韩佳南 张丽丽 刘鑫 岳海莉

[摘要]目的：探究循证护理对口腔正畸患儿治疗依从性、口腔健康及生活质量的影响。方法：选取笔者医院2015年1月-2017年12月接收的80例口腔正畸患儿为研究对象，随机分为观察组和对照组，每组各40例。对照组采用常规治疗，观察组在对照组基础上进行循证护理。对比两组患儿治疗依从性、口腔健康和生活质量。结果：观察组依从率明显高于对照组，差异有统计学意义（95.0% vs 75.0%，P<0.05）。护理后两组患儿口腔健康均明显升高，且观察组评分高于对照组，差异有统计学意义（P<0.05）。干预后观察组主观幸福感、生活满意度和自我价值感均优于对照组，差异有统计学意义（P<0.05）。结论：对口腔正畸患儿进行循证护理干预可以提高治疗依从性、改善口腔健康、提高生活质量，保证正畸疗效。

[关键词]循证护理干预;口腔正畸;依从性;口腔健康;生活质量;预后

[中图分类号]R783.5    [文献标志码]B    [文章编号]1008-6455（2019）02-0147-03

Abstract： Objective  To explore the impact of evidence-based nursing on the treatment compliance， oral health and life quality of orthodontic children. Methods   80 cases of orthodontic children received in our hospital from January 2015 to December 2017 were randomly divided into observation group and control group， with 40 cases in each group. The control group received routine treatment， and the observation group received evidence-based nursing on the basis of routine treatment. Treatment compliance， oral health and quality of life were compared between the two groups. Results  the compliance rate of the observation group was significantly higher than that of the control group （95.0% vs 75.0%，P<0.05）. Oral health of the two groups was significantly increased after nursing， and the score of the observation group was higher than that of the control group（P<0.05）. After intervention，subjective well-being， life satisfaction and self-worth of the observation group were all superior to the control group （P<0.05）. Conclusion  evidence-based nursing intervention for oral orthodontic children can improve treatment compliance， improve oral health and quality of life， so as to guarantee the curative effect of orthodontic.

Key words： evidence-based nursing intervention; orthodontics; compliance; oral health; the quality of life; prognosis

由于儿童口腔正畸治疗过程普遍相对较长，整体治疗依从性偏低[1]，与此同时，患儿还需要长期佩戴矫治器配合治疗，因此容易导致口腔溃疡、牙根炎及牙周炎等疾病的发生，从而严重影响正畸治疗效果[2]。临床上，很多医生仅仅关注正畸疗效而忽略了患者心理感受。然而，由于对手术的恐惧、担心治疗失败，患儿常合并抑郁和焦虑等不良情绪。负性情绪严重影响了患者治疗依从性、降低了生活质量[3-4]。相关研究表明[5-6]，给予科学、有力的护理手段不仅能显著提升患儿治疗依从性，而且能够使口腔健康状态得到明显改善。因此笔儿医院采用循证护理对口腔正畸患儿进行干预，取得了较好的疗效，现报道如下。

1  资料和方法

1.1 一般资料：选取2015年1月-2017年12月于笔者医院接受正畸治疗的80例患儿为研究对象，按照临床护理方法不同，采用随机抽取方法将所有患儿平均分为对照组和观察组，每组40例。……