循证干预结合延续性护理在口腔颌面部骨折患者中的应用效果

Application effect of evidence-based intervention combined with continuous nursing in patients with oral and maxillofacial fractures

目的分析循证干预结合延续性护理在口腔颌面部骨折患者中的应用效果。方法选取徐州医科大学附属医院于2019年3月至2021年3月收治的106例口腔颌面部骨折患者,使用简单随机法将其分别纳入观察组和对照组,各53例。2组均接受围手术期循证干预,观察组额外接受延续性护理干预。对比2组患者在干预前、干预1周后、出院1个月后的心理状态、训练依从性变化,并比较2组的康复效果及并发症发生情况。结果2组在干预1周后、出院1个月后的心理状态相关量表评分均低于干预前(P均<0.05);出院1个月后,观察组的上述评分均低于对照组(P均<0.05)。2组在干预1周后、出院1个月后的训练总依从率均高于干预前(P均<0.05);出院1个月后,观察组的总依从率高于对照组(P<0.05)。观察组在出院1个月后的康复总有效率比对照组更高(P<0.05)。观察组在术后至出院1个月期间的并发症合计发生率低于对照组(P<0.05)。结论在循证干预的基础上结合延续性护理有助于改善患者出院后的心理状态,提高训练依从率和康复效果,降低并发症发生率。

Objective To analyze the application effect of evidence-based intervention combined with continuous nursing in the patients with oral and maxillofacial fractures.Methods A total of 106 patients with oral and maxillofacial fractures admitted to the Affiliated Hospital of Xuzhou Medical University from March 2019 to March 2021 were included.They were allocated into the observation and control groups by simple random sampling,each with 53 cases.Both groups received evidence-based intervention during the perioperative period,and the observation group additionally received continuous nursing intervention.The psychological state and training compliance of the two groups were compared before the intervention,after 1 week of intervention,and at 1 month after discharge,and the rehabilitation effect and incidence of complications were compared between the two groups.Results The scores of psychological state scale in the two groups after 1 week of intervention and at 1 month after discharge were lower than those before the intervention(all P<0.05).At 1 month after discharge,the above scores of the observation group were lower than those of the control group(both P<0.05).The total training compliance rate of the two groups after 1 week of intervention and at 1 month after discharge was higher than that before the intervention(all P<0.05).At 1 month after discharge,the compliance rate of the observation group was higher than that of the control group(P<0.05).At 1 month after discharge,the total effective rate of rehabilitation in the observation group was higher than that in the control group(P<0.05).The overall incidence of complications between postoperative period and one month after discharge in the observation group was lower than that in the control group(P<0.05).Conclusion Evidence-based intervention combined with continuous nursing is helpful to improve the psychological state,training compliance rate,and rehabilitation effect of patients after discharge,and reduce the incidence of complications.