Tóm tắt
Background: Oral and maxillofacial surgery involves procedures in anatomically complex regions associated with respiration, swallowing, phonation, and facial appearance. Patients may experience perioperative complications, including airway obstruction, secondary hemorrhage, surgical site infection, malnutrition, microvascular flap complications and psychological distress. Nurses contribute to perioperative surveillance, recognition of clinical deterioration and continuity of care.
Objectives: To describe and synthesize literature on nursing roles across the perioperative continuum (preoperative, intraoperative, postoperative and rehabilitation phases) and to discuss reported clinical outcomes relevant to nursing care in oral and maxillofacial surgery.
Methods: This narrative review searched literature published between 2000 and 2026 in PubMed/ MEDLINE, supplemented by relevant clinical practice guidelines and professional recommendations. Search terms covered oral and maxillofacial surgery, perioperative nursing, airway and tracheostomy care, free-flap monitoring, pain, nutrition, oral hygiene, patient safety, enhanced recovery and nursing-sensitive outcomes (NSOs). Relevant reviews and clinical studies were also considered. The review was guided by the SANRA criteria. Findings were narratively organized by clinical care domain; no quantitative meta-analysis was undertaken.
Results: The literature reviewed highlighted several recurring domains of perioperative nursing care: preoperative risk assessment and patient education, intraoperative asepsis, instrument management and use of the WHO Surgical Safety Checklist and postoperative monitoring of airway status, bleeding, wounds, tracheostomy, pain, nutrition and reconstructive flap perfusion. Guidelines and reviews also emphasized multidisciplinary care and components of Enhanced Recovery After Surgery (ERAS) pathways. Across these domains, early recognition of deterioration, standardized procedures and clear communication were commonly identified as important care processes; however, the strength of evidence linking individual nursing interventions to specific outcomes varied by domain.
Conclusions: The reviewed literature describes nursing as an important component of coordinated perioperative care and patient safety in oral and maxillofacial surgery. Clinical pathways, specialized training and evaluation using relevant NSO indicators may support more consistent care and future assessment of outcomes. Further well-designed studies are needed to clarify the association between specific nursing practices and clinical outcomes.
| Đã xuất bản | 15-11-2026 | |
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| Số tạp chí | Tập 16 Số S-3 (2026) | |
| Phân mục | Tổng quan | |
| DOI | 10.34071/jmp.2026.S-3.26 | |
| Từ khóa | oral and maxillofacial surgery, perioperative nursing, patient safety, airway management, free reconstructive flap, nursing-sensitive outcomes (NSOs) |
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Bản quyền (c) 2026 Hue Journal of Medicine and Pharmacy
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