舒适护理在龋病光固化树脂治疗中的应用及评价

doi:10.19439/j.sjos.2022.01.022

上海口腔医学 ›› 2022, Vol. 31 ›› Issue (1): 104-108.doi: 10.19439/j.sjos.2022.01.022

舒适护理在龋病光固化树脂治疗中的应用及评价

张敏君, 陆月岑

上海交通大学医学院附属第九人民医院牙体牙髓病科,上海交通大学口腔医学院,国家口腔医学中心,国家口腔疾病临床医学研究中心,上海市口腔医学重点实验室,上海 200011

收稿日期:2020-04-27 修回日期:2020-06-11 出版日期:2022-02-25 发布日期:2022-03-10
通讯作者: 陆月岑,E-mail：jylyc2005@126.com
作者简介:张敏君（1987-）,女,本科,护师,E-mail：tutuzmj@163.com

Application and evaluation of comfort nursing in caries treatment using light-cured resin

ZHANG Min-jun, LU Yue-Cen

Department of Endodontics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Center for Stomatology; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology. Shanghai 200011, China

Received:2020-04-27 Revised:2020-06-11 Online:2022-02-25 Published:2022-03-10

摘要/Abstract

摘要： 目的: 对舒适护理在光敏固化树脂充填治疗龋病中的应用进行患者满意度调查和评价。方法: 选择2017年1月—2017年12月在上海交通大学医学院附属第九人民医院牙体牙髓病专科进行龋病治疗的128例患者作为研究对象,随机分为实验组和对照组,每组各64例。对照组在龋病的光固化树脂治疗中采取常规四手操作护理;实验组在此基础上,采用对治疗全程进行改良的舒适护理。治疗结束后,发放患者满意度调查表,量表分为护理关怀和护理操作两部分,共10项评分内容。采用SPSS 19.0软件包对数据进行统计学分析。结果: 在就诊环境上,实验组和对照组评分无统计学差异（P>0.05）,而在护理关怀的其余内容即仪表仪容、服务态度、解释工作和健康宣传方面,实验组满意度评分均显著高于对照组(P<0.05)。关于护理操作的及时主动性、体位、眼部护理、有效性及操作技能的5项评分中,实验组评分均显著高于对照组（P<0.05）。统计2组人数的总体满意度显示,实验组为94%,显著高于对照组的75%（P<0.01）。结论: 舒适护理不仅有助于提升龋病光固化树脂治疗操作的专业性,而且可改善患者的就诊体验,促进医患和谐。

关键词: 舒适护理, 龋病, 光固化树脂, 四手操作, 满意度评价

Abstract: PURPOSE: This study was carried out to evaluate the value of comfort nursing in light curing resin-treated dental caries by means of patient satisfaction survey. METHODS: One hundred and twenty-eight cariogenic patients, who were treated from January 2017 to December 2017 in Shanghai Ninth People's Hospital, were enrolled and randomly assigned as experimental group and control group, respectively(n=64). Cariogenic lesions were treated with light-cured resin, patients in the control group received conventional four-handed operation nursing, while patients in the experimental group received modified comfortable nursing throughout the entire treatment course. The self-designed satisfaction questionnaires were issued, and the patients were required to fill them out after the treatment and nursing were definitely completed. The designed questionnaire was divided into two major parts, including nursing care and nursing operation, which was further subdivided into 10 detailed scoring items. The satisfaction survey of nursing was analyzed between two groups statistically to evaluate the effort of comfort nursing using SPSS 19.0 software package. RESULTS: No significant differences in the treatment environment was observed between the two groups(P>0.05), while upgraded satisfaction were observed in patients from the experimental group compared to those from the control group on the aspects of nursing care, namely, appearance, service attitude, explanation and health knowledge promotion(P<0.05). Among the five scoring standards of nursing operation, which was consist of timely initiative nursing, position nursing, eye nursing, effective nursing and nursing procedures, the satisfaction scores from the experimental group were significantly higher than those from the control group(P<0.05). The total collected data demonstrated that the overall satisfaction of the experimental group was significantly improved compared to that of the control group (94% vs 75%, P<0.01). CONCLUSIONS: Comfort nursing not only strengthens the professionalism of oral operation, but also improves the patient's experience, facilitating to promote the harmony between doctors and patients.

Key words: Comfort nursing, Caries, Light-cured resin, Four hand operation, Satisfaction evaluation

中图分类号:

R781.1

张敏君, 陆月岑. 舒适护理在龋病光固化树脂治疗中的应用及评价[J]. 上海口腔医学, 2022, 31(1): 104-108.

ZHANG Min-jun, LU Yue-Cen. Application and evaluation of comfort nursing in caries treatment using light-cured resin[J]. Shanghai Journal of Stomatology, 2022, 31(1): 104-108.

