Journal of International Psychiatry

Objective To study the effect of mindfulness and decompression intervention on anxiety and depression before free flap transplantation and repair of oral and maxillofacial defects. Methods A total of 135 cases of oral and maxillofacial defects free flap transplantation in our hospital from June 2016 to December 2018 were retrospectively analyzed. According to the intervention method, 65 patients who received routine intervention were set as the control group; the 70 patients who underwent pressure intervention were set as the experimental group. The operation conditions, visual analogue scale (VAS), self-rating anxiety scale (SAS), self-rating depression scale (SDS), and complication were compared between the two groups. Results There were no significant differences in the operation time and intraoperative blood loss between the two groups (P>0.05). The hospitalization time, wound healing time in the donor area, and wound healing time in the recipient group were significantly higher than those in the experimental group. Statistical significance (P<0.01). There were no significant differences in the preoperative VAS, SAS and SDS scores between the two groups (P>0.05). The VAS, SAS and SDS scores in the control group were significantly higher than those in the experimental group (P<0.01). The incidence of complications in the control group was 23.08%, which was significantly higher than that in the experimental group (8.57%). The difference was statistically significant (P<0.05). Conclusion Mindfulness and decompression intervention can significantly reduce wound healing time, pain, anxiety and depression after oral flap repair and free skin flap repair, and promote clinical efficacy.

Mindfulness Decompression Intervention; Oral and Maxillofacial Defects; Free Flap Transplantation; Anxiety and Depression