个性化护理措施对固定正畸矫治的青少年患者托槽脱落率的影响研究  

The effect of individualized nursing on the losing rate of bracket in adolescents

作　　者：李立营[1] 彭佳[1] 武冠英[1] 张丽雯[1] 马俐丽[1] 

机构地区：[1]中日友好医院口腔医学中心,北京100029

出　　处：《中华口腔正畸学杂志》2014年第3期161-163,共3页Chinese Journal of Orthodontics

摘　　要：目的 探讨个体化护理措施对接受固定正畸矫治的青少年患者托槽脱落率的影响.方法 将正畸门诊接受固定矫治的120例青少年患者按性别随机均分为四组,A组女患者30例,B组男患者30例,以上两组患者采用个体化护理措施（由专职护士运用语言、示范、文字等教育相结合的方式,从认知、心理、行为、家庭四个方面进行护理）,C组女患者30例,D组男患者30例,采用常规正畸护理健康宣教.分别记录四组患者佩戴固定矫治器1个月时托槽脱落的情况,计算托槽脱落率.将A组与C组、B组与D组、A组与B组、C组与D组,分别进行统计分析.结果 佩戴固定矫治器1个月时,四组患者托槽脱落率分别为o.20％、0.40％、1.57％、1.76％,A组与C组比较、B组与D组比较均存在明显统计学差异（P＜0.05）;A组与B组比较、C组与D组比较均没有明显统计学差异（P＞0.05）.结论 在青少年固定正畸矫治过程中,性别差异不是影响托槽脱落率的主要因素,护士运用个体化的护理措施,提高了患者的主动配合能力,从而降低了患者托槽的脱落率.Objective To evaluate the effect of individualized nursing on the failure rates of bracket in adolescents treated by fixed appliances.Methods 120 adolescents treated by fixed appliances were randomly assigned to 4 groups （A,B,C and D）.30 females in group A and 30 males in group B were treated by individualized nursing （that is,nurses using language,illustration and texts to help patients in recognition,mentality,behavior） ; 30 females in group C and 30 males in group D were treated by routine nursing.The failure rates of bracket of the four groups were calculated after one month.And it was compared between group A and B,group C and D,group A and C,and group B and D.Results After one month,the failure rates of bracket were 0.20%,0.40%,1.57% and 1.76%,respectively.Significant differences were not found between group A and B and group C and D （P〉0.05）,but were found between group A and C and group B and D （P〈0.05）.Conclusions During the orthodontic treatment of adolescents,gender has little effect on the failure rates of bracket.Individualized nursing could improve compliance,thus reduce the failure rates of bracket.

关 键 词：个性化护理 正畸 托槽脱落 青少年 

分 类 号：R473.78[医药卫生—护理学]