参与型口腔健康教育对口腔卫生知信行的影响

目的评价参与型口腔健康教育对牙周健康状况及相关知识、行为改善的影响。方法将北京市两个城区中8个社区或单位的300名15～64岁的志愿参加者分为实验组（参与组）和对照组（常规教育组）。参加者在基线、6个月和12个月时，接受牙周健康状况的检查和问卷调查。基线检查后，对所有参加者进行龈上洁治术。随后对实验组在专题小组访谈的基础上，进行小组讨论形式的参与型口腔健康教育，在6个月当中，提供在家使用的保健牙刷、牙间隙刷、牙膏和菌斑染色片。同时，提供专为口腔健康教育设计的阅读材料。对照组发给同样内容的健康教育阅读材料。最后比较两组间在牙周健康状况、口腔卫生知识和行为方面的改善情况。结果12个月后实验组牙石指数的均值明显低于对照组（P〈0．05），并有显著性差异。在口腔卫生知识和行为方面，实验组也在刷牙方法、选择保健牙刷、更换牙刷频率和使用牙间隙刷上比对照组提高了8．7％～31．3％。结论参与型口腔健康教育方法能明显改善牙周健康状况，能提高参与者的口腔卫生知识和行为。

临床护理路径在妇科腔镜手术中的应用

目的评价临床护理路径模式在妇科腹腔镜手术中的临床价值及应用效果。方法回顾性分析本院一年多来妇科腹腔镜手术患者100例,按照入院时间前后顺序将患者分为观察组和对照组,每组为50例,观察组用护理路径模式进行护理,对照组采用常规的护理模式.结果比较两组患者对护理工作的满意度,健康教育效果、住院天数及费用。观察组各项指标均高于对照组,差异有统计学意义(P<0.05)。结论临床护理路径模式在妇科腹腔镜手术中有重要作用,能够提高患者的满意度及护理质量。

Improving the Transitional Care for Child Dental Nursing via the Use of Documentary Films

The purpose of this paper is utilizing quasi-experimental study to evaluate the educational value of a documentary film for transitional care about children dental health management The method used in this study is a pre-post survey among nurse viewers. The study was completed over a 12-month period. In the experimental group, when the nurses watched the documentary film, they evaluated the documentary film highly and reported an intention to change their transitional care practice and mind as a result of watching the documentary film. Following viewing, children and their parents felt more strongly that ＂children with dental problems should meet with a nurse early＂ and that ＂transitional care greatly impacts children oral health＂. As a result, a documentary film about oral transitional care is an effective educational tool to improve nurses＇ transitional care awareness among children about the importance and needs of children. The results suggest that if significant modifications are obtained, this approach can be an efficient way applicable to other contexts of patient care.