提昇口腔癌病人術後口腔清潔完整率改善專案

Improving Oral Hygiene Comprehensiveness in Postoperative Oral Cancer Patients

口腔癌人逐年增加，手術為主要治療方法，但術後因口腔分泌物增加及吞嚥困難，且傷口在口腔內，需良好的口腔清潔以促進傷口復原及舒適。本專案目的在提昇口腔癌病人術後口腔清潔完整率。改善方案包含：舉辦醫護共識會議制定共識醫囑、建立口腔清潔作業照護標準、製作護理指導單張、舉辦護理人員在職教育及建立品質監控機制。經本專案改善後，病人術後口腔清潔完整率由46%提昇至96%，護理人員護理指導之正確性及醫囑完整率可達100%，本專案建立的口腔癌病人術後口腔清潔結構式照護流程，能有效達到專案改善目的，提昇口腔照護品質。

Cases of oral cancer, for which surgery is the primary treatment, are increasing annually. Subsequent impaired swallowing function, followed by saliva accumulation, can hinder the woundhealing process in the oral cavity. Comprehensive oral care during the postoperative course can promote wound healing. This project improved the comprehensiveness of oral care in patients with oral cancer during their postoperative course. This project included holding a conference in which doctors and nurses could achieve a consensus on oral hygiene, establish a standard oral care process, design and distribute forms to assist nursing instructions, develop nursing education, and establish a quality-monitoring mechanism. Through this project, the comprehensiveness of oral care in patients increased from 46% to 96%. The accuracy of nursing instructions and the comprehensiveness of medical orders was 100%. This constructed process of oral care in patients with oral cancer during postoperative course can effectively raise the quality of oral care.