上海口腔医学 ›› 2022, Vol. 31 ›› Issue (1): 104-108.doi: 10.19439/j.sjos.2022.01.022

• 论著 • 上一篇    下一篇

舒适护理在龋病光固化树脂治疗中的应用及评价

张敏君, 陆月岑   

  1. 上海交通大学医学院附属第九人民医院 牙体牙髓病科,上海交通大学口腔医学院,国家口腔医学中心,国家口腔疾病临床医学研究中心,上海市口腔医学重点实验室,上海 200011
  • 收稿日期:2020-04-27 修回日期:2020-06-11 出版日期:2022-02-25 发布日期:2022-03-10
  • 通讯作者: 陆月岑,E-mail:jylyc2005@126.com
  • 作者简介:张敏君 (1987-),女,本科,护师,E-mail:tutuzmj@163.com

Application and evaluation of comfort nursing in caries treatment using light-cured resin

ZHANG Min-jun, LU Yue-Cen   

  1. Department of Endodontics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Center for Stomatology; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology. Shanghai 200011, China
  • Received:2020-04-27 Revised:2020-06-11 Online:2022-02-25 Published:2022-03-10

摘要: 目的: 对舒适护理在光敏固化树脂充填治疗龋病中的应用进行患者满意度调查和评价。方法: 选择2017年1月—2017年12月在上海交通大学医学院附属第九人民医院牙体牙髓病专科进行龋病治疗的128例患者作为研究对象,随机分为实验组和对照组,每组各64例。对照组在龋病的光固化树脂治疗中采取常规四手操作护理;实验组在此基础上,采用对治疗全程进行改良的舒适护理。治疗结束后,发放患者满意度调查表,量表分为护理关怀和护理操作两部分,共10项评分内容。采用SPSS 19.0软件包对数据进行统计学分析。结果: 在就诊环境上,实验组和对照组评分无统计学差异(P>0.05),而在护理关怀的其余内容即仪表仪容、服务态度、解释工作和健康宣传方面,实验组满意度评分均显著高于对照组(P<0.05)。关于护理操作的及时主动性、体位、眼部护理、有效性及操作技能的5项评分中,实验组评分均显著高于对照组(P<0.05)。统计2组人数的总体满意度显示,实验组为94%,显著高于对照组的75%(P<0.01)。结论: 舒适护理不仅有助于提升龋病光固化树脂治疗操作的专业性,而且可改善患者的就诊体验,促进医患和谐。

关键词: 舒适护理, 龋病, 光固化树脂, 四手操作, 满意度评价

Abstract: PURPOSE: This study was carried out to evaluate the value of comfort nursing in light curing resin-treated dental caries by means of patient satisfaction survey. METHODS: One hundred and twenty-eight cariogenic patients, who were treated from January 2017 to December 2017 in Shanghai Ninth People's Hospital, were enrolled and randomly assigned as experimental group and control group, respectively(n=64). Cariogenic lesions were treated with light-cured resin, patients in the control group received conventional four-handed operation nursing, while patients in the experimental group received modified comfortable nursing throughout the entire treatment course. The self-designed satisfaction questionnaires were issued, and the patients were required to fill them out after the treatment and nursing were definitely completed. The designed questionnaire was divided into two major parts, including nursing care and nursing operation, which was further subdivided into 10 detailed scoring items. The satisfaction survey of nursing was analyzed between two groups statistically to evaluate the effort of comfort nursing using SPSS 19.0 software package. RESULTS: No significant differences in the treatment environment was observed between the two groups(P>0.05), while upgraded satisfaction were observed in patients from the experimental group compared to those from the control group on the aspects of nursing care, namely, appearance, service attitude, explanation and health knowledge promotion(P<0.05). Among the five scoring standards of nursing operation, which was consist of timely initiative nursing, position nursing, eye nursing, effective nursing and nursing procedures, the satisfaction scores from the experimental group were significantly higher than those from the control group(P<0.05). The total collected data demonstrated that the overall satisfaction of the experimental group was significantly improved compared to that of the control group (94% vs 75%, P<0.01). CONCLUSIONS: Comfort nursing not only strengthens the professionalism of oral operation, but also improves the patient's experience, facilitating to promote the harmony between doctors and patients.

Key words: Comfort nursing, Caries, Light-cured resin, Four hand operation, Satisfaction evaluation

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