基于全程放松训练的护理模式在下颌阻生齿拔除术中的应用  

Application of nursing mode based on whole relaxation training in mandibular impacted tooth extraction

作　　者：王兰辉 伍星丽 唐小妹 WANG Lan-hui;WU Xing-li;TANG Xiao-mei(Department of Maxillofacial Surgery,Dental Hospital Affiliated to Foshan University of Science and Technology(Foshan Stomatological Hospital),Foshan 528000,Guangdong,CHINA)

机构地区：[1]佛山科学技术学院附属口腔医院(佛山市口腔医院)颌面外科

出　　处：《海南医学》2019年第16期2173-2176,共4页Hainan Medical Journal

基　　金：广东省佛山市医学科学技术研究计划项目(编号：2012171)

摘　　要：目的研究基于全程放松训练的护理模式在下颌阻生齿拔除术中的应用效果。方法选取2017年1月至2019年1月于佛山市口腔医院颌面外科手术的下颌阻生齿患者100例进行研究,按照随机数表法将其分为观察组和对照组各50例。对照组患者实施传统的护理模式,观察组患者实施全程放松训练的护理模式。术前及术后7 d,采用改良的Corah's牙科焦虑量表(Corah's modified dental anxiety scale,MDAS)及Stouthard牙科恐惧量表(stouthard dental fear scale,DFS)对患者的焦虑及恐惧程度进行评估;术前及术后第1、3、7天,比较两组患者的面部肿胀的程度与张口程度,以及并发症和对护理的满意程度。结果观察组患者的的拔牙时间为(17.4±2.1)min,明显短于对照组的(24.8±3.5)min,差异具有统计学意义(P<0.05);观察组患者的首次拔除的成功率及术中的轻松程度分别为66.0%、92.0%,明显高于对照组的28.0%、64.0%,差异均具有统计学意义(P<0.05);观察组患者术后并发症发生率为16.0%,明显低于对照组的34.0%,术后的MDIS及DFI评分分别为(6.2±1.1)分、(62.5±6.2)分,均明显低于对照组的(9.6±1.7)分、(75.1±7.9)分,差异均有统计学意义(P<0.05);观察组患者的护理总满意度为94.0%,明显高于对照组的70.0%,差异有统计学意义(P<0.05);观察组患者术后第1、3、7天的面部肿胀程度[(4.71±1.55)mm、(3.12±1.66)mm、(0.41±0.12)mm]均明显低于对照组[(7.95±1.61)mm、(5.70±1.81)mm、(2.17±0.36)mm],术后第1、3、7天的张口程度[(28.60±2.40)mm、(35.10±2.70)mm、(40.60±2.10)mm]均明显大于对照组[(21.80±1.80)mm、(27.60±2.50)mm、(33.60±2.50)mm],差异均具有统计学意义(P<0.05)。结论基于全程放松训练的护理模式能降低下颌阻生齿拔除术患者的焦虑恐惧感及术后并发症发生率,值得临床推广。Objective To study the effect of nursing mode based on whole relaxation training in mandibular impacted teeth extraction.Methods A total of 100 patients with impacted mandibular teeth,who underwent maxillofacial surgery in Foshan Stomatological Hospital from January 2017 to January 2019 were selected and divided into the observation group and control group according to random number table method,with 50 cases in each group.The patients in the control group were given traditional nursing mode,while the patients in the observation group were given whole-course relaxation training.The modified Corah's dental anxiety scale(MDAS)and Stouthard dental fear scale(DFS)were used to assess the anxiety and fear of patients before and 7 days after operation.The degree of facial swelling and mouth opening,complications and satisfaction with nursing were compared between the two groups before and on the 1st,3rd and 7th day after operation.Results The extraction time of the observation group was(17.4±2.1)min,which was significantly shorter than(24.8±3.5)min of the control group(P<0.05);the success rate of the first extraction and the intraoperative ease of the observation group were 66.0%and 92.0%,respectively,which were significantly higher than corresponding 28.0%and 64.0%of the control group(P<0.05);the incidence of postoperative complications was 16.0%in the observation group,which was significantly lower than 34.0%in the control group(P<0.05);the scores of MDIS and DFS after operation were(6.2±1.1)points and(62.5±6.2)points respectively,which were significantly lower than corresponding(9.6±1.7)points and(75.1±7.9)points of the control group(P<0.05);the total satisfaction rate of patients in the observation group was 94.0%,which was significantly higher than 70.0%of the control group(P<0.05);the degree of facial swelling in the observation group on the 1st,3rd and 7th day after operation were(4.71±1.55)mm,(3.12±1.66)mm,(0.41±0.12)mm,respectively,which were significantly lower than corresponding(7.95±1.61)mm,(5.70±

关 键 词：阻生齿 全程放松训练 下颌阻生齿拔除术 并发症 护理 满意度 

分 类 号：R473.78[医药卫生—护理学]