输液式口腔冲洗护理对口腔颌面部术后恢复的影响  

Effect of oral cavity flushing and nursing on postoperative recovery of oral and maxillofacial region

作　　者：余军[1] 李玲[1] 王琳[1] 朱桂芬[2] 杨凤英[3] 庞光明[4] YU dun LI Ling WANG Lin et al(Maxillofacial Surgery Department, Hubei Provincial Medical College Affiliated Dongfeng Stomatological Hospital, Shiyan , Hubei 442000, Chin)

机构地区：[1]湖北医药学院附属东风口腔医院颌面外科,湖北十堰442000 [2]湖北医药学院附属东风口腔医院口腔正畸科 [3]湖北医药学院附属东风口腔医院口腔修复科 [4]湖北医药学院附属东风医院口腔科

出　　处：《中华全科医学》2017年第9期1602-1604,共3页Chinese Journal of General Practice

基　　金：2011年湖北省教育厅基金科研项目(B20112104)

摘　　要：目的研究输液室口腔冲洗护理对口腔颌面部术后恢复的影响。方法选取2014年7月—2016年7月在湖北医药学院附属东风口腔医院实施口腔颌面部手术患者共136例,按照随机信封抽签的方式分为观察组和对照组,每组68例。对照组给予常规口腔冲洗护理,观察组实施输液室口腔护理,观察并记录2组口腔冲洗后舒适度、口腔清洁度与口腔护理满意度情况,并进行比较分析。结果观察组口腔冲洗后舒适59例、一般舒适6例、不舒适3例,总舒适度为95.59%,对照组口腔冲洗后舒适21例、一般舒适21例、不舒适26例,总舒适度为61.76%,2组对比差异有统计学意义(P<0.05)。观察组口腔清洁度为3分患者55例,占80.88%,对照组口腔清洁度为3分患者34例,占50.00%,2组对比差异有统计学意义(P<0.05)。观察组对口腔冲洗非常满意37例、满意19例、基本满意11例、不满意1例,非常不满意0例,总满意度为98.53%,对照组对口腔冲洗非常满意13例、满意14例、基本满意10例、不满意19例、非常不满意12例,总满意度为54.41%,2组对比差异有统计学意义(P<0.05)。结论采用输液式冲洗护理对口腔颌面部术后恢复效果显著,能有效增强患者冲洗舒适度以及口腔清洁度,提高护理满意率。Objective To study the effect of oral cavity irrigation nursing in transfusion room on postoperative recovery of oral and maxillofacial region. Methods From July,2014 to July,2016,136 cases of oral and maxillofacial surgery in our hospital were randomly divided into observation group and control group. The control group received routine oral rinse nursing, the observation group received oral transfusion room nursing. Comfort, oral cleanliness and oral care satisfaction were observed, recorded and compared between the two groups after oral rinse. Results In the observation group ,59 ca- ses were comfortable,6 cases were general comfortable,3 cases were uncomfortable, total comfort degree is 95.59%. In the control group,21 cases were comfortable, 21 cases were general comfortable, 26 cases were uncomfortable, the total comfortable degree was 61.76%, there was statistically significant difference （P 〈 0.05 ）. Patients in the observation group were 3 cases of oral cleanliness of the patients, accounting for 80.88% of the control group, oral cleanliness of the patients with a total of 3 cases, accounting for 50%, the difference was statistically significant （ P 〈 0.05 ）. The observation group of oral rinse very satisfactory in 37 cases, 19 cases were satisfactory, 11 cases were basically satisfied, 1 case was unsatisfied, the total satisfaction rate was 98.53% ,the control group of oral rinse very satisfactory in 13 cases, 14 cases were satisfac- tory, 10 cases were basically satisfied, not satisfied with 19 cases, 12 cases were unsatisfied, the total satisfaction was 54. 41%. There was statistically significant difference （ P 〈 0.05 ）. Conclusion The effect of infusion irrigation on postopera- tive recovery of patients with oral and maxillofacial surgery is significant ,which can effectively improve the comfort degree of patients and the degree of oral cleanliness, and improve the satisfaction rate of nursing care.

关 键 词：输液式冲洗 口腔护理 颌面部手术 满意度 清洁度 

分 类 号：R473.78[医药卫生—护理学] R782.05[医药卫生—临床医学]