基于循证护理构建门诊埋伏多生牙拔除术后患儿疼痛管理策略的研究  

Research on Pain Management Strategies for Pediatric Patients after Ex⁃traction of Embedded Supernumerary Teeth in Outpatient Clinics Based on Evidence-based Nursing

作　　者：郭鹏仪 邹亚莉 王润 GUO Pengyi;ZOU Yali;WANG Run(Department of Nursing,Affiliated Stomatology Hospital of Zunyi Medical University,Zunyi,Guizhou,563000,China;Orthodontics Department GroupⅠ,Affiliated Stomatology Hospital of Zunyi Medical University,Zunyi,Gui-zhou,563000,China)

机构地区：[1]遵义医科大学附属口腔医院护理部,贵州遵义563000 [2]遵义医科大学附属口腔医院正畸科一组,贵州遵义563000

出　　处：《中外医疗》2024年第25期140-143,共4页China & Foreign Medical Treatment

基　　金：遵义市科技局遵义医科大学2022年科学技术联合资金[遵市科合HZ字(2022)399号]。

摘　　要：目的探究基于循证护理的疼痛管理策略干预在门诊埋伏多生牙拔除术后患儿护理中的效果。方法随机选取2022年7月—2023年7月遵义医科大学附属口腔医院门诊收治的90例行埋伏多生牙拔除术患儿为研究对象,按护理方法不同分为对照组、观察组,各45例。对照组采取常规护理干预,观察组采取常规护理加基于循证护理的疼痛管理策略干预。比较两组疼痛程度评分、心理状态评分、护理满意度。结果在拔牙后1 d、拔牙后3 d、拔牙后5 d,两组疼痛程度评分均逐渐降低,且观察组低于对照组,差异有统计学意义(P均<0.05)。拔牙后5 d,观察组焦虑自评量表与抑郁自评量表评分均低于对照组,差异有统计学意义(P均<0.05)。观察组患儿家属对护理的满意度为95.56%(43/45),高于对照组的77.78%(35/45),差异有统计学意义(χ^(2)=6.154,P<0.05)。结论针对门诊埋伏多生牙拔除术患儿,术后实施基于循证护理的疼痛管理策略,有助于减轻疼痛感,且随着时间的推移,疼痛感逐渐减轻,还能改善患儿心理状态,提高患儿家属对护理的满意度。Objective To explore the effect of pain management strategy intervention based on evidence-based nurs⁃ing in the nursing of children after extraction of embedded supernumerary teeth in outpatient department.Methods From July 2022 to July 2023,90 children with extraction of embedded supernumerary teeth admitted to the Outpatient Department of Affiliated Stomatology Hospital of Zunyi Medical University were randomly selected as the research ob⁃jects.According to different nursing methods,they were divided into control group and observation group,with 45 cases in each group.The control group received routine nursing intervention,and the observation group received rou⁃tine nursing and pain management strategy intervention based on evidence-based nursing.The pain degree score,psy⁃chological status scores and nursing satisfaction were compared between the two groups.Results At 1 day,3 days and 5 days after tooth extraction,the pain degree scores of the two groups were gradually decreased,and the observation group was lower than the control group,the differences were statistically significant(all P<0.05).Five days after tooth extraction,the scores of Self-rating Anxiety Scale and Self-rating Depression Scale in the observation group were lower than those in the control group,and the differences were statistically significant(both P<0.05).The satisfaction of family members of children in the observation group was 95.56%(43/45),which was higher than 77.78%(35/45)in the control group,and the difference was statistically significant(χ^(2)=6.154,P<0.05).Conclusion For children with embedded supernumerary teeth extraction in outpatient department,the implementation of pain management strategy based on evidence-based nursing after surgery is helpful to reduce the pain,and with the passing of time,the sense of pain is gradually alleviated,and the psychological state of children can be improved,and the satisfaction of the family members of the children with nursing can be improved.

关 键 词：循证护理 门诊埋伏多生牙拔除 术后疼痛管理策略 疼痛程度 

分 类 号：R47[医药卫生—护理学]