Volume 20 Issue 8
Aug.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(8): 1434-1437
XU Shao-jun, XU Xu, YAN Qin, FAN Li-qin. Observe on the clinical effect of evidence-based nursing model for postoperative nursing of patients with mandibular fracture[J]. Chinese Journal of General Practice, 2022, 20(8): 1434-1437. doi: 10.16766/j.cnki.issn.1674-4152.002616
Citation: XU Shao-jun, XU Xu, YAN Qin, FAN Li-qin. Observe on the clinical effect of evidence-based nursing model for postoperative nursing of patients with mandibular fracture[J]. Chinese Journal of General Practice, 2022, 20(8): 1434-1437. doi: 10.16766/j.cnki.issn.1674-4152.002616
shu

Observe on the clinical effect of evidence-based nursing model for postoperative nursing of patients with mandibular fracture

doi: 10.16766/j.cnki.issn.1674-4152.002616
  • 1.

    Department of Somatology, Quzhou Hospital Affiliated to Wenzhou Medical University, Quzhou, Zhejiang 324000, China

Funds:

 2018KY878

  • Received Date: 2021-11-29
    Available Online: 2022-09-26
    Abstract
  •   Objective  To observe the clinical effect of evidence-based nursing mode on improving the postoperative rehabilitation level of patients with mandibular fracture.  Methods  Total 120 patients with mandibular fractures treated in Quzhou Hospital Affiliated to Wenzhou Medical University and the Second Affiliated Hospital of Zhejiang University School of Medicine from January 2018 to June 2021 were collected as the research objects. The 120 patients with mandibular fracture were divided into control group (n=60) and study group (n=60) according to the admission time. Patients in two groups were treated with small titanium plate jaw internal fixation. The control group were given routine nursing intervention while the study group were given cluster nursing intervention. The operation time, intraoperative blood loss, hospitalization time and fracture healing time were recorded. The masticatory ability, bite force, quality of life, mental health, oral health status and postoperative complications were evaluated at 3 and 6 months after surgery.  Results  The duration of hospital stay and healing time of fracture in study group were significantly lower than those in control group [(11.59±1.27) d vs. (16.94±1.45) d, (41.28±4.09) d vs. (49.62±4.31) d, t=21.543, 10.579, all P < 0.001]. Compared with control group, the masticatory function, bite force and SF-36 score of patients were significantly increased in study group at 3 months after operation (all P < 0.001), while there was no statistical significance at 6 months after surgery (all P > 0.05). The scores of HAMA, HAMD, PI, DI, GI and SBI were significantly decreased at 6 months after surgery in study group (all P < 0.001). The overall incidence of postoperative complications in study group (5.00%, 3/60) was significantly lower than that in control group (18.33%, 11/60, χ2=5.175, P=0.023).  Conclusion  Evidence-based nursing model can effectively shorten the postoperative rehabilitation period of patients with mandibular fracture and improve the early postoperative mandibular motor function and quality of life, which contributes to reduce the psychological burden of patients, improve oral health and reduce the risk of postoperative complications.

     

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