个性化口腔护理干预对复发性口腔溃疡患者临床疗效及负性情绪的影响

Influence of individualized oral nursing intervention on clinical efficacy and negative emotion of patients with recurrent oral ulcer

目的探讨个性化口腔护理干预对复发性口腔溃疡患者临床疗效及负性情绪的影响。方法将96例复发性口腔溃疡患者按照就诊时间分为研究组与对照组,两组均给予常规护理干预和健康教育,研究组在此基础上给予个性化口腔护理干预。干预前后采用焦虑自评量表、抑郁-焦虑-压力量表评定两组患者的心理健康状况,干预前、干预第3 d及第7 d采用视觉模拟评分法评定两组患者疼痛程度,比较两组溃疡愈合率。结果干预后两组焦虑自评量表及抑郁-焦虑-压力量表评分均较干预前显著降低(P<0.01),研究组较对照组下降更显著(P<0.01);干预第3 d及第7 d两组视觉模拟评分法评分均较干预前显著降低(P<0.01),研究组较对照组下降更显著(P<0.01);研究组溃疡愈合率显著高于对照组(P<0.05)。结论个性化口腔护理干预能有效缓解患者的负性情绪及疼痛程度,提高溃疡愈合率,值得推广应用。

Objective To investigate the influence of individualized oral nursing intervention on clinical efficacy and negative emotion of patients with recurrent oral ulcer.Methods A total of 96 patients with recurrent oral ulcer were divided into study group and control group according to the visiting time.Both groups were given routine nursing intervention and health education,and the study group was given personalized oral nursing intervention on this basis.Before and after intervention,the psychological health status of patients in the two groups was assessed by the self-rating anxiety scale(SAS),and depression,anxiety and stress scale-21(DASS-21).Before intervention,the 3rd and 7th day of intervention,the pain degree of patients in the two groups was assessed by the visual analogue scale(VAS),and the ulcer healing rate of the two groups was compared.Results After intervention,the scores of SAS and DASS-21 in both groups were significantly lower than those before intervention(P<0.01),and the study group declined more significantly than the control group(P<0.01).On the 3rd and 7th day after intervention,the VAS in both groups were significantly lower than those before intervention(P<0.01),and the study group declined more significantly than the control group(P<0.01).The healing rate of ulcers in the study group was significantly higher than that in the control group(P<0.05).Conclusions Individualized oral care intervention can effectively relieve patients'negative emotions and pain degree,improve ulcer healing rate,and is worthy of popularization and application.