高龄老年患者上颌窦内提升同期种植体植入手术的护理

朱丽; 于德栋; 徐云侠

doi:10.16766/j.cnki.issn.1674-4152.001981

高龄老年患者上颌窦内提升同期种植体植入手术的护理

doi: 10.16766/j.cnki.issn.1674-4152.001981

上海交通大学医学院附属第九人民医院口腔第二门诊，上海 201900

基金项目:

国家自然科学基金 51605289

详细信息

通讯作者:
徐云侠，E-mail: xuyunxia2161@163.com

中图分类号: R783 R473.78
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- 文章访问数: 284
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- PDF下载量: 2
- 被引次数: 0
出版历程
- 收稿日期: 2020-08-21
- 网络出版日期: 2022-02-16

Nursing care of elderly patients with maxillary sinus lifting and simultaneous implant implantation

Department of Second Dental Clinic, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 201900, China

摘要

摘要: 目的探讨针对性护理对高龄老年患者上颌窦内提升同期种植体植入术的护理效果。方法选择2015年2月—2018年5月在上海交通大学医学院附属第九人民医院口腔第二门诊行上颌后牙缺失种植修复治疗的高龄老年患者42例，将患者随机分为观察组和对照组2组，每组各21例。对照组行常规护理，观察组在此基础上加以针对性护理。比较2组患者干预前后的负性情绪、义齿修复满意度和自我效能的差异。结果与干预前相比，干预后对照组和观察组的焦虑自评量表(SAS，35.38±5.84 vs. 30.67±5.55)与抑郁自评量表(SDS，32.52±5.01 vs. 29.24±5.10)得分均明显下降(均P < 0.01)，但观察组下降幅度更大(P < 0.05)。同样，干预后2组患者功能修复(4.46±0.25 vs. 4.66±0.29)、美观改善(4.27±0.77 vs. 4.61±0.29)及舒适度(4.29±0.60 vs. 4.72±0.31)均明显提高，且观察组提高幅度更大(均P < 0.05)。干预后对照组和观察组患者自我效能得分也明显高于干预前(30.19±5.14和35.02±5.59)，且观察组升高幅度更为明显(P < 0.05)。结论针对性护理可明显缓解高龄老年上颌窦内提升同期种植体植入术患者负性情绪，改善其满意度，提高患者自我效能。
- 高龄老年患者 /
- 上颌窦内提升 /
- 种植体植入 /
- 护理
Abstract: Objective To explore the nursing effect of targeted nursing on elderly patients with maxillary sinus simultaneous implantation. Methods A total of 42 elderly patients with maxillary posterior tooth loss treated with implant prosthesis admitted to the Second Outpatient Department of the Ninth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine from February 2015 to May 2018 were included in the present study. The patients were randomly divided into observation and control groups of 21 patients each. The control group received routine nursing, whereas the observation group received targeted nursing. Differences in negative emotion, satisfaction and self-efficacy before and after the intervention were compared in both groups. Results SAS and SDS scores significantly decreased (35.38±5.84 vs. 30.67±5.55 and 32.52±5.01 vs. 29.24±5.10, respectively) in the control and observation groups after intervention (both P < 0.01), but the decrease was more significant in the observation group (P < 0.05). Similarly, functional restoration, aesthetic improvement and comfort (4.46±0.25 vs. 4.66±0.29, 4.27±0.77 vs. 4.61±0.29 and 4.29±0.60 vs. 4.72±0.31, respectively) significantly improved in both groups, and the observation group showed a higher degree of improvement (all P < 0.05). After intervention, the self-efficacy scores of both groups significantly increased (30.19±5.14 and 35.02±5.59), and the increase in the observation group was more obvious (P < 0.05). Conclusion Targeting nursing can significantly alleviate negative emotions of elderly patients with concurrent maxillary sinus implantation and improve their satisfaction and self-efficacy.
- Elderly patient /
- Maxillary sinus elevation /
- Implant implantation /
- Surgical care

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表 1 2组高龄老年患者一般资料比较(x ±s)

组别	例数	性别(男/女，例)	年龄(岁)	牙槽嵴(mm)
观察组	21	15/6	75.38±4.59	3.51±0.81
对照组	21	13/8	75.19±3.76	3.43±0.77
统计量		0.429^a	0.147^b	0.333^b
P值		0.513	0.884	0.741
注：^a为χ²值，^b为t值。

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表 2 2组高龄老年患者负性情绪比较(x ±s，分)

组别	例数	SAS		SDS
组别	例数	干预前	干预后	干预前	干预后
对照组	21	38.52±7.38	35.38±5.84^a	35.86±5.57	32.52±5.01^a
观察组	21	38.24±7.26	30.67±5.55^a	35.95±5.63	29.24±5.10^a
t值		-0.126	-2.860	0.055	-2.107
P值		0.900	0.011	0.956	0.041
注：与同组干预前比较，^aP < 0.01。

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表 3 2组高龄老年患者义齿修复满意度比较(x ±s，分)

组别	例数	功能修复		美观改善		舒适度
组别	例数	干预前	干预后	干预前	干预后	干预前	干预后
对照组	21	4.09±0.11	4.46±0.25^a	3.75±0.47	4.27±0.77^a	3.72±0.19	4.29±0.60^a
观察组	21	4.10±0.18	4.66±0.29^a	3.68±0.51	4.61±0.29^a	3.78±0.29	4.72±0.31^a
t值		-0.422	-2.407	0.470	-2.050	-0.754	-2.948
P值		0.675	0.021	0.641	0.047	0.455	0.005
注：与同组干预前比较，^aP < 0.01。

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表 4 2组高龄老年患者自我效能比较(x ±s，分)

组别	例数	干预前	干预后	t值	P值
对照组	21	24.85±3.85	30.19±5.14	-3.810	< 0.001
观察组	21	25.17±4.03	35.02±5.59	-6.550	< 0.001
t值		-0.263	-2.915
P值		0.794	0.006

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