认知-行为的心理护理在口腔种植修复患者中的应用

Application of Cognitive-behavioral-based Psychological Nursing on Patients with Oral Implant Restoration

目的:探讨认知-行为的心理护理在口腔种植修复患者中的应用效果。方法:将2020年1月1日~2022年12月31日接受口腔种植修复的70例患者采用随机数字表法分为观察组和对照组各35例,对照组实施常规护理干预,观察组在对照组基础上实施认知-行为的心理护理。比较两组干预后恐惧心理[采用Stouthard牙科恐惧量表(DAI)]、心理状态[采用心理状态评估量表(MSSNS)]、口腔健康情况[采用口腔健康影响程度量表(OHIP-14)]、美容满意度、口腔种植修复相关并发症发生情况。结果:干预1周后,两组DAI、MSSNS评分均低于干预前(P<0.05),且观察组低于对照组(P<0.05,P<0.01);术后3个月时,两组OHIP-14评分均低于术前(P<0.05),且观察组低于对照组(P<0.05,P<0.01);观察组口腔种植修复相关并发症总发生率低于对照组,但两组比较差异无统计学意义(P>0.05);两组美容满意度比较差异无统计学意义(P>0.05)。结论:基于认知-行为的心理护理应用于口腔种植修复患者可有效减轻其恐惧心理,促进患者术后口腔健康恢复。

Objective:To explore the application effect of cognitive-behavioral-based psychological nursing in patients with oral implant restoration.Methods:A total of 70 patients who received oral implant restoration between January 1,2020 to December 31,2022 were divided into the observation group and the control group by the random number table method,with 35 cases in each group.The control group received routine nursing intervention,and the observation group was given cognitive-behavioral-based psychological nursing intervention measure on the basis of the control group.The fear psychology by Stouthard′s Dental Anxiety Inventory(DAI).psychological status by Mental Status Scale in Non-psychiatric Settings(MSSNS),and oral health status by Oral Health Impact Profile(OHIP-14),cosmetic satisfaction and the occurrence of oral implant restoration-related complications were compared between the two groups after intervention.Results:After 1 week of intervention,the scores of DAI and MSSNS in the two groups were lower than those before intervention(P<0.05),and those in the observation group were lower than those in the control group(P<0.05).At 3 months after surgery,the OHIP-14 scores of the two groups were lower than those before surgery,and were lower in the observation group than those in the control group(P<0.05).The total incidence rate of oral implant restoration-related complications in the observation group was lower than that in the control group(P>0.05).There was no statistical difference between the two groups(P>0.05).There was no statistical difference in cosmetic satisfaction between the two groups(P>0.05).Conclusion:The application of cognitive-behavior-based psychological nursing in patients with oral implant restoration can effectively reduce the fear psychology and it is also conducive to the postoperative oral health recovery.