个性化督导式护理对老年拔牙患者生理应激、负性情绪及术后并发症的影响

Effects of personalized supervised nursing on physiological stress,negative emotion and postoperative complications in elderly patients undergoing tooth extraction

中文关键词: 老年  拔牙  个性化督导式护理  焦虑  抑郁  并发症

英文关键词: elderly  tooth extraction  personalized supervised nursing  anxiety  depression  complication

中文摘要:

      目的 观察个性化督导式护理对老年拔牙患者生理应激、焦虑、抑郁及术后并发症的影响.方法 回顾性选取2024年1月—2025年3月上海交通大学医学院附属第九人民医院口腔科行牙拔除术的80例老年患者,根据不同护理方法分为观察组(n=40)和对照组(n=40).2组患者均采用常规外科手术拔牙,观察组患者给予个性化督导式护理,对照组患者行常规护理.比较2组患者生理应激、负面情绪及术后并发症发生情况.结果 入院时和拔牙后,2组患者心率及平均动脉压差异均无统计学意义(P＞0.05);麻醉前和麻醉后5 min,2组患者心率和平均动脉压均升高,且观察组患者心率、平均动脉压均低于对照组,差异均有统计学意义(P＜0.05).干预后,观察组改良牙科焦虑量表(MDAS)评分、抑郁自评量表(SDS)评分均低于对照组[(11.26±2.04)vs(14.83±2.72)、(38.85±4.52)vs(46.69±5.10)],差异均有统计学意义(P＜0.05).2组患者并发症差异无统计学意义(P＞0.05).结论 个性化督导式护理有助于降低老年拔牙患者生理应激反应,缓解焦虑与抑郁程度,对术后并发症发生无明显影响.

英文摘要:

      Objective To explore the effects of personalized supervised nursing on physiological stress,anxiety,de-pression,and postoperative complications in elderly patients undergoing tooth extraction.Methods 80 elderly patients who underwent tooth extraction in Department of Stomatology of Shanghai Ninth People's Hospital from January 2024 to March 2025 were selected.Based on different nursing methods,they were divided into observation group(n=40)and control group(n=40).Both groups underwent conventional surgical tooth extraction.The observation group received personalized supervised nursing,while the control group received conventional nursing.The physiological stress,negative emotions and postoperative complications were compared between the two groups.Results At admission and after tooth extraction,there were no statisti-cally significant differences in heart rate and mean arterial pressure between the two groups(P＞0.05).Before anesthesia and 5 minutes after anesthesia,both groups showed increases in heart rate and mean arterial pressure,while the observation group had lower heart rate and mean arterial pressure than the control group,with statistically significant differences(P＜0.05).Af-ter the intervention,the Modified Dental Anxiety Scale(MDAS)score(11.26±2.04)and Self-Rating Depression Scale(SDS)score(38.85±4.52)in the observation group were lower than those in the control group(14.83±2.72,46.69±5.10)(P＜0.05).There was no statistically significant difference in the incidence of postoperative complications between the two groups(P＞0.05).Conclusion Personalized supervised nursing can reduce the physiological stress response of elderly patients with tooth extraction,relieve their anxiety and depression,but it has no significant effect on the incidence of postopera-tive complications.