参考文献

[1] 王兴. 第四次全国口腔健康流行病学调查报告[M].北京:人民卫生出版社,2018:1-2.
[2] 中华口腔医学会牙体牙髓病学专业委员会.复合树脂直接粘接修复中光固化灯使用及操作规范的专家共识[J].中华口腔医学研究杂志(电子版),2019,13(1): 1-6.
[3] 李秀娥,胡菁颖.口腔四手操作技术概述[J].中国口腔医学继续教育杂志, 2017, 20(5): 282-285.
[4] Kolcaba KY.The art of comfort care[J]. Image J Nurs Sch,1995, 27(4): 287-289.
[5] Opdam NJ, Bronkhorst EM, Roeters JM.A retrospective study on longevity of posterior composite and amalgam restorations[J]. Dent Mater, 2007, 23(1): 2-8.
[6] Nugala B, Kumar BS, Sahitya S, et al.Biologic width and its importance in periodontal and restorative dentistry[J]. J Conserv Dent, 2012, 15(1): 12-17.
[7] 麻健丰, 潘乙怀. 口腔护理四手操作参考细则[M].北京: 科学出版社, 2013.
[8] de A Souza MB, Briso AL, de Oliveira-Reis B, et al. Influence of light-curing units on surface microhardness and color change of composite resins after challenge[J]. J Contemp Dent Pract, 2019, 20(2): 204-210.
[9] Santini A, Gallegos IT, Felix CM.Photoinitiators in dentistry: a review[J]. Prim Dent J, 2013, 2(4): 30-33.
[10] 余苗苗. 舒适护理在口腔门诊患者中的应用[J]. 中国医药指南, 2018, 16(18): 253-254.
[11] Friedman MI, Attivissimo LA, Kiszko KB, et al.The development and piloting of a goals of care conversation education program for an advanced illness population[J]. Gerontol Geriatr Educ, 2020, 41(1): 52-62.
[12] Stacy A, Magdic K, Rosenzweig M, et al.Improving knowledge, comfort, and confidence of nurses providing end-of-life care in the hospital setting through use of the CARES tools[J]. J Hosp Palliat Nurs, 2019, 21(3): 200-206.
[13] Walsh LJ.Minimal intervention management of the older patient[J]. Br Dent J, 2017, 223(3): 151-161.
[14] Ismail AI, Pitts NB, Tellez M, et al.The International Caries Classification and Management System (ICCMS): an example of a caries management pathway[J]. BMC Oral Health, 2015, 15(Suppl 1): S9-S16.

[1]	苗芬, 马浩然, 刘子晗. 乳牙列色素沉着相关因素及患龋情况探讨[J]. 上海口腔医学, 2022, 31(3): 282-285.
[2]	王诗维, 杨建军, 张松梓. 不同牙龋病状况患者龈上菌斑及龋损组织微生物多样性分析[J]. 上海口腔医学, 2022, 31(2): 201-204.
[3]	刁晓洁, 张银凤, 李梓薇. 1 022名哈萨克族初中生错畸形流行病学调查分析[J]. 上海口腔医学, 2021, 30(3): 297-301.
[4]	吴日玥, 曹桂芝, Vivien FENG, 冯希平, 陈曦, 韩晓兰. 上海市浦东新区低龄儿童龋危险因素分析[J]. 上海口腔医学, 2020, 29(4): 405-409.
[5]	毕潮, 卓文剑, 孟敏, 李艳萍, 陆海霞, 韩晓兰. 沪昆两地母亲与婴幼儿龋病风险关系的对比研究[J]. 上海口腔医学, 2020, 29(1): 69-74.
[6]	张爱华, 李婧. 氟化钠护齿剂与窝沟封闭剂用于防治学龄前儿童龋齿的效果评价[J]. 上海口腔医学, 2019, 28(5): 553-556.
[7]	赵金, 赖光云, 汪俊. DGA下龋病治疗对儿童口腔健康及生长发育的近期影响[J]. 上海口腔医学, 2019, 28(4): 391-396.
[8]	杨晶, 李亚祯, 刘颖, 张强, 袁晓. 青岛市崂山区8~9岁儿童错畸形调查分析[J]. 上海口腔医学, 2019, 28(3): 284-287.
[9]	苏红如, 杨忍忍, 钱文昊, 余金明. 氟化钠护齿剂在预防学龄前儿童乳牙龋齿中的疗效观察[J]. 上海口腔医学, 2019, 28(1): 48-42.
[10]	徐燕，邬庆菊，罗莉萍，金时清. 氟化物涂膜与窝沟封闭术或预防性树脂充填联合使用预防第一恒磨牙龋的临床效果评价[J]. 上海口腔医学, 2018, 27(3): 298-301.
[11]	徐晓明, 施宏燕, 李丛华, 聂利, 冯琳, 秦艳. 上海市闵行区6~12岁外来常住儿童患龋状况调查[J]. 上海口腔医学, 2017, 26(6): 650-653.
[12]	董华, 张书宇, 李月玲. 免费龋齿充填干预对上海嘉定区学龄前儿童乳牙龋病的影响[J]. 上海口腔医学, 2017, 26(3): 293-296.
[13]	钟先梅, 贾春梅, 段义峰, 燕小勤, 乔肖. 泰州市7~9岁儿童第一恒磨牙龋病流行病学调查分析[J]. 上海口腔医学, 2017, 26(3): 328-330.
[14]	袁爽, 施乐, 吕进. 上海市静安区3岁儿童龋齿患病情况调查分析[J]. 上海口腔医学, 2017, 26(1): 118-120.
[15]	张书宇,董华,俞明. 上海嘉定区不同干预模式对12岁儿童恒牙龋病发生和充填情况的影响[J]. 上海口腔医学, 2015, 24(3): 341-344.

舒适护理在龋病光固化树脂治疗中的应用及评价

Application and evaluation of comfort nursing in caries treatment using light-cured resin

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

本文评价