基于放松训练的心理护理对埋伏阻生智齿拔除术患者心理状态的影响

Effect of psychological nursing based on relaxation training for the psychological state in patients with impacted third molar removal surgery

目的探讨基于放松训练的心理护理对埋伏阻生智齿拔除术患者心理状态的影响。方法选取2015年6月至2017年6月于解放军第一0五医院收治的埋伏阻生智齿拔除术患者100例，按入院顺序在遵从1：1比例下分为心理干预组和对照组，每组50例，对照组给予常规护理，心理干预组在此基础上给予基于放松训练的心理护理干预，利用改良Corah＇s牙科焦虑量表（Corah＇s modified dental anxiety scale, MDAS）、Stouthard牙科恐惧量表（Stouthard dental fear scale，DFI）评分、患者的心率、收缩压、舒张压水平进行患者心理状态的评估。结果心理干预组患者的MDAS评分[（6.3±1.2）分，P=0.000]、DFI评分[（62.9±6.5）分，P=0.000]及心率[（76.4±5.2）次／min ，P=0.000]、收缩压[（102.5±6.3）mmHg，P=0.000]、舒张压[（75.3±3.1）mmHg，P=0.000］水平均显著低于对照组，一次拔除成功率（P=0.013）、术中轻松感（P=0.003）显著高于对照组，拔牙时间显著低于对照组（P=0.000）。结论基于放松训练的心理护理干预可有效改善埋伏阻生智齿拔除术患者心理状态，有利于手术的顺利进行。

ObjectiveTo discuss the effect of psychological nursing based on relaxation training for the psychological state in patients with impatced third molar removal surgery.MethodsA total of one hundred patients with impacted third molar removal surgery were selected from June 2015 to June 2017 in People＇s Liberation Army No. 105 hospital. According to the nursing method, all patients were divided into psychological intervention group and the control group, 50 cases in each group, the control group was given routine nursing intervention and the psychological intervention group was given psychological nursing intervention based on relaxation training.ResultsThe after intervention Corah＇s modified dental anxiety scale （6.3±1.2）, Stouthard dental fear scale （62.9±6.5） scores and heart rate [（76.4±5.2） bpm], systolic blood pressure [（102.5±6.3） mmHg], diastolic blood pressure [（75.3±3.1） mmHg] levels of psychological group were significantly lower than those of the control group. The once removal success rate, intraoperative relaxation sense rate of psychological group were significantly higher than those of the control group, the teeth extraction time of psychological group was significantly lower than that of the control group, the difference was statistically significant （P=0.013, P=0.003）.ConclusionsPsychological nursing intervention based on relaxation training can effectively improve the mental state and stress state of patients with impacted third molar removal surgery, which is beneficial to the process of the surgery.