慢性牙周炎患者行知信行护理对生存质量的影响分析

Analysis of the Impact of Knowledge,Belief and Practice Nursing on the Quality of Life in Patients with Chronic Periodontitis

目的探讨对慢性牙周炎患者实施知信行护理对其生存质量的影响。方法研究纳入对象为方便选取2018年1月—2020年1月的90例慢性牙周炎患者,对其进行随机分组,对照组(n=45)以常规护理进行干预,观察组(n=45)以知信行护理进行干预,统计分析干预前后疾病认知度评分、依从性评分、牙周健康状态、刷牙时间、刷牙次数、刷牙方法、生存质量。结果观察组疾病认知度评分、依从性评分、颤动刷牙法、刷牙次数、刷牙时间、生存质量均较对照组高,差异有统计学意义(P<0.05);菌斑指数(1.21±0.12)、牙龈指数(1.19±0.08)、探诊深度(1.31±0.13)mm、龈沟出血指数(1.08±0.63)、附着丧失(3.05±0.52)mm、牙周袋深度(2.11±0.51)mm,均较对照组低,差异有统计学意义(t=9.056、11.425、6.895、12.852、9.084、13.989,P<0.05)。观察组颤动刷牙法、刷牙次数、刷牙时间较对照组高,横刷法较对照组低,差异有统计学意义(P<0.05);观察组生存质量评分较对照组低,差异有统计学意义(P<0.05)。结论对慢性牙周炎患者实施知信行护理效果较好,可改善患者牙周健康状态与刷牙方法,提升其对疾病的认知度,提高治疗与护理依从性,增加刷牙时间与刷牙次数,提高生存质量。

Objective To explore the impact of knowledge,belief and practice nursing on patients with chronic periodontitis on their quality of life.Methods The study included convenient to select 90 patients with chronic periodontitis from January 2018 to January 2020.They were randomly divided into groups.The control group(n=45)was intervened with routine care,and the observation group(n=45)was intervened with knowledge,belief and practice nursing,statistical analysis of disease awareness scores,compliance scores,periodontal health,tooth brushing time,tooth brushing times,tooth brushing methods,and quality of life before and after the intervention.Results The observation group’s disease awareness score,compliance score,tremor brushing method,tooth brushing frequency,tooth brushing time and quality of life were all higher than those of the control group,the difference was statistically significant(P<0.05);plaque index(1.21±0.12),gingival index(1.19±0.08),probing depth(1.31±0.13)mm,gingival crevicular bleeding index(1.08±0.63),loss of attachment(3.05±0.52)mm,and periodontal pocket depth(2.11±0.51)mm were all lower than those of the control group,the difference was statistically significant(t=9.056、11.425、6.895、12.852、9.084、13.989,P<0.05).In the observation group,vibration brushing method,brushing frequency and brushing time were higher than those in the control group,while transverse brushing method was lower than those in the control group,the difference was statistically significant(P<0.05).The quality of life score of observation group was lower than that of control group,and the difference was statistically significant(P<0.05).Conclusion The effect of knowledge-based care for patients with chronic periodontitis is better.It can improve the periodontal health and brushing methods of patients,increase their awareness of the disease,improve treatment and nursing compliance,and increase the time and frequency of brushing teeth.Improve the quality of life.