[摘 要]目的 探究在行游离皮瓣修复术的口腔癌患者术后采用预见性护理的效果。方法 选取2022年5月-2023年5月于湖南省肿瘤医院头颈外科接受游离皮瓣修复术的76例口腔癌患者为研究对象，采用随机数字表法分为参照组和观察组，各38例。参照组采用常规护理，观察组在对照组基础上采用预见性护理，比较两组心理状况、营养指标、并发症发生情况、生活质量以及护理满意度。结果 观察组护理后SAS评分、SDS评分低于参照组(P<0.05)；观察组护理后血清白蛋白、转铁蛋白、前白蛋白水平高于参照组(P<0.05)；观察组并发症发生率为2.63%，低于参照组的21.05%(P<0.05)；观察组生活质量各维度评分高于参照组(P<0.05)；观察组护理满意度为100.00%，高于参照组的78.95%(P<0.05)。结论 在行游离皮瓣修复术的口腔癌患者术后采用预见性护理能有效缓解患者的负面情绪，改善其营养状况，降低术后并发症发生率，提高生活质量，进而提高护理满意度，值得临床应用。

    [关键词] 预见性护理；口腔癌；游离皮瓣修复术

    [中图分类号] R473 [文献标识码] A [文章编号] 1004-4949(2024)20-0178-04

    Effect of Predictive Nursing on Psychological State and Complications of Patients with Oral Cancer After Free Flap Repair

    CUI Ting， CHEN Hong

    (Department of Head and Neck Surgery， Hunan Cancer Hospital， Changsha 410000， Hunan， China)

    [Abstract]Objective To explore the effect of predictive nursing in patients with oral cancer after free flap repair. Methods A total of 76 patients with oral cancer who underwent free flap repair in the Department of Head and Neck Surgery， Hunan Cancer Hospital from May 2022 to May 2023 were selected as the research objects. They were divided into reference group and observation group by random number table method ......