儿童上颌埋伏多生牙围术期隐患对于睡眠的分析及护理对策  

Analysis and Nursing Strategies of Perioperative Hidden Dangers For Sleepin Children with Maxillary Embedded Supernumerary Teeth

作　　者：张冬梅 宗佳维 王佳玲 陈俭 ZHANG Dongmei;ZONG Jiawei;WANG Jialing;CHEN Jian(Department of Stomatology,Nantong Stomatological Hospital,Jiangsu Province,Nantong 226001,China)

机构地区：[1]江苏省南通市口腔医院手术室,南通226001

出　　处：《世界睡眠医学杂志》2023年第9期2105-2108,共4页World Journal of Sleep Medicine

摘　　要：目的:分析儿童上颌埋伏多生牙围术期存在的安全隐患是否影响儿童睡眠,探讨其护理对策并总结应用效果。方法:选取2021年1月至2022年12月江苏省南通市口腔医院收治的上颌埋伏多生牙儿童59例作为研究对象,按照抽签法随机分为对照组(n=29)和观察组(n=30)。对照组采用围手术期配合常规护理模式,观察组在围手术期存在安全隐患后实施针对性的护理措施。对比2组并发症发生率、儿童心理畏惧程度和术后疼痛、肿胀评分情况,综合分析护理对策的可行性。结果:观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。观察组术后1 h、6 h、12 h时疼痛、肿胀评分均低于对照组,差异有统计学意义(P<0.05)。观察组心理畏惧程度低于对照组,差异有统计学意义(P<0.05)。结论:儿童上颌埋伏多生牙围术期存在一定的并发症发生风险,情绪、儿童认知、操作技术、环境等多方面因素均可能对其产生影响,护理人员明确安全隐患后给予针对性护理和干预能够提高护理质量,减轻患儿术后身心不适感,避免并发症的发生,有利于提升预后效果。Objective:To analyze whether the safety hazards existing during the perioperative period of maxillary embedded supernumerary teeth in children affect their sleep,explore their nursing strategies,and summarize the application effects.Methods:A total of 59 children with maxillary embedded supernumerary teeth who underwent tooth extraction treatment in Nantong Stomatological Hospital,Jiangsu from January 2021 to December 2022 as the subjects.Draw lots to divide them into control group and study group,with 29 and 30 cases respectively.The control group was treated with routine nursing care during the perioperative period,while the observation group implemented targeted nursing measures after analyzing the safety hazards present during the perioperative period.Compare the incidence of complications,children′s psychological fear level,and postoperative pain and swelling scores between the two groups,and comprehensively analyze the feasibility of nursing strategies.Results:The incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).The pain and swelling scores in the observation group were lower than those in the control group at 1 hour,6 hours,and 12 hours after surgery,the difference was statistically significant(P<0.05).The level of psychological fear in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:There is a certain risk of complications during the perioperative period of embedded supernumerary teeth in children′s maxilla,which may be affected by various factors such as emotions,children′s cognition,operational skills,and environment.Targeted nursing and intervention provided by nursing staff after identifying safety hazards can improve the quality of nursing,reduce postoperative physical and mental discomfort in children,avoid complications,and improve prognosis.

关 键 词：儿童 上颌埋伏多生牙 儿童睡眠 隐患分析 护理对策 

分 类 号：R473.78[医药卫生—护理学] R338.63[医药卫生—临床医学]