医护一体化护理模式对老年口腔种植患者临床疗效及焦虑、疼痛水平的影响

Effects of integrated medical care model on clinical efficacy, anxiety and pain levels of elderly patients with oral implantation

目的探讨医护一体化护理对老年口腔种植患者临床疗效及焦虑、疼痛水平的影响。方法选取2016年1月~2017年7月该院收治的100例老年口腔种植患者为研究对象。采用随机数字表法,将患者分为对照组和观察组,各50例。对照组患者采用常规护理,观察组患者在常规护理基础上实施医护一体化护理。采用记忆谵妄量表(Memory Delirium Rating Scale,MDAS)评分、视觉模拟量表(Visual Analogue Scale,VAS)评分比较两种护理模式在种植成功率、护理工作效率、护理质量、义齿菌斑指数等方面的差异。结果干预前,两组患者的MDAS评分比较,差异无统计学意义(P>0.05)。干预后,观察组患者MDAS评分、VAS评分均显著低于对照组,差异有统计学意义(均P<0.05);观察组患者的种植成功率明显高于对照组,医护配合影响工作次数及器械维护受影响次数显著较少,差异均有统计学意义(均P<0.05);整体护理质量更高,其护理质量评分、患者满意度、医生满意度均显著高于对照组,差异有统计学意义(均P<0.05);观察组义齿菌斑指数0级与1级患者共50例(100%),无2级、3级病例。对照组0级~2级分别有38例、9例、3例,无3级病例。观察组义齿菌斑指数明显低于对照组,差异有统计学意义(P<0.05)。结论医护一体化护理可有效改善老年口腔种植患者的治疗及护理体验,减轻焦虑、疼痛水平,提高临床疗效及患者满意度,值得临床推广。

Objective To explore the effect of integrated nursing care on the clinical efficacy, anxiety and pain level of elderly patients with oral implantation. Methods From January 2016 to July 2017, 100 elderly patients with oral implantation admitted to the hospital were selected as the research objects. The patients were divided into control group and observation group with 50 cases each. Patients in the control group were given routine nursing care, and patients in the observation group received integrated nursing care on the basis of routine nursing care. The Memory Delirium Rating Scale(MDAS) and Visual Analogue Scale(VAS) were used to compare the differences between the two nursing models in the aspects of implant success rate, nursing work efficiency, nursing quality and dental plaque index. Results Before intervention, MDAS scores of the two groups were compared, and the difference was not statistically significant(P>0.05). After the intervention, the MDAS and VAS scores in the observation group were significantly lower than those in the control group, with statistically significant differences(P<0.05). The implant success rate of patients in the observation group was significantly higher than that in the control group, and the frequency of work and equipment maintenance affected by medical cooperation was significantly less, with statistically significant differences(P<0.05). In the observation group, there were 50 patients(100%) with grade 0 and 1 dental plaque index, and no grade 2 or 3 patients.In the control group, there were 38 cases, 9 cases and 3 cases from grade 0 to grade 2, without grade 3 cases.The plaque index of the observation group was significantly lower than that of the control group, and the difference was statistically significant(P<0.05). Conclusion Integrated medical care can effectively improve the treatment and nursing experience of elderly patients with oral implants, reduce anxiety and pain levels, and improve clinical efficacy and patient satisfaction, which is worthy of clinical promotion.