摘要
目的:探讨基于应激系统理论的护理干预在口腔颌面部大面积损伤患者中的应用效果。方法:选取2019年1月-2021年10月在笔者医院口腔科收治的80例口腔颌面部损伤患者作为研究对象,采用1:1简单随机数表法将入组患者分为观察组和对照组,每组40例。两组患者均在急诊科抢救室进行口腔颌面部修复重建,并于修复完成后进急诊观察室观察病情。对照组予以急诊科常规护理,观察组行基于应激系统理论的护理干预,持续护理直至患者病情稳定后离开急诊。护理后比较两组疼痛水平、睡眠、心理状态、术后并发症、满意度评价情况。结果:术后第6 h、术后第3天疼痛视觉模拟评分(Visual analog scoring,VAS)先升高后下降,且观察组均低于对照组(P<0.05)。术后第3天,两组患者匹茨堡睡眠质量(Pittsburg sleep quality index,PSQI)评分均明显降低,且观察组低于对照组(P<0.05),两组患者心理韧性评分(Chinese version of resilience scale,CD-RISC)均明显升高,且观察组高于对照组(P<0.05)。观察组术后病房环境、技术操作、术后形态、服务态度满意度问卷评分均高于对照组(P<0.05)。结论:基于应激系统理论的护理干预可以降低口腔颌面部大面积损伤患者术后疼痛应激水平,并改善患者睡眠与心理状态。
Objective The aim of this study was to explore the application eff ect of nursing intervention based on stress system theory in patients with extensive oral and maxillofacial injuries.Methods A total of 80 patients with oral and maxillofacial injuries admitted to stomatology department of the hospital were enrolled as the research objects between January 2019 and October 2021.According to simple random number table method,they were divided into observation group and control group,40 cases in each group.Both groups underwent oral and maxillofacial repair reconstruction in emergency rooms,and then were given disease observation in emergency observation rooms.After that,observation group was given nursing intervention based on stress system theory till stable condition.After nursing,pain level,sleep,psychological state,postoperative complications and satisfaction evaluation were compared between the two groups.Results At the 6th and 3d after surgery,scores of visual analogue scale(VAS)were increased first and then decreased in both groups,which were lower in observation group than control group(P<0.05).At 3d after surgery,scores of Pittsburgh Sleep Quality Index(PSQI)in both groups were signifi cantly decreased,which were lower in observation group than control group(P<0.05),while scores of Chinese version of resilience Scale(CD-RISC)in both groups were signifi cantly increased,which were higher in observation group than control group(P<0.05).After surgery,scores of satisfaction with ward environment,technical operation,postoperative shape,and service attitude in observation group were higher than those in control group(P<0.05).Conclusion Nursing intervention based on stress system theory can reduce postoperative pain stress level,improve sleep and psychological state in patients with extensive oral and maxillofacial injuries.
作者
马颖
祝丹丹
王爱萍
MA Ying;ZHU Dandan;WANG Aiping(Department of Emergency,Beijing Tongren Hospital Affi liated to Capital Medical University,Beijing 100730,China)
出处
《中国美容医学》
CAS
2023年第3期161-164,共4页
Chinese Journal of Aesthetic Medicine
关键词
口腔颌面部
大面积损伤
修复
应激系统理论
护理干预
疼痛视觉模拟评分
匹茨堡睡眠质量评分
心理韧性评分
护理满意度
oral and maxillofacial
extensive injury
repair
stress system theory
nursing intervention
score of visual analogue scale
score of Pittsburgh sleep quality index
score of Chinese version of resilience scale
nursing satisfaction
