基于HEART沟通模式的“态度-定义-开放思维-计划-实施”护理方案在数字化导板种植中的应用

Application of“attitude-definition-open thinking-planning-implementation”nursing program based on HEART communication mode in digital guide plate implantation

目的探讨分析数字化导板种植患者实施基于HEART沟通模式的“态度-定义-开放思维-计划-实施”护理方案的应用效果。方法选取2021年1月至2023年1月广东省中山市口腔医院种植修复中心收治的108例数字化导板种植患者作为研究对象,按照随机数字表法分为护理A组(54例)与护理B组(54例)。护理A组采用常规临床护理方法,护理B组则在A组护理方案上采用基于HEART沟通模式的“态度-定义-开放思维-计划实施”护理方法。比较两组患者的护理满意度、焦虑评分、疼痛程度、种植体边缘骨吸收状态、临床指标改善情况、自我效能、疾病知晓率与治疗依从性。结果护理B组患者干预后的总满意度高于护理A组,差异有统计学意义(P<0.05);护理B组患者干预后的焦虑评分低于护理A组,差异有统计学意义(P<0.05);护理B组患者干预后的疼痛程度指标低于护理A组,差异有统计学意义(P<0.05);护理B组患者在术后1、3、5个月的种植体边缘骨吸收状态低于护理A组,差异有统计学意义(P<0.05);护理B组患者干预后的并发症总发生率低于护理A组,差异有统计学意义(P<0.05)。结论数字化导板种植患者实施基于HEART沟通模式的护理干预的效果显著,不仅可提高患者的满意度,还可减轻其焦虑与疼痛程度,有利于改善骨吸收状态,并发症少,值得推广。

Objective To explore and analyze the application effect of“attitude-definition-open thinking-planning-imple-mentation”nursing program based on HEART communication mode in patients with digital guide plate implantation.Meth-ods A total of 108 patients with digital guide plate implantation admitted to the Center of Implant and Repair,Hospital of Stomatology,Zhongshan City from January 2021 to January 2023 were selected as the research objects.According to the random number table method,they were divided into nursing group A(54 cases)and nursing group B(54 cases).Nursing group A was treated with routine clinical nursing methods,while nursing group Bwas treated with“ttitude-definition-open thinking-planning-implementation”nursing method based on HEART communication mode.The nursing satisfaction,anx-iety score,pain degree,implant marginal bone resorption status,clinical index improvement,self-efficacy,disease awareness rate and treatment compliance were compared between the two groups.Results The total satisfaction of nursing group B after intervention was higher than that of nursing group A,and the difference was statistically significant(P<0.05).The anxiety score of nursing group B after intervention was lower than that of nursing group A,and the difference was statistically significant(P<0.05).The pain degree index of nursing group B after intervention was lower than that of nursing group A,and the difference was statistically significant(P<0.05).The marginal bone resorption of implant in nursing group B were lower than those in nursing group A at 1,3 and 5 months after operation,and the differences were statistically significant(P<0.05).The total incidence of complications after intervention in nursing group B was lower than that in nurs-ing group A,and the difference was statistically significant(P<0.05).Conclusion The effect of"attitude-definition-open thinking-planning-implementation"nursing intervention based on HEART communication mode in patients with digital guide plate implantation is significant.It can not only improve the satisfaction of patients,but also reduce their anxiety and pain,which is conducive to improving bone resorption and has fewer complications.It is worth promoting.