基于前馈控制体系的集束化护理策略对口腔癌患者术后吞咽功能和营养状况的影响
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蚌埠医科大学第一附属医院

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Effects of a Feedforward Control System-Based Bundled Care Strategy on Postoperative Swallowing Function and Nutritional Status in Oral Cancer Patients
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The First Affiliated Hospital of Bengbu Medical University

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    摘要:

    目的 探讨基于前馈控制体系的集束化护理策略对口腔癌患者术后吞咽功能和营养状况的影响。 方法 将 80 例口腔癌患者随机均分为实验组和对照组( n=40)。对照组接受常规术后护理,实验组在常规护理的基础上实施基于前馈控制体系的集束化护理策略,包括个体化评估、吞咽功能训练、营养支持、口腔功能恢复训练、心理干预、健康教育及出院准备与随访,护理干预持续 3 周。采用洼田饮水试验( Water Swallow Test, WST)评估吞咽功能,通过测定血清白蛋白( Albumin,ALB)、血红蛋白( Hemoglobin, Hb)水平评估营养状况。 结果 护理后,实验组患者的 WST 分级显著优于对照组( P<0.001);实验组患者的血清 ALB、 Hb 水平均显著高于对照组( P<0.001)。 结论 基于前馈控制体系的集束化护理策略能显著改善口腔癌患者术后吞咽功能,有效改善其营养状况,为其术后康复提供了新的护理思路。

    Abstract:

    Objective To explore the impact of a bundled care strategy based on a feedforward control system on postoperative swallowing function and nutritional status in oral cancer patients. Methods A total of 80 patients with oral cancer were randomly divided into an experimental group and a control group (n=40). The control group received conventional postoperative care, while the experimental group received a bundled care based on a feedforward control system in addition to conventional care. This included individualized assessment, swallowing function training, nutritional support, oral function recovery training, psychological intervention, health education, and discharge preparation and follow-up. The nursing intervention lasted for 3 weeks. Swallowing function was assessed using the water swallow test (WST), and nutritional status was evaluated by measuring serum albumin (ALB), and hemoglobin(Hb) levels. Results After care, the WST scores in the experimental group were significantly better than those in the control group (P <0.001). Serum ALB, Hb levels were all significantly higher in the experimental group (P<0.001). Conclusion The bundled care strategy based on a feedforward control system can significantly improve postoperative swallowing function in oral cancer patients and effectively enhance their nutritional status, providing a new approach to postoperative rehabilitation for oral cancer patients.

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代柳.基于前馈控制体系的集束化护理策略对口腔癌患者术后吞咽功能和营养状况的影响[J].生物医学工程学进展,2025,46(2):209-215

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  • 收稿日期:2025-02-13
  • 最后修改日期:2025-02-18
  • 录用日期:2025-02-18
  • 在线发布日期: 2025-05-26
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