阮理翠　郭丽琴

[摘要] 目的 探究舒适护理对口腔种植患者焦虑抑郁情绪的影响。 方法 研究对象为随机选取2014年1月—2015年1月之间该院收治的100例口腔种植患者，采用数字表法将以上患者随机分为观察组和对照组各50例，对照组患者实施传统口腔种植护理，观察组患者则采用舒适护理，分别采用视觉模拟评分法（VAS）、汉密尔顿焦虑量表（HAMA）和汉密尔顿抑郁量表（HAMD）对两组患者的疼痛及抑郁焦虑情况进行评价对比。结果 术后疼痛评估对比显示，观察组VAS评分为（3.4±0.6）分，显著低于对照组的（6.1±1.7）分（P<0.05）；入院时两组患者的HAMA和HAMD评分对比差异无统计学意义（P>0.05），术前30 min和术后观察组的HAMA和HAMD评分均显著低于对照组（P<0.05）。 结论 舒适护理模式用于口腔种植患者能够有效的减轻患者术前的心理压力，控制抑郁焦虑情绪，改善患者的手术体验，值得在临床上推广和应用。

[关键词] 口腔种植；舒适护理；抑郁焦虑情绪

[中图分类号] R473 [文献标识码] A [文章编号] 1674-0742（2016）02（b）-0151-03

[Abstract] Objective To explore the effect of comfort nursing on the anxiety and depression in patients with oral implant. Methods 100 cases underwent oral implant in our hospital from January 2014 to January 2015 were selected and randomly divided into the observation group and the control group with 50 cases in each in accordance with the digital table method with 50 cases in each. Patients in the control group were treated by the traditional nursing for oral implant， while those in the observation group were given comfort nursing. Visual analog scale （VAS）， Hamilton Anxiety Rating Scale （HAMA） and Hamilton Depression Rating Scale（HAMD） was respectively used to evaluate the pain， depression and anxiety in the patients. And the degree of pain， depression and anxiety of the two groups were compared. Results The result of evaluation of the postoperative pain showed that the VAS scores of the observation group were much lower in the observation group than in the control group [（3.4±0.6） points vs （6.1±1.7） points] （P<0.05）. The difference in the HAMA and HAMD scores on admission between the two groups was not statistically significant （P>0.05）. The HAMA and HAMD scores in the observation group were much lower than those in the control group 30 min before surgery and after surgery （P<0.05）. Conclusion Comfortable nursing for oral implant patients can effectively reduce the psychological pressure before surgery， control the depression and anxiety， and improve the patients surgical experience， so it is worth promoting and application in clinical practice.

[Key words] Oral implant； Comfort nursing； Depression and anxiety

口腔种植是牙列缺损后的首选治疗方案，随着现代口腔医学的进步，已经攻克了最初难以修复的严重骨吸收无牙颌和游离端牙列缺失等情况，可进行所有类型缺失的修复，从而改善患者的生活质量[1]。但由于多种因素的影响，口腔种植患者在围手术期往往存在明显的焦虑抑郁情绪。有文献[2]统计显示，口腔手术患者在术前30～90 min焦虑抑郁情绪达到最高峰，甚至会伴随出现严重的生命体征波动，在术后负性情绪逐渐改善，但在无针对性干预的情况下，术后1周才能逐渐恢复正常。因此，如何减轻口腔种植患者的焦虑抑郁情绪，改善患者的治疗体验是目前护理工作中的重点问题。舒适护理是重视患者身心感受的一种护理模式，目前在临床各……