The number of qualified oral hygiene examination, the number of qualified dental cleaning and the number of qualified dental flushing in the experimental group were 87.5%(35/40), 97.5%(39/40), 92.5%(37/40), and 67.5%(27/40), 57.5%(23/40), 75.0%(30/40) in the control group, respectively; the differences between the two groups were statistically significant(P<0.05). The anxiety and depression scores were (42.10±3.37) and (40.33±3.56) in the experimental group and (45.26±3.27) and (46.39±3.10) in the control group, respectively; the differences between the two groups were statistically significant(P<0.05). CONCLUSIONS: Integrated model of medical care can promote the rehabilitation of oral function, improve oral health, relieve anxiety and depression, and improve postoperative nutritional status of patients with oral cancer.

Key words: Oral oncology, Integrated patient-care model, Oral function, Anxiety, Depression

CLC Number: