延续性护理在牙周病患者中的应用效果(1)
[摘要] 目的 探讨延续性护理在牙周病患者中的护理效果。 方法 选择2014年11月～2016年12月沧州市人民医院门诊部收治的牙周病患者70例，采用随机数字表法将其分为对照组和观察组，每组各35例。对照组采用常规护理，观察组采用延续性护理。采用Turesky改良菌斑指数和牙龈指数对护理前后两组患者牙周情况进行比较，采用自制调查问卷对护理后两组患者的满意度进行比较。 结果 护理前两组患者菌斑指数、牙龈指数比较，差异无统计学意义(P > 0.05)。护理1个月后，两组菌斑指数、牙龈指数均低于护理前，且观察组明显低于对照组，差异均有统计学意义(均P < 0.05)。护理后观察组满意率(94.29%)明显高于对照组(82.86%)，差异有统计学意义(P < 0.05)。 结论 延续性护理应用于牙周病患者中效果较好，能减轻牙龈炎症，改善牙周情况，值得推广应用。
[关键词] 延续性护理；常规护理；牙周病；菌斑指数；牙龈指数
[中图分类号] R473.72 [文献标识码] A [文章编号] 1673-7210(2017)10(b)-0163-03
Application effect of continuity care in patients with periodontal disease
LIU Jing WANG Yunjun
Outpatient Department， Cangzhou People′s Hospital， Hebei Province， Cangzhou 061000， China
[Abstract] Objective To explore the effect of continuity care in patients with periodontal disease. Methods Seventy patients with periodontal disease admitted to Outpatient Department， Cangzhou People′s Hospital from November 2014 to December 2016 were selected and divided into control group and observation group by random number table， with 35 cases in each group. The control group was given routine nursing， while the observation group was given continuity care. The periodontal conditions in the two groups before and after nursing care were compared by Turesky modified plaque index and gingival index. The satisfaction rate of patients in the two groups was compared by self-made questionnaire. Results Before nursing， the plaque index and gingival index between the two groups showed no statistically significant difference (P > 0.05). After nursing care for 1 month， the plaque index and gingival index in both groups were all lower than those before nursing care， which of observation group was much lower than that of control group， with statistically significant differences (all P < 0.05). The nursing satisfaction rate in the observation group (94.29%) was higher than that of control group (82.86%)， with statistically significant difference (P < 0.05). Conclusion Application of continuity care in patients with periodontal disease has good effect， which can reduce the gum inflammation， improve the periodontal conditions， and it is worthy of promotion and application.
[Key words] Continuity care； Routine nursing； Periodontal disease； Plaque index； Gingival index
牙周病是指發生在牙齿支持组织的疾病，其病原体多为堆积在牙颈部、龈沟内的牙菌斑引起，多发生在老年人群中，是一种公认的慢性感染性疾病[1]。目前，临床上对于牙周病以长期控制菌斑、预防牙周病为主，该方法能有效改善患者症状，避免牙周病进一步发展[2]。但是，由于牙周病治疗时间较长，再加上患者多为老年人，使得患者对临床护理提出了更高的要求。常规护理虽然能满足临床治疗需要，但是护理方法缺乏针对性，并未考虑每一位患者实际情况，导致预后较差[3]。延续性护理是在整体护理基础上的一种护理，是住院护理的延续，能保证患者出院后康复过程中得到持续性的保健知识和康复指导，进一步巩固整个康复治疗需要。研究表明[4]，将延续性护理用于牙周病患者中效果理想，有助于减轻牙龈炎症，促进患者恢复，但是该结论有待验证。本研究探讨了延续性护理和常规护理在牙周病患者中的护理效果。现报道如下：, 百拇医药(刘婧 王云军)
[关键词] 延续性护理；常规护理；牙周病；菌斑指数；牙龈指数
[中图分类号] R473.72 [文献标识码] A [文章编号] 1673-7210(2017)10(b)-0163-03
Application effect of continuity care in patients with periodontal disease
LIU Jing WANG Yunjun
Outpatient Department， Cangzhou People′s Hospital， Hebei Province， Cangzhou 061000， China
[Abstract] Objective To explore the effect of continuity care in patients with periodontal disease. Methods Seventy patients with periodontal disease admitted to Outpatient Department， Cangzhou People′s Hospital from November 2014 to December 2016 were selected and divided into control group and observation group by random number table， with 35 cases in each group. The control group was given routine nursing， while the observation group was given continuity care. The periodontal conditions in the two groups before and after nursing care were compared by Turesky modified plaque index and gingival index. The satisfaction rate of patients in the two groups was compared by self-made questionnaire. Results Before nursing， the plaque index and gingival index between the two groups showed no statistically significant difference (P > 0.05). After nursing care for 1 month， the plaque index and gingival index in both groups were all lower than those before nursing care， which of observation group was much lower than that of control group， with statistically significant differences (all P < 0.05). The nursing satisfaction rate in the observation group (94.29%) was higher than that of control group (82.86%)， with statistically significant difference (P < 0.05). Conclusion Application of continuity care in patients with periodontal disease has good effect， which can reduce the gum inflammation， improve the periodontal conditions， and it is worthy of promotion and application.
[Key words] Continuity care； Routine nursing； Periodontal disease； Plaque index； Gingival index
牙周病是指發生在牙齿支持组织的疾病，其病原体多为堆积在牙颈部、龈沟内的牙菌斑引起，多发生在老年人群中，是一种公认的慢性感染性疾病[1]。目前，临床上对于牙周病以长期控制菌斑、预防牙周病为主，该方法能有效改善患者症状，避免牙周病进一步发展[2]。但是，由于牙周病治疗时间较长，再加上患者多为老年人，使得患者对临床护理提出了更高的要求。常规护理虽然能满足临床治疗需要，但是护理方法缺乏针对性，并未考虑每一位患者实际情况，导致预后较差[3]。延续性护理是在整体护理基础上的一种护理，是住院护理的延续，能保证患者出院后康复过程中得到持续性的保健知识和康复指导，进一步巩固整个康复治疗需要。研究表明[4]，将延续性护理用于牙周病患者中效果理想，有助于减轻牙龈炎症，促进患者恢复，但是该结论有待验证。本研究探讨了延续性护理和常规护理在牙周病患者中的护理效果。现报道如下：, 百拇医药(刘婧 王云军)