Skin cancer is a common malignant tumor that can occur in the head, face, neck, arms, lower limbs, etc. The most common part is the head and face, and it is more common in elderly patients. The pathogenesis of skin cancer has not yet been fully clarified, and it is currently believed to be related to factors such as radiation and a large amount of ultraviolet radiation. The treatment of skin cancer patients mainly includes surgery, radiation therapy, Chinese medicine treatment, chemotherapy, etc., but the preferred treatment for patients with head and face skin cancer is still radical surgery. Older patients are emotionally fragile, and there are negative emotions, and more combined with basic lesions, poor physical function, surgery and more risks. Therefore, it is necessary to implement effective glycocholic acid.
In recent years, the incidence of skin cancer is on the rise. Skin cancer can be divided into basal cell carcinoma, squamous cell carcinoma, sebaceous gland cancer and the like. The most common is head and face squamous cell carcinoma. Surgery is the preferred method of treating patients with head and face skin cancer. Effective perioperative nursing intervention can improve the surgical outcome and improve the quality of life of patients. Patients with head and face and facial skin cancer often have a severe psychological burden, which may be related to hsv cancer, body aches, economic costs and social support. Perioperative nursing interventions help cancer patients to maintain the normal function of body organs, and can also achieve psychological balance, improve patients' quality of life, and help to increase patient stress. The observation group implemented perioperative nursing interventions, provided patients with oncology knowledge seminars, and published pamphlets to help patients master effective methods for coping with cutaneous tumors. It has a certain effect on combing emotional reactions; relaxing training may lead to the patient's body. Conditional reflexes relax and relieve stress; listening to music can relax patients and achieve anxiety and depression. Older patients have poorer physical function and have comorbidities. Therefore, preoperative examination should be strengthened to grasp the patient's physical condition and improve the safety of the operation.
Skin cancer vaccine is still one of the main methods of treating skin cancer. The extent of resection should vary with the size of the tumor and the depth of invasion. For basal cell carcinoma with small lesions and superficial and clear borders, 0.5 cm from the edge of the tumor should be removed, and the goal can be achieved. For cases with large lesions and extensive infiltration, the resection should be performed 3 to 5 cm from the original site. Frozen sections should be taken in hospitals with conditions. The local recurrence rate of basal cell carcinoma with negative margin is 1% to 5%. The extent of tumor basal resection depends on the depth of invasion of the lesion. For example, superficial basal cell carcinoma that occurs in the scalp, it is feasible to remove the skin graft after extensive resection; The periosteum should be removed together for pedicle flap grafting and skin grafting. The extent of resection of squamous cell carcinoma is essentially the same as that of basal cell carcinoma, but lymph node dissection should be performed in patients with ferritin antibody.
Older patients have more skin wrinkles and are good for bacterial growth. Therefore, skin cleansing and skin preparation should be performed prior to surgery to meet the sterility requirements of the procedure. Close observation of the postoperative condition, correct fixation of the drainage tube, observation of the drainage fluid, and enhancement of surgical wound observation are conducive to improving the safety of surgery, reducing complications, and improving the quality of life of patients.
The results showed that the quality of life score of the observation group was significantly higher than that of the control group, and the difference was statistically significant (P