聚焦解决模式下心理护理对下颌阻生智齿拔除术患者睡眠质量的影响  

The Impact of Psychological Care Under the Focused Solution Mode on the Sleep Quality of Patients Undergoing Mandibular Impacted Wisdom Tooth Extraction Surgery

作　　者：肖胜兰 李平 毕玮 王清联 潘颖丹 林梦婷 XIAO Shenglan;LI Ping;BI Wei;WANG Qinglian;PAN Yingdan;LIN Mengting(Department of Nursing,Xiamen Hospital,Zhongshan Hospital Affiliated to Fudan University,Xiamen 361010,China;Department of Stomatology,Zhongshan Hospital,Xiamen Hospital,Fudan University,Xiamen 361010,China)

机构地区：[1]复旦大学附属中山医院厦门医院护理部,厦门361010 [2]复旦大学附属中山医院厦门医院口腔科,厦门361010

出　　处：《中国医药指南》2024年第20期159-161,共3页Guide of China Medicine

摘　　要：目的探究在对下颌阻生智齿拔除术患者护理时开展聚焦解决模式下心理护理的作用。方法在2021年11月至2022年10月我院下颌阻生智齿拔除术患者中纳入140例为对象,随机数字表法划分对照组(70例,手术期间接受常规护理)和观察组(70例,手术期间接受常规护理+聚焦解决模式下心理护理)。分析患者睡眠质量、心理状态等改善情况。结果对比患者睡眠质量,干预前无差异,干预后观察组后第5天匹兹堡睡眠质量指数(PSQI)评分(4.36±0.96)低于对照组(P<0.05)。对比两组心理状态,干预前贝克焦虑量表(BAI)以及贝克抑郁量表(BDI)评分无差异,干预后观察组BAI评分(5.25±0.32)分以及BDI评分(6.02±1.12)分低于对照组(8.72±0.41)分、(8.56±1.08)分(P<0.05)。对比患者手术配合度以及术中疼痛程度,观察组配合度高于对照组,疼痛程度低于对照组(P<0.05)。结论在对下颌阻生智齿拔除术患者护理中开展聚焦解决模式下心理护理,可以提升患者睡眠质量,降低患者负面情绪评分,增加患者手术期间配合性,降低疼痛程度。Objective To explore the role of focused problem-solving mode in psychological care for patients undergoing mandibular impacted wisdom tooth extraction surgery.Methods A total of 140 patients who underwent mandibular impacted wisdom tooth extraction surgery from November 2021 to October 2022 were included as the study population.They were randomly divided into a control group(70 cases,receiving routine care during surgery)and an observation group(70 cases,receiving routine care and focused psychological care during surgery)using a random number table method.Analyze the improvement of the patient's sleep quality,psychological state,and other factors.Results Compared with patients'sleep quality,there was no difference before intervention.After intervention,the Pittsburgh sleep quality index(PSQI)score of the observation group on the 5th day after intervention(4.36±0.96)was lower than that of the control group(P<0.05).Comparing the psychological states of the two groups,there was no difference in the Beck Anxiety Inventory(BAI)and Beck Depression Inventory(BDI)scores before intervention.After intervention,the BAI score(5.25±0.32)and BDI score(6.02±1.12)in the observation group were lower than those in the control group(8.72±0.41)and(8.56±1.08),respectively(P<0.05).Comparing the patient's surgical cooperation and intraoperative pain level,the observation group had a higher cooperation level than the control group,while the pain level was lower than the control group(P<0.05).Conclusions In the nursing of patients undergoing mandibular impacted wisdom tooth extraction surgery,focusing on problem-solving mode psychological care can improve their sleep quality,reduce their negative emotional scores,increase their cooperation during surgery,and reduce the degree of pain.

关 键 词：聚焦解决模式下心理护理 下颌阻生智齿拔除术 睡眠质量 

分 类 号：R782.11[医药卫生—口腔医学] R473.78[医药卫生—临床医学]