循证护理结合个性化心理干预在口腔颌面部骨折患者围手术期中的应用

Application of evidence-based nursing combined with personalized psychological intervention in the perioperative period of patients with oral and maxillofacial fractures

目的探讨循证护理结合个性化心理干预在口腔颌面部骨折患者围手术期中的实际效果。方法回顾性分析2020年3月至2022年8月在徐州医科大学附属医院行手术治疗的81例口腔颌面部骨折患者的基线资料。依据患者的实际情况开展不同的护理干预,并按围手术期护理干预方式的不同将患者分为2组。其中,对照组40例患者接受常规围手术期护理干预,观察组41例患者接受循证护理结合个性化心理干预。比较2组患者的护理效果、治疗效果、并发症及不良情绪。结果与对照组相比,观察组的护理优良率、创口愈合率和口腔功能恢复率均更高(P均<0.05)。与对照组相比,观察组的口腔感染等并发症总发生率更低(P<0.05)。2组在术后2 d和出院时的汉密尔顿焦虑量表和汉密尔顿抑郁量表评分均较入院时降低(P均<0.05),且观察组均较同期对照组更低(P均<0.05)。结论在口腔颌面部骨折患者围手术期中开展循证护理结合个性化心理干预,患者的不良情绪和并发症发生情况均得到有效改善,且护理优良率、创口愈合率和口腔功能恢复率均得到提升。

Objective To explore the practical effect of evidence-based nursing combined with personalized psychological intervention in the perioperative period of patients with oral and maxillofacial fractures.Methods A retrospective analysis was conducted on the baseline data of 81 patients with oral and maxillofacial fractures who underwent surgical treatment in the Affiliated Hospital of Xuzhou Medical University from March 2020 to August 2022.Different nursing interventions were carried out based on the actual situation of the patients,and they were divided into two groups according to the different perioperative care.Among them,40 patients in the control group received routine perioperative care,while 41 patients in the observation group received evidence-based nursing combined with personalized psychological intervention.The nursing effec,treatment effect,complications,and adverse emotions were compared between the two groups.Results Compared with the control group,the observation group had higher rates of excellent and good nursing care,wound healing,and oral function recovery(P<0.05).Compared with the control group,the observation group had a lower incidence of complications such as oral infections(P<0.05).The Hamilton Anxiety Scale and Hamilton Depression Scale scores of both groups were lower on the 2nd postoperative day and at discharge compared with those at admission(P<0.05).The observation group had lower scores than the control group(P<0.05).Conclusion Through evidence-based nursing combined with personalized psychological intervention during the perioperative period for patients with oral and maxillofacial fractures,the adverse emotions and complications of the patients have been effectively improved,and the excellent nursing rate,wound healing rate,and oral function recovery rate have all been improved.