机构地区:[1]抚州市第一人民医院门诊口腔科,江西抚州344100
出 处:《检验医学与临床》2023年第S01期17-20,共4页Laboratory Medicine and Clinic
基 金:抚州市社会发展指导性科技计划项目(抚科社字[2022]5号)。
摘 要:目的探讨预见性护理在预防正畸固定矫治中牙龈发炎的应用效果。方法选择该院2021年8月至2022年7月期间收治的正畸固定矫治患者70例为研究对象。采用随机数字法将70例患者分为对照组和观察组,各35例。所有患者经采取正畸固定矫治,对照组患者给予常规指导。此基础上,观察组患者采取预见性护理干预。比较两组患者护理前及6个月后焦虑自评量表(SAS)与抑郁自评量表(SDS)评分变化,牙龈发炎发生率及护理满意度。结果护理6个月后,对照组患者SAS评分与SDS评分相较于护理前无明显变化(P>0.05),而观察组患者SAS评分(45.11±3.78)分与SDS评分(46.52±3.85)分相较于护理前均显著降低(51.21±3.52,53.24±3.69)分;观察组患者护理6个月后(45.11±3.78)分与SDS评分(46.52±3.85)分均低于对照组(49.63±4.05,50.47±4.24)分(P<0.05);观察组患者护理6个月及牙龈发炎总发生率(11.43%,17.14%)均显著低于对照组(34.29%,42.86%),差异均有统计学意义(P<0.05);观察组患者护理满意度为97.14%(满意21例,尚可13例,不满意1例),明显高于对照组82.86%(满意9例,尚可20例,不满意6例),差异有统计学意义(P<0.05)。结论预见性护理干预可有效改善正畸固定矫治患者心理健康状态,降低牙龈发炎发生率,护理效果满意,患者满意度高,具有重要的推广和应用价值。Objective To investigate the application effect of predictive nursing in the prevention of gingival inflammation during fixed orthodontic treatment.Methods A total of 70 patients with orthodontic fixation in the hospital from August 2021 to July 2022 were selected as subjects.The 70 patients were divided into control group and observation group by random number method,with 35 cases in each group.All patients were treated with orthodontic fixation and control group was given routine guidance.On this basis,patients in observation group received predictive nursing intervention.The changes of self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)scores,the incidence of gingival inflammation and nursing satisfaction were compared between the two groups before and 6 months after nursing.Results After 6 months of nursing,SAS score and SDS score of control group had no significant change compared with before nursing(P>0.05),while SAS score(45.11±3.78)and SDS score(46.52±3.85)of observation group significantly decreased compared with before nursing(51.21±3.52),53.24±3.69)points;After 6 months of nursing,observation group(45.11±3.78)points and SDS score(46.52±3.85)points were lower than control group(49.63±4.05,50.47±4.24)points(P<0.05).The total incidence of gingival inflammation after 6 months of nursing in observation group(11.43%,17.14%)was significantly lower than that in control group(34.29%,42.86%),the difference was statistically significant(P<0.05).The nursing satisfaction of the observation group was 97.14%(21 cases were satisfied,13 cases were OK,1 case was dissatisfied),which was significantly higher than that of the control group(82.86%were satisfied,9 cases were OK,20 cases were OK,6 cases were dissatisfied),and the difference was statistically significant(P<0.05).Conclusion Predictive nursing intervention can effectively improve the mental health status of patients with fixed orthodontic treatment,reduce the incidence of gingival inflammation,satisfactory nursing effect,high patient sati
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