Evidence Based Practice for Flap Failure Prevention and Flap Surveillance Promotion in Patients with Head and Neck Cancer undergoing Flap Reconstruction.
Keywords:
head and neck cancer, flap failure, flap surveillance, flap observation, flap reconstructionAbstract
This article aims to review evidence-based care for flap failure prevention and flap surveillance promotion, focusing on postoperative care for patients with head and neck cancer. The process of evidence-based review in this study is the evidence-based practice model developed by Soukup (2000) which consisted of four phases. Only phase 1 evidence - trigger and phase 2 evidence - support phase were presented in this review. Research sources form Pub Med, CINAHL, ScienceDirect, Google Scholar and ThaiJo. A total of 10 studies were obtained from phase 2, 7 of which were A-level and 3 of which were B-level and then they were taken for quality assessment, appraise, analyze and extract the essence. The research can be summarized into 3 issues: 1) factors associated with flap failure 2) flap failure monitoring and observation and 3) flap surveillance promotion. The findings of this review provide recommendations of good practices in nursing activities of flap failure prevention and flap surveillance promotion that can be used in clinical area.
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