护理结局分类法在口腔疾病患者护理中的应用与评价  

Effect evaluation of nursing outcomes classification in oral nursing care for patients

作　　者：吕志玲[1] 徐慧高[1] 

机构地区：[1]江苏省连云港市第二人民医院十病区,222023

出　　处：《中华现代护理杂志》2013年第31期3853-3855,共3页Chinese Journal of Modern Nursing

摘　　要：目的 探讨口腔科患者实施护理结局分类法对患者口腔卫生的改善效果.方法 采取随机抽样法选取2010年1月至2012年12月收治的120例患者,根据分层随机分组法分为观察组与对照组各60例,对照组给予常规护理,观察组在常规护理的基础上采取护理结局分类法进行护理.比较两组患者的口腔卫生改善情况.结果 观察组口腔黏膜优良率为75.00％ （45/60）,对照组为30.00％ （18/60）,两组比较差异有统计学意义（x2 =24.361,P＜0.05）;观察组SCL-90量表焦虑、恐惧、抑郁、敌对、躯体化项目得分分别为（11.6±2.6）,（8.7±1.7）,（9.3±1.7）,（9.2±1.3）,（12.5±1.9）分,分别低于对照组的（19.3±3.1）,（13.6±1.6）,（13.2±2.2）,（12.8±1.8）,（18.2±2.2）分,差异均有统计学意义（t值分别为-9.447,-10.237,-7.005,-8.136,-9.712;P＜0.05）.护理后观察组NOC-口腔卫生评分标准各项得分均高于对照组,差异均有统计学意义（P＜0.05）.结论 对口腔科患者采取护理结局分类法进行护理干预,显著改善了患者口腔卫生整体情况,提高了患者的生活质量.Objective To observe and explore the effect of nursing outcomes classification （NOC） on the improvement of oral hygiene in dental patients. Methods A total of 120 patients who were treated from January 2010 to December 2012 were selected by using random sampling method, who were divided into observation group and control group according to stratified randomization, 60 patients in the control group with routine nursing and 60 patients in the observation group with nursing outcomes classification based on routine nursing. The improvement of oral hygiene was compared between the two groups. Results The excellent and good rate of oral mueosa in the observation group was 75.00% （45/60） and 30. 00% （18/60） in the control group, and there was significant difference between the two groups （X2 =24. 361 ,P 〈0. 05）. The SCL-90 scale scores of anxiety, fear, depression, hostility, somatization in the observation group were lower than those in the control group [（11.6±2.6） vs （19.3±3. 1）,（8.7±1.7） vs （13.6±1.6）,（9.3 ±1.7） vs （13.2±2.2）, （9.2±1.3） vs （12.8 ±1.8）,（12.5 ±1.9） vs （18.2 ±2.2）], and these differences were statistically significant（t = -9. 447, - 10. 237, -7.005, -8. 136, -9. 712, respectively;P 〈0. 05）. All scores of NOC - oral hygiene in the observation group were higher than those in the control group, and the differences were statistically significant （ P 〈 0. 05 ）. Conclusions The implementation of nursing outcomes classification in oral nursing intervention of dental patients can significantly improve the overall condition of oral health in patients, and improve the quality of life. [ Key words] Oral hygiene; Oral care; Nursing outcomes classification

关 键 词：口腔卫生 口腔护理 护理结局分类 

分 类 号：R473.78[医药卫生—护理学]