理性情绪疗法对口腔牙种植手术患者焦虑情绪的影响  

Effect of rational emotive therapy on anxiety of patients with dental implant surgery

作　　者：郑晶[1] 卿娟[1] 杜书芳[1] 满毅[1] Zheng Jing;Qing Juan;Du Shufang;Man Yi(Department of Implant,West China Dental Hospital of Sichuan University,Chengdu,Sichuan 610041)

机构地区：[1]四川大学华西口腔医院种植科,四川成都610041

出　　处：《护士进修杂志》2018年第15期1434-1436,共3页Journal of Nurses Training

基　　金：四川省科技创新苗子工程计划(编号:17-YCG053)

摘　　要：目的探究理性情绪干预疗法对接受口腔牙种植手术患者焦虑情绪的影响。方法将2017年1-11月选取的60例牙缺失伴有焦虑情绪的患者按照随机数字表法分为对照组和实验组,各30例。对照组给予常规手术和护理干预,实验组在此基础上根据理性情绪疗法过程的心理诊断、领悟、修通、再教育来进行护理。手术前后,均以焦虑自评量表(SAS)进行评分,并调查护理满意度。结果相比对照组,实验组干预前后患者症状自评量表评分在总均分及其他因子得分差异均有统计学意义(P<0.05);SAS评分为(33.67±5.962分),与对照组的(50.87±4.015)分比较差异有统计学意义(t=-20.086、-13.107,均P<0.05)。实验组满意度为96.67%,对照组满意度为86.57%,两组比较差异有统计学意义(P<0.05)。结论基于理性情绪疗法的干预模式,可有效减轻牙种植手术患者的心理焦虑,改善患者的不良情绪,有利于牙种植手术的进行及手术后的成功,且护理满意度高,值得在临床护理中推广。Objective To study the impact of rational emotive therapy on the anxiety level of edentulous patients who had dental implant placement surgeries.Method 60 edentulous patients with anxiety were randomly assigned to experimental group and control group according to the random number table method with 30 in each group.Patients in control group had regular surgical and nursing protocol,patients in experimental group had the nursing protocol based on the psychological diagnosis,comprehension,communication and re-education obtaining during the rational emotive therapeutic process.The anxiety levels of the patients before and after the surgery were evaluated with self rating anxiety scale（SAS）and Hamilton anxiety scale（HAMA）,and the satisfaction with nursing was investigated as well.Results The scores of SAS were statistically different（P〈0.05）between the experimental group and control groups in both total average and other factors.After the implementation of rational emotive therapy intervention pattern,SAS score and HAMA score of the experimental group were（33.67±5.962）and（5.87±4.015）respectively.There was significant statistical differences（t=20.086,13.107,P〈0.05）.The rate of satisfaction in experimental group was 96.67%,and 86.57%for Control group There was significant difference between the two group（P〈0.05）.Conclusion Rational emotive therapy could effectively reduce the anxiety level of patients undergoing implant surgeries and improve their emotive status,which could potentially favor the process and ultimate success of implant surgeries.At the same time,the patients were generally satisfied with the nursing protocol.It＇s worth promoting in clinical nursing.

关 键 词：理性情绪疗法 口腔种植手术 焦虑 护理 

分 类 号：R473.78[医药卫生—护理学] R471[医药卫生—临床医学]