摘要
目的探讨综合护理在全身麻醉技术下儿童口腔治疗中的护理效果。方法以青岛大学附属青岛市口腔医院2019年2月至2021年2月收治的全身麻醉下进行口腔治疗的小儿患者120例为研究对象, 按照两组基础资料具有匹配性的原则平均分为对照组和试验组各60例。对照组患儿进行常规护理干预, 试验组患儿制定实施综合性护理方案。采用儿童畏惧调查表-牙科分量表(CFSS-DS)调查患儿治疗畏惧情况, 采用Frankl治疗依从性量表和Houpt行为量表调查患儿治疗依从性。统计患儿术后不良反应发生情况和术后牙痛持续时间, 调查患儿和家属的护理满意度, 记录患儿术后随诊率。结果试验组患儿术前检查、麻醉诱导和术后护理过程中的CFSS-DS评分明显低于对照组, 差异均有统计学意义(均P<0.05);试验组患儿术前检查、麻醉诱导和术后护理过程中的Frankl评分和Houpt评分明显高于对照组, 差异均有统计学意义(均P<0.05);试验组患儿术后不良反应发生率明显低于对照组, 术后牙痛持续时间也明显短于对照组, 各指标对比, 差异均有统计学意义(均P<0.05);试验组患儿和家属各方面护理工作满意度评分明显高于对照组, 差异均有统计学意义(均P<0.05);试验组患儿术后1 w、术后1个月和术后3个月的随诊率均明显高于对照组, 差异有统计学意义(P<0.05)。结论对在全身麻醉技术进行口腔治疗的儿童患者进行综合性护理干预, 可有效减轻患儿治疗畏惧心理, 提高患儿治疗依从性, 减少患儿术后不良反应的发生, 促进患儿术后尽快恢复, 还能够提高患儿和家属对护理工作的满意度, 提升患儿术后随诊率。
Objective To explore the nursing effect of comprehensive nursing in children's oral treatment under general anesthesia.Methods A total of 120 pediatric patients undergoing oral treatment under general anesthesia who were admitted to this hospital from February 2019 to February 2021 were taken as subjects.According to the principle of matching basic data between the two groups,they were equally divided into the control group and the experimental group,60 cases of each.Children in the control group received routine nursing intervention,while children in the experimental group developed and implemented a comprehensive nursing plan.Children's treatment fear was investigated with the children's fear survey schedule-dental subscale(CFSS-DS).Frankl treatment compliance scale and Houpt behavior scale were used to investigate the treatment compliance of children.The incidence of postoperative adverse reactions and duration of postoperative toothache were recorded,the nursing satisfaction of the children and their families were investigated,and the follow-up rate of the children was recorded.Results The CFSS-DS scores during preoperative examination,induction of anesthesia and postoperative care of the experimental group were significantly lower than those of the control group,and the differences were statistically significant(P<0.05).The Frankl score and Houpt score of the experimental group were significantly higher than those of the control group in the process of preoperative examination,anesthesia induction and postoperative nursing,and the differences were statistically significant(P<0.05).The incidence of postoperative adverse reactions in the experimental group was significantly lower than that in the control group,and the duration of postoperative toothache was also significantly shorter than that in the control group,and the differences were statistically significant(P<0.05).The nursing satisfaction scores of children and their families in the experimental group were significantly higher than those in the control group,and the differences were statistically significant(P<0.05).Patients postoperative 1 week,1 month after operation and postoperative follow-up of 3 months rate were significantly higher than that of control group,the dfference was statistically significant(P<0.05).Conclusions Comprehensive nursing intervention for pediatric patients undergoing oral treatment under general anesthesia technology can effectively reduce the fear of treatment in children,improve compliance with treatment,reduce the incidence of adverse reactions after surgery,and promote children as soon as possible after surgery recovery can also improve the satisfaction of children and their families with nursing work,and increase the fllow-up rate of children after surgery.
作者
冯萧霆
段春艳
韩阳
黄婕
Feng Xiaoting;Duan Chunyan;Han Yang;Huang Jie(Qingdao Stomatological Hospital Affiliated to Qingdao University,266001,China;Emergency Department,Qingdao Women and Children's Hospital,266001,China)
出处
《国际护理学杂志》
2022年第20期3655-3660,共6页
international journal of nursing
基金
青岛市医疗卫生重点学科建设项目资助(2020-2022)。
关键词
全身麻醉技术
儿童口腔治疗
综合护理
畏惧
依从性
I General anesthesia technique
Children's oral treatment
Comprehensive nursing
Fear
Compliance
