倪小霞?周玉竹?林悦?刘文娟?曾敏?倪丹霞

[摘要] 目的 觀察个性化护理应用于牙体牙髓疾病老年患者临床护理工作中的效果。 方法 本院于2016年1～6月间开展本次观察研究，选取将这一时间段内护理的82例老年牙体牙髓患者随机均分为对照组与护理组，对照组采取常规护理，护理组给予个性化护理，比较两组患者对治疗的配合率、心理状态、镇痛时间及对护理的满意度，治疗后3个月回访评估患者生活质量。 结果 护理组患者MDAS评分及镇痛时间均显著优于对照组（P<0.01）；护理组患者治疗配合率为95.12%，对照组患者治疗配合率为75.61%，护理组患者配合率明显高于对照组（P<0.05）。护理组非常满意率为70.73%，总满意率为92.68%；对照组非常满意率为34.15%，总满意率为70.73%；护理组护理满意度显著优于对照组（P<0.01）。护理组生活质量各量表评估结果均显著优于对照组（P<0.01）。 结论 个性化护理应用于牙体牙髓疾病老年患者的临床护理中，能够有效缓解患者心理压力，提高患者治疗中的配合度，促进患者治疗后恢复改善预后生活质量，因此可于老年牙体牙髓患者的临床护理中普及推广。

[关键词] 牙体牙髓疾病；老年患者；个性化护理

[中图分类号] R473.78 [文献标识码] A [文章编号] 2095-0616（2017）09-120-04

Clinical effect observation of personalized care in elderly patients with dental pulp diseases

NI Xiaoxia ZHOU Yuzhu LIN Yue LIU Wenjuan ZENG Min Ni Danxia

Oral subsidiary Affiliated to Sun Yat-sen University Hospital，Guangzhou 510055，China

[Abstract] Objective To observe the effect of personalized care in the clinical nursing of elderly patients with dental pulp diseases. Methods 82 cases of elderly patients with dental pulp in the day care in our hospital from January 2016k to June 2016 were selected randomly and divided into control group and nursing group.Patients in control group were treated with routine nursing care，and patients in nursing group were treated with personalized care.The treatment acceptance，psychological state，the analgesia time and the nursing satisfaction of the two groups were compared，and the quality of life of patients 3 months after treatment between two groups were assessed. Results The MDAS score and duration of analgesia in the nursing group were significantly better than those of control group （P<0.01）.The patients treatment acceptance rate in the control group was 75.61%，while the rate in the nursing group was 95.12%，which was significantly higher than the control group（P<0.05）.The satisfaction rate of the nursing group was 70.73%，and the total satisfaction rate was 92.68%.The satisfaction rate of the control group was about 34.15%，and the total satisfaction rate was 70.73%.The nursing satisfaction of the nursing group was significantly better than that of the control group （P<0.01）.The quality of life scale of the nursing group was significantly better than that of the control group（P<0.01）. Conclusion The clinical nursing of personalized care for dental disease in elderly patients can effectively alleviate the psychological pressure of patients can improve the coordination degree in the treatment of patients，promote patient recovery after treatment to improve the prognosis and life quality，and promote the application of clinical nursing in elderly patients with the dental pulp.

[Key words] Dental pulp diseases；Elderly patients；Personalized care

牙体牙髓疾病是口腔科临床上一类以难以耐受的剧烈疼痛为主要临床表现的疾病，其中最为常见的临床牙病为牙髓炎[1-3]。疾病发作时的剧烈疼痛可对患者的工作、生活造成极大影响，并且对患者的心理状态造成负面干扰。随着医疗护理水平

的不断提高以及理念的不断革新，对于牙体牙髓疾病患者的护理工作应以患者为本，全面提高护理服务质量。因此在牙体牙髓疾病的护理工作中要求护理人员充分考虑到患者的个性化差异，有针对性的进行护理。尤其是老年患者多合并有心脏病、高血压、糖尿病等基础性疾病[4-6]。在临床护理中应给予重点关注，以提高临床疗效，缩短恢复期并改善患者预后。本院总结以往护理经验针对老年患者制定出一套行之有效的个性化护理方案，经实验性应用后取得理想效果，现报道如下。……