实用临床医药杂志2024,Vol.28Issue(11) :114-118.DOI:10.7619/jcmp.20240293

循证护理在下颌骨骨折患者术后康复中的应用

Application of evidence-based nursing in postoperative recovery of patients with mandibular fracture

缪丽萍 吴艳 张羽 栾容兰
实用临床医药杂志2024,Vol.28Issue(11) :114-118.DOI:10.7619/jcmp.20240293

循证护理在下颌骨骨折患者术后康复中的应用

Application of evidence-based nursing in postoperative recovery of patients with mandibular fracture

缪丽萍 1吴艳 1张羽 1栾容兰2
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作者信息

  • 1. 南京医科大学附属泰州人民医院口腔科,江苏泰州,225300
  • 2. 南京医科大学附属泰州人民医院耳鼻喉科,江苏泰州,225300
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摘要

目的 观察循证护理在下颌骨骨折患者术后恢复中的应用效果.方法 选取下颌骨骨折患者80例,采用随机数字法分为对照组和观察组,每组40例.对照组接受常规术后护理措施,观察组采用循证护理干预.分析2组患者康复状况、术后并发症发生率、心理健康状况和护理满意度状况.结果 观察组创面愈合时间(7.90±4.21)d、对照组(9.43±4.29)d,观察组咀嚼功能恢复(79.19±4.74)%、对照组(73.28±4.78)%,观察组并发症发生率7.5%、对照组27.5%,观察组术后6个月汉密尔顿焦虑量表(HAMA)评分(10.76±1.65)分、对照组(13.99±1.43)分,观察组术后6个月汉密尔顿抑郁量表(HAMD)评分(11.78±1.26)分、对照组(12.49±1.29)分,各项比较差异均有统计学意义(P<0.05).结论 循证护理可以促进下颌骨骨折患者术后恢复,降低术后并发症发生率,舒缓患者的心理压力,提高护理满意度.

Abstract

Objective To observe the application effect of evidence-based nursing in the postop-erative recovery of patients with mandibular fracture.Methods Eighty patients with mandibular frac-ture were selected and randomly divided into control group and observation group,with 40 cases in each group.The control group was conducted with routine postoperative nursing measures,while the observation group was conducted with additional evidence-based nursing intervention.The recovery status,incidence of postoperative complications,mental health status,and nursing satisfaction degree were analyzed in both groups.Results The wound healing time was(7.90±4.21)days in the ob-servation group and(9.43±4.29)days in the control group;the recovery efficiency of chewing function was(79.19±4.74)%in the observation group and(73.28±4.78)%in the control group;the incidence of complications was 7.5%in the observation group and 27.5%in the control group;the score of the Hamilton Anxiety Scale(HAMA)at 6 months after surgery was(10.76±1.65)points in the observation group and(13.99±1.43)points in the control group;score of the Hamilton Depression Scale(HAMD)at 6 months after surgery was(11.78±1.26)points in the ob-servation group and(12.49±1.29)points in the control group;all the between-group differences mentioned above were statistically significant(P<0.05).Conclusion Evidence-based nursing can promote the postoperative recovery of patients with mandibular fracture,reduce the incidence of postop-erative complications,alleviate patient's psychological stress,and increase nursing satisfaction degree.

关键词

循证护理/下颌骨骨折/康复/心理健康/并发症/护理满意度

Key words

evidence-based nursing/mandibular fracture/recovery/mental health/complica-tions/nursing satisfaction degree

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基金项目

南京医科大学泰州临床医学院青年基金资助项目(TZKY20220106)

出版年

2024
实用临床医药杂志
扬州大学,中国高校科技期刊研究会

实用临床医药杂志

CSTPCD
影响因子:1.543
ISSN:1672-2353
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