赵琳琳 梁燕桃 杨玉婵 邝燕冰 朱玲

[摘要]目的探討陪伴式护理在儿童早期矫治中的应用效果。方法选取2019年9月至2020年9月中山大学附属口腔医院收治的112例口腔正畸患儿，采用随机数字表法分为对照组（ n=56）和研究组（ n=56），对照组进行常规护理干预，研究组进行陪伴式护理干预。比较两组合作程度及牙周健康程度。结果研究组按时复诊占比98.21%、家长配合占比98.21%，分别高于对照组的73.21%、75.00%，研究组损伤矫治器占比5.36%，低于对照组的21.43%，差异有统计学意义（P <0.05）。干预前，研究组菌斑指数（PLI）、牙龈沟出血指数（SBI）及牙龈指数（GI）评分与对照组比较，差异无统计学意义（P >0.05）;干预后，两组 PLI、SBI 及 GI 评分均低于干预前，且研究组 PLI、SBI 及 GI 评分低于对照组，差异有统计学意义（P <0.05）。结论与常规护理干预相比较，早期矫治患儿应用陪伴式护理干预能够提高患儿治疗配合度，提高其牙周健康程度，值得临床推广。 [关键词]陪伴式护理;早期矫治;健康程度;合作程度;满意度

[中图分类号] R783 [文献标识码] A  [文章编号]2095-0616（2021）22-0112-03

Application effect of companion nursing in early correction in children

ZHAO  Linlin   LIANG  Yantao   YANG  Yuchan   KUANG  Yanbing   ZHU  Ling

Pediatric Dentistry Department， Hospital ofStomatology， Sun Yat-sen University， Guangdong， Guangzhou 510055， China

[Abstract] Objective To explore the application effect of companion nursing in early correction in children. Methods A total of 112 orthodontic children admitted to Hospital of Stomatology， Sun Yat-sen University from September 2019 to September 2020 were selected and randomly divided into the control group （n=56） and the study group （n=56）. The control group received conventional nursing intervention， while the study group received companion nursing intervention. Compare the degree of cooperation and periodontal health between the two groups. Results The proportion of regular follow-up visits in the study group was 98.21%， and the proportion of parents' cooperation was 98.21%， which was higher than 73.21% and 75.00% in the control group respectively. The proportion of damaged appliances in the study group was 5.36%， which was lower than 21.43% in the control group， with statistically significant difference （P <0.05）. Befor intervention， the scores of plaque index （PLI）， gingival sulcus bleeding index （SBI） and gingival index （GI） in the study group were not statistically different from those of the control group （P >0.05）. After intervention， the PLI and SBI of the two groups were lower than before the intervention， and the scores of PLI， SBI， and GI of the study group were lower than those of the control group， with statistically significant differences （P <0.05）. Conclusion Compared with conventional nursing intervention， the companion nursing intervention in early correction in children can improve the degree of cooperation and improve their periodontal health， which is worth of clinical promotion.

[Key words] Companion nursing; Early correction; Health level; Degree of cooperation; Degree of satisfaction

口腔矫治周期较长，即便患儿处于乳牙或替牙期，其治疗周期也有半年之久。目前临床主要通过佩戴矫治器进行早期矫治，虽有一定效果，但这种治疗方式不仅会给患儿带来疼痛，还会使口腔出现异物感[1]，加之儿童心理承受能力较差，尤其学龄期前儿童容易对父母产生依赖性，在牙科治疗中容易出现一定程度的恐惧心理，极易出现患儿依从性差的情况，影响治疗效果。研究发现正畸矫治效果的好坏与患儿的配合程度存在密切联系[2]。在此过程中实施护理干预对提高儿童矫治依从性具有一定积极意义，但常规护理干预患儿预后不佳、配合度低。在此背景下，陪伴式护理干预应用在儿童矫治中可取的一定效果，因此本研究旨在研究陪伴式护理在儿童早期矫治中的效果，现报道如下。……