聚焦解决模式配合改良口腔冲洗在颌面部骨折患者中的应用效果

Application effect of focused solution mode combined with improved oral irrigation in patients with maxillofacial fracture

目的 研究聚焦解决模式配合改良口腔冲洗在颌面部骨折患者中的应用效果。方法 选取2021年11月至2022年12月徐州医科大学附属医院收治的84例颌面部骨折患者作为研究对象,根据干预方式的不同划分为观察组(48例,聚焦解决模式+改良口腔冲洗)和对照组(36例,常规护理+口腔冲洗)。比较两组患者干预前后口腔健康情况(口腔健康影响程度量表OHIP-14)、负面情绪情况(HAMA、HAMD评分)、应对方式情况(简易应对方式问卷)。结果 干预后,观察组OHIP-14评分[(22.13±2.27)分]低于对照组[(33.94±1.33)分](P<0.05);HAMA、HAMD评分低于对照组(P<0.05);积极应对评分高于对照组,消极应对评分低于对照组(P<0.05)。结论 聚焦解决模式配合改良口腔冲洗应用在颌面部骨折术后患者有一定优势,可改善患者口腔健康、负面情绪,增加积极应对的信心和主动性。

Objective To explore the effect of focused solution mode combined with improved oral irrigation in patients with maxillofacial fracture.Methods 84 patients with maxillofacial fracture admitted to the affiliated hospital of Xuzhou Medical University from November 2021 to December 2022 were divided into two groups,the observation group(n=48)received the focused solution mode combined with improved oral irrigation,while the control group(n=36)received the conventional nursing and oral irrigation.The oral health(Oral Health Impact Degree Scale OHIP⁃14),negative emotions(HAMA and HAMD)and coping styles(Simple response style questionnaire)were compared.Results After intervention,the score of HIP⁃14 in the observation group was lower than that in the control group(P<0.05).the score of HAMA and HAMD in the observation group were lower than those in the control group(P<0.05).The score of positive coping in the observation group was higher than that in the control group,while the score of negative coping was lower(P<005).Conclusions The application of focused solution mode combined with improved oral irrigation in maxillofacial fracture patients has some advantages,which can improve the oral health of patients,negative emotions,and increase the confidence and initiative in coping positively.