Effect of empowerment motivation intervention mode for patients undergoing daytime oral and maxillofacial surgery
Objective To analyze the effect of the empowerment incentive intervention mode for patients undergoing oral and maxillofacial day surgery.Methods A total of 128 patients who were admitted to the day ward for oral and maxillofacial day surgery at Hospital Affiliated to Yan'an University from January 2021 to October 2023 were selected for the randomized controlled trial.The patients were divided into a control group and an observation group by the random number table method,with 64 cases in each group.There were 32 males and 32 females in the control group;they were(42.44±8.04)years old;15 cases underwent complex tooth extraction,16 cases oral and maxillofacial hemangioma excision,16 cases mucous cyst excision,and 17 cases frenulotomy.There were 33 males and 31 females in the observation group;they were(43.16±7.97)years old;16 cases underwent complex tooth extractions,15 cases hemangioma excisions,18 cases mucous cyst excisions,and 15 cases frenulotomy.The control group took routine nursing intervention;in addition,the observation group took empowerment incentive intervention.The perioperative systolic blood pressures(SBP)and diastolic blood pressures(DBP),levels of anxiety and fear[the Modified Corah's Dental Anxiety Scale(MDAS)and the Stouthard Dental Fear Scale(DFI)]3 months after the intervention,cooperation during surgery,quality of nursing service[the Service Quality Scale(SERVQUAL)],and readiness for discharge[the Readiness for Hospital Discharge Scale(RHDS)]were compared between the two groups.The data were analyzed by the SPSS 26.0 software.t and x2 tests were applied.Results The SBP's and DBP's before the surgery,minute 10 in the surgery,and after the surgery in the observation group were(114.55±7.31)mmHg(1 mmHg=0.133 kPa),(129.28±9.31)mmHg,and(122.57±8.34)mmHg and(76.93±5.12)mmHg,(92.03±6.27)mmHg,and(82.94±6.10)mmHg;those in the control group were(116.41±6.58)mmHg,(136.93±8.98)mmHg,and(128.72±7.63)mmHg and(78.08±4.71)mmHg,(96.36±5.85)mmHg,and(86.38±5.48)mmHg;the SBP's of both groups:Ftime=161.218,Fbetween groups=36.518,Finteraction=4.649;Ptime＜0.001,Pbetweengroups＜0.001,Pinteraction=0.010;the DBP's ofboth groups:Ftime=300.236,Fbetweengroups=24.392,Finteation=2.878;Ptime＜0.001,Pbetween groups＜0.001,Pineration=0.058.After the intervention,the scores of MDAS and DFI were lower than those before the intervention in both groups,and the scores in the observation group were lower than those in the control group[(6.19±1.19)vs.(9.59±1.71)and(62.49±6.19)vs.(75.09±7.89)](all P＜0.001).The surgical cooperation rate in the observation group was higher than that in the control group[89.06％(57/64)vs.68.75％(44/64);P＜0.001].The scores of empathy transfer,responsiveness,reliability,assurance,tangibility,and total readiness for discharge of nursing service quality in the observation group were higher than those in the control group were all significantly higher than those in the control group[(4.14±0.34)vs.(3.78±0.40),(4.41±0.19)vs.(4.01±0.30),(4.21±0.29)vs.(3.73±0.37),(4.18±0.34)vs.(3.57±0.38),(4.10±0.36)vs.(3.67±0.39),and(105.94±7.82)vs.(100.08±8.55)],with statistical differences(all P＜0.001).Conclusion The empowerment incentive intervention mode for patients undergoing daytime oral and maxillofacial surgery can effectively improve the perioperative management effect and reduce their anxiety and fear,and has clinical application value.
Oral and maxillofacial day surgeryEmpowerment incentive intervention modePerioperative managementQuality of nursing serviceReadiness for hospital discharge
万方数据
维普
