摘要目的 了解目前临床上口腔癌围手术期患者口腔护理的真实体验.方法 采用质性研究的方法,对17例口腔癌围手术期患者进行半结构式访谈,利用Nvivo 11软件整理访谈资料,采用Colaizzi七步分析法对原始资料进行归纳和分析.结果 本研究共提炼出6个主题:口腔护理方式及实施人员多样,患者口腔护理知识不足且缺乏有效指导,口腔功能、结构、舒适度的改变影响患者的口腔护理,患者对口腔护理的反馈褒贬不一,患者口腔护理相关情绪体验丰富,老年与非老年口腔癌围手术期患者口腔护理情况差异细微.结论 目前口腔癌患者围手术期口腔护理有待进一步规范,患者的口腔护理指导需要加强,民众疾病知识普及需重点关注,从而优化患者护理,做好疾病预防.

abstractsObjective To understand the real experience of oral hygiene care of perioperative oral cancer patients. Methods Qualitative descriptive research was adopted. Semi- structure in depth interviews were conducted among 17 postoperative oral cancer patients. NVivo 11 was used to manage and sort out the original data, data was analyzed with the content analysis of Colaizzi. Results Six themes regarding oral hygiene care was extracted, including the diversity of methods of oral hygiene and the care provider, patients have limited knowledge about oral hygiene care and the relative education is lacking, the change of function, structure and the degree of comfort of mouth impact the oral hygiene care, patients′feedback on oral hygiene care is complicated, patients′oral care related emotional experience is rich, oral hygiene care experience of elderly and non-elderly patients with oral cancer has few difference. Conclusions The oral hygiene care of perioperative oral cancer patients needs to be further standardized, the instruction of patients′oral hygiene care needs to be enhanced, more attention should be paid to the popularization of disease knowledge, so as to optimize patients care and do a good job in disease prevention.