上海口腔医学

上海口腔医学 ›› 2014, Vol. 23 ›› Issue (1): 113-116.

• 临床总结 • 上一篇    下一篇

个体化护理对门诊老年拔牙患者的影响

张凌怡1, 滕梅荣1, 邹德荣1, 阮洪2   

  1. 1.上海交通大学附属第六人民医院 口腔科, 上海 200233;
    2.上海交通大学医学院附属第九人民医院, 上海 200011
  • 收稿日期:2013-08-12 修回日期:2013-10-12 出版日期:2014-02-20 发布日期:2014-10-21
  • 通讯作者: 张凌怡,E-mail：dybd137601@163.com
  • 作者简介:张凌怡(1977-),女,主管护师,护士长

The influence of individual nursing care on extraction of teeth for old outpatients

ZHANG Ling-yi1, TENG Mei-rong1, ZOU De-rong1, RUAN Hong2   

  1. 1.Department of Stomatology, Sixth People’s Hospital, Shanghai Jiao Tong University. Shanghai, 200233;
    2.Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai 200011, China
  • Received:2013-08-12 Revised:2013-10-12 Online:2014-02-20 Published:2014-10-21

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摘要： 目的：探讨个体化护理对门诊老年拔牙患者的影响,以提高对门诊老年拔牙患者的护理水平。方法：将100例门诊拔牙的老年患者,以随机抽签方式分为试验组和对照组,对试验组采用制定的个体化护理方式进行护理,对照组仅采用传统的常规方式进行护理,在拔牙前、后以汉密顿焦虑量表对2组患者的焦虑状况进行评估;拔牙后加用VRS语言等级评定量表测定患者的疼痛状态。评估结果采用SPSS 16.0软件包进行t检验和方差分析。结果：实验前患者汉密顿焦虑量表评分无显著差异,实验后试验组患者疼痛感低于对照组(P<0.05);汉密顿焦虑量表评分显著低于对照组(P<0.05)。结论：对门诊老年拔牙患者实施个体化护理,能显著降低患者的焦虑情绪,提高患者对治疗的依从性,改善服务质量,减少并发症。

关键词: 个体化护理, 老年患者, 拔牙, 焦虑

Abstract: PURPOSE: To assess the impact of individual nursing care on aged patients who underwent tooth extraction in outpatient clinic. METHODS: One hundred aged patients who required tooth extraction were allocated into the experimental group (with individual nursing care before extraction) or the control group (blank control). The level of patients’ anxiety was evaluated by HAMA scale before and after extraction. The pain state was evaluated by VRS scale after extraction. The date was analyzed for student's t test and ANONA by SPSS 16.0 software package. RESULTS: Both the anxious score and VRS score after extraction in the experimental group were significantly lower than that of the control group (P<0.05). CONCLUSIONS: For aged patients who underwent tooth extraction, individual nursing care can alleviate the level of their anxiety, which is helpful to improve their reliance and reduce complications.

Key words: Individual nursing care, Old patient, Extraction of teeth, Anxiousness

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