摘要
目的探讨综合护理对儿童乳牙牙髓病变及牙周病的治疗效果和心理因素的影响。方法将宁波大学医学院附属医院口腔中心2014年4月~2016年12月收治的乳牙牙髓病或根尖周病的154例患儿作为研究对象,按照随机数字法将患儿分为综合护理组77例,常规护理组77例。常规组患儿给予常规护理支持,综合组给予全程综合护理干预,比较两组患儿的治疗效果、术后疼痛发生率及疼痛程度、治疗中的依从性和家属的护理服务满意度。结果综合护理组患儿的总有效率显著高于常规护理组(P<0.05);同时综合护理组的患儿在治疗后牙龈指数、探诊深度、菌斑指数、龈沟出血指数各指标水平均显著优于常规护理组(P<0.05);综合护理组术后疼痛发生率及疼痛评分均明显低于常规护理组,差异均有统计学意义(P<0.05);综合护理组患儿的依从性及家属的护理满意度也明显高于常规护理组,差异有统计学意义(P<0.05)。结论综合护理干预能够显著提高儿童乳牙牙髓病及根尖周病的治疗效果,改善患儿口腔状况,减少疼痛发生率及疼痛程度,并能有效提高患儿的依从性和家属的护理满意度,值得临床推广。
Objective To investigate the effect of comprehensive nursing on the curative effect and psychological factors of deciduous tooth pulp disease and periapical disease. Methods The 154 cases of deciduous tooth pulp disease or periapieal disease were treated in the Stomatological Center of Affiliated Hospital of Medical College of Ningbo University from April 2014 to December 2016, they were divided into intervention group （77 cases） and routine nursing group （77 cases） according to the random number method. The children in the routine group were given routine nursing support, while the comprehensive group was given comprehensive nursing intervention. The treatment effect, postoperative pain rate and pain degree, compliance in treatment and nursing service satisfaction of the two groups were compared. Results The total effective rate of the children in the comprehensive care group was significantly higher than that in the routine nursing group （P 〈 0.05）; and the indexes of gingival index, depth of diagnosis, plaque index and bleeding index of gingival bleeding in children with comprehensive nursing intervention were significantly better than those in routine care group （P 〈 0.05）; the incidence of postoperative pain and pain score of the comprehensive care group were lower than those of the routine care group, the differences were statistically significant （P 〈 0.05）; the children＇s compliance and the family nursing satisfaction of the comprehensive care group were higher than those of the routine care group, the differences were statistically significant （P 〈 0.05）. Conclusion Comprehensive nursing intervention can significantly improve the treatment effect of deciduous tooth pulp disease and periapical disease, improve the oral condition of children, reduce the incidence of pain and the degree of pain, and can effectively improve children＇s compliance and family nursing satisfaction, worthy of clinical Promotion,
出处
《中国医药导报》
CAS
2018年第1期163-166,共4页
China Medical Herald
基金
浙江省宁波市C50-社会发展项目(2013C50060)
关键词
综合护理
牙髓病
牙根尖周
心理因素
乳牙
Comprehensive nursing
Dental pulp disease
Periapical disease of tooth
Psychological factor
Deciduous tooth
