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全程优质护理模式对口腔颌面手术患者治疗依从性及负性情绪的影响研究

作者:朱 丽

所属单位:河南省南阳市口腔医院外科 (河南 南阳 473001)

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摘要

目的 探究全程护理模式对口腔颌面手术患者治疗依从性及负性情绪的影响。方法 选取我院992例口腔颌面手术患 者为研究对象,采用随机数字表法分为全程优质护理组(实验组,n=496)和常规护理组(对照组,n=496)。对照组给 予常规围术期护理措施,实验组在此基础上给予全程优质护理。记录两组患者出院时治疗依从性差异,并比较两组 入院时与出院时负性情绪[汉密尔顿抑郁量表(HAMD)和汉密尔顿焦虑量表(HAMA)]和入院时与出院6个月时生活质量 [世界卫生组织生活质量测定表简表(WHOQOL-BREF)]差异。结果 出院时,实验组完全依从率、部分依从率及总依从 率均较对照组高(P<0.05);两组HAMD、HAMA评分均较入院时降低(P<0.05),且实验组低于对照组(P<0.05)。出 院6个月时,两组WHOQOL-BREF评分均较入院时升高(P<0.05),且实验组高于对照组(P<0.05)。结论 全程优质护 理模式可提高口腔颌面手术患者治疗依从性、缓解其负性情绪,对提高其预后生活质量有利。

Objective To explore the effects of whole course high quality nursing care mode on the treatment compliance and negative emotions in patients undergoing oral and maxillofacial surgery. Methods 992 patients undergoing oral and maxillofacial surgery in our hospital were selected as the research objects, and they were randomly divided into whole course high quality nursing care group (experimental group, n=496) and routine nursing group (control group, n=496). Both groups were given conventional perioperative nursing measures, besides, the experimental group was given additional whole course high quality nursing care. The differences of treatment compliance in the two groups were recorded at discharge, the negative emotions [Hamilton Depression Scale (HAMD) and Hamilton Anxiety Scale (HAMA)] in the two groups at admission and discharge were compared, and the differences of life quality in the two groups were also compared by the Brief Version of WHO quality of life summary table (WHOQOL-BREF) at admission and 6 months after discharge. Results At discharge, the complete compliance rate, partial compliance rate and total compliance rate in the experimental group were all higher than those in the control group (P<0.05), the HAMD and HAMA scores in the two groups were significantly decreased (P<0.05), and the decrease in the experimental group was greater than that in the control group (P<0.05). 6 months after discharge, the scores of WHOQOL-BREF in the two groups were significantly increased (P<0.05), and the increase in the experimental group was higher than that in the control group (P<0.05). Conclusion Whole course high quality nursing care mode which is beneficial to improve patients' prognosis and quality of life, can not only improve the treatment compliance, but also relieve the negative emotions of patients undergoing oral and maxillofacial surgery.

【关键词】口腔颌面外科;优质护理;治疗依从性;负性情绪

【中图分类号】R783.9

【文献标识码】A

【DOI】10.3969/j.issn.1009-3257.2018.05.030

前言

口腔颌面手术为口腔癌、颌骨畸形、颌骨外伤等 患者的主要治疗方法之一,但部分口腔颌面手术患者 由于相关知识的缺乏和对手术的惧怕等主观因素影响 而不配合治疗或出现焦虑、不安等负性情绪,造成手 术效果降低,不利于患者预后恢复[1]。故为口腔颌面手术患者提供全面且高效的护理服务对其预后非常重 要。全程优质护理模式为对患者生理、心理、社会均 进行干预的新型护理模式,可有效改善患者负性情 绪,对促进患者康复有利[2]。本研究为探究全程护理 模式对口腔颌面手术患者治疗依从性及负性情绪的影响,选取我院992例口腔颌面手术患者为研究对象, 先报告如下。