关键词: 护理门诊；医护一体化；头颈部肿瘤；张口训练；护理质量

Abstract: Objective: To evaluate the effects of integrated medical and nursing management for postoperative radiotherapy patients with head and neck tumors in the head and neck tumor rehabilitation nursing clinic. Methods: From March 2022 to March 2023, a total of 92 patients with head and neck tumors who underwent postoperative radiotherapy were selected at a tertiary grade A hospital in Beijing, and randomly divided into an experimental group (n=47) and a control group (n=45). The rehabilitation management plan for the experimental group patients were jointly developed by the supervising doctor and specialized nurses in the head and neck tumor care outpatient department. The control group patients received regular health education and follow-up through regular brochure and mouth opening training videos. The disease knowledge level, mouth opening training compliance, VAS mouth opening pain score, and mouth opening restriction score of the two groups were compared before radiotherapy, and 2 weeks, 1 month, and 3 months after radiotherapy respectively. Results: After intervention, the disease knowledge level, compliance with mouth opening training, VAS mouth opening pain score, and incidence of mouth opening restriction between the two groups of patients showed statistically significant changes (P<0.05). Conclusion: Implementing integrated medical and nursing management based on nursing clinics can improve the disease knowledge level and compliance with mouth opening training for postoperative radiotherapy patients with head and neck tumors, so as to improve the symptoms of mouth opening pain, and reduce the incidence of mouth opening difficulties.

Key words: nursing clinics; medical-care integrated; head and neck tumors; mouth opening training; nursing quality