基于危险因素的综合性风险护理结合心理干预在颌面部骨折患者围手术期的应用效果
Effect of Risk Factor-Based Comprehensive Risk Care Combined with Psychological Intervention in the Perioperative Period of Patients with Maxillofacial Fractures
黄幼凤 1苏凤花 1李莹莹1
作者信息
- 1. 联勤保障部队第九一 0 医院口腔颌面外科,泉州 362000
- 折叠
摘要
目的:探讨基于危险因素的综合性风险护理结合心理干预在颌面部骨折患者围手术期的应用效果.方法:选取 2021 年 4 月至 2023 年 8 月期间在本院收治的颌面部骨折患者 153 例作为研究对象,根据干预方式,将其分为观察组(n=78,给予基于危险因素的综合性风险护理结合心理干预)和对照组(n=75,给予常规干预).比较两组患者创口愈合率、口腔功能恢复率、心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)]以及风险事件发生情况.结果:干预后,观察组患者创口愈合率、口腔功能恢复率均高于对照组,差异均有统计学意义(P＜0.05);两组患者SAS、SDS评分均降低,且观察组低于对照组,差异均有统计学意义(P＜0.05);观察组患者风险事件总发生率(6.40%,5/78)低于对照组(20.00%,15/75),差异有统计学意义(P＜0.05).结论:基于危险因素的综合性风险护理结合心理干预可改善颌面部骨折患者围手术负面情绪,降低风险事件发生.
Abstract
Objective:To expiore the effectiveness of risk factor-based comprehensive risk care combined with psychological intervention in the perioperative period in patients with maxillofacial fractures.Methods:A total of 153 patients who underwent maxillofacial fracture in our hospital from April 2021 to August 2023 were selected as the study subject.They were divided into observation group(n=78,received comprehensive risk-based care based on risk factors combined with psychological interventions)and control group(n=78,received conventional interventions)according to the intervention modalities.The wound healing rate,oral function recovery rate,mental state[self-rating anxiety scale(SAS),self-rating depression scale(SDS)]and the occurrence of risk events were compared between the two groups.Results:The wound healing rate and oral function recovery rate of observation group were higher than those of control group,and the differences were statistically significant(P＜0.05);SAS and SDS scores decreased in both groups after the intervention,and were lower in observation group than in control group,and the differences were statistically significant(P＜0.05);The total incidence rate of risky events in observation group(6.40%,5/78)was lower than in control group(20.00%,15/75),and the differences were statistically significant(P＜0.05).Conclusion:Comprehensive risk nursing combined with psychological intervention based on risk factors can improve perioperative negative emotions and reduce the occurrence of risk events in maxillofacial fracture patients.
关键词
基于危险因素/综合性风险护理/心理干预/颌面部骨折患者/围手术期Key words
Risk factor-based/Integrated risk care/Psychological interventions/maxillofacial fracture patients/Perioperative period引用本文复制引用
出版年
2024
NETL
NSTL
万方数据