牙颌面畸形患者治疗全程信息支持的问题与建议的质性研究  

The problems and suggestions of information support in the whole treatment of dentofacial deformities patient:a qualitative research

作　　者：王璧霞 袁卫军[2] 王旭东[2] 阮洪[3] Wang Bixia;Yuan Weijun;Wang Xudong;Ruan Hong(School of Nursing,Shanghai Jiaotong University,Shanghai 200025,China;Department of Oral&Craniomaxillofacial Surgery,Shanghai Ninth People's Hospital,College of Stomatology,Shanghai Jiaotong University School of Medicine/National Clinical Research Center for Oral Diseases/Shanghai Key Laboratory of Stomatology&Shanghai Research Institute of Stomatology,Shanghai 200011,China;General Office,Shanghai Ninth People's Hospital,Shanghai Jiaotong University School of Medicine,Shanghai 200011,China)

机构地区：[1]上海交通大学护理学院,200025 [2]上海交通大学医学院附属第九人民医院·口腔医学院口腔颅颌面科,国家口腔疾病临床医学研究中心,上海市口腔医学重点实验室,上海市口腔医学研究所,200011 [3]上海交通大学医学院附属第九人民医院综合办,200011

出　　处：《中国实用护理杂志》2021年第4期291-297,共7页Chinese Journal of Practical Nursing

基　　金：上海交通大学医学院附属第九人民医院“优秀护理人才计划”(JYHRC8-P06)。

摘　　要：目的深入了解牙颌面畸形患者信息支持存在的问题,为优化正颌正畸联合治疗全程信息支持方案提供参考。方法采用描述性质性研究方法,采用目的抽样的方法于2019年8—9月选取上海交通大学医学院附属第九人民医院的10名正颌外科与正畸专业的医护专家进行半结构式访谈。应用QSR Nvivo 12.0软件采用内容分析法进行分析。结果通过分析得出,医护专家认为正颌正畸联合治疗全程信息支持存在以下三方面问题:信息内容问题(信息内容不全、缺乏"时间"维度、患者心理期望与治疗结局信息不对称、主要照顾者获取的信息不足),信息支持中的困难(临床工作量大、专业局限性、关键时间结点多),现有网络信息问题(网络信息质量堪忧、信息内容缺乏针对性、未有效利用现有网络资源);并提出了3个建议:定制患者治疗日程、开发多元化信息支持方式、优化患者就诊流程。结论医护人员应关注牙颌面畸形患者治疗全程信息支持内容的构建和完善,重视信息支持方式的多样性,优化患者就诊流程,鼓励医护协同合作开展治疗全程信息支持的同质化管理,探索适合我国情境牙颌面畸形患者信息支持体系。Objective To understand the problems and countermeasures of information support for dentofacial deformities patients,so as to provide reference for optimizing the whole process of information support for orthognathic-orthodontics treatment.Methods Using a descriptive research method,10 orthognathic surgery and orthodontics specialists from a tertiary level A hospital were selected for semi-structured interviews in August and September,2019 using the method of target sampling.The QSR Nvivo 12.0 software was used for analysis by adopting traditional content analysis.Results According to the analysis,medical experts believed that the problems of information support in the whole treatment process of orthognathic-orthodontics treatment include the following three aspects:information content problems(incomplete information content,lack of"time"dimension,patient's psychological expectation and treatment outcome information asymmetry,lack of information for main caregivers),difficulties in information support(clinical workload,professional limitations,many key time nodes),existing network information problems(poor quality of network information,lack of pertinence of information content and the existing network resources were not effectively utilized);and three suggestions were put forward:customizing the treatment schedule of patients,developing diversified information support methods,optimizing patient treatment process.Conclusion Medical staff should pay attention to the construction and improvement of the whole treatment information support content of dentofacial deformities patients,pay attention to the diversity of information support methods,optimize the patient treatment process,encourage the health care to cooperate with the homogenization management of the whole treatment information support,and explore the information support system suitable for the situation of dentofacial deformities patients in China.

关 键 词：牙颌面畸形 治疗全程 信息支持 描述性质性研究 

分 类 号：R473.78[医药卫生—护理学]