Learning Objective #1: This project designs multiple media education programs and guidlines for the assessment of the circulation of free flap.

Learning Objective #2: the knowledge of nurses in post-operative care of free tissue transfer after head and neck cancer extipiration.

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Aim: Post-operative evaluation of free flap and nursing care is one of the important

factor in success of free tissue transfer reconstruction for head and neck cancer

patients. To improve the quality of post-operative care, we design continued education

programs and guidlines for the assessment of circulation of the flap. The aim of this

paper is to disscuss the benefit of this program.

Method: Before this program , we found there were inconsistence and uncertain

assessment of free flap between different nurses. Although the circulation

compromised rate of free flap reconstruction may be up to 12.1%. The successful rate

of free flap reconstruction still can achieve 93-96% in community hospital if early

detection of circulation problem could be achieved . This project designs multiple

media education programs and guidlines for the assessment of the circulation of free

flap. Text evaluation before- and after - education is compaired.

Result: The averge score was improved from 57.2 to 92.1.

Conclusion: The education programs significantly improve the knowledge of nurses

in post-operative care of free tissue transfer after head and neck cancer extipiration.