Sun Linfeng, Yang Fan, Zhang Lan
Department of Head and Neck Surgery, Cancer Hospital of China Medical University, Liaoning Cancer Hospital & Institute Shenyang, Liaoning Province, China.
Department of Pediatric, Shengjing Hospital of China Medical University Shenyang, Liaoning Province, China.
Am J Transl Res. 2021 Aug 15;13(8):9722-9728. eCollection 2021.
To investigate the effect of high-quality nursing on negative emotions and hope levels after oral and maxillofacial surgery (OMS).
A prospective study involving 120 patients who underwent OMS from December 2018 to January 2020 was conducted. The study subjects were classified into a study group and control group with 60 in each, using a random number table. Routine nursing was applied in the control group, while the study group was given high-quality nursing. Psychological status, hope levels, quality of life (QOL), complications and satisfaction rate were compared between patients in the two groups before and after intervention.
After intervention, the scores of HAMA (Hamilton Anxiety Rating Scale) and HAMD (Hamilton Depression Rating Scale) of the two groups were both significantly reduced, and the decrease was significantly greater in the study group (all P<0.05). After intervention, the scores of Herth Hope Index (HHI) and Generic quality of life Inventory-74 (GQOLI-74) in the two groups were both elevated, and the increase was significantly greater in the study group (all P<0.01). As compared with the control group, the total incidence of complications in study group was significantly lower (P=0.04), while the satisfaction rate with nursing was higher (P=0.032).
High-quality nursing, with low incidence of complications and high overall satisfaction rate, can significantly relieve adverse emotions and promote QOL after OMS.
探讨优质护理对口腔颌面外科手术（OMS）后负面情绪及希望水平的影响。
进行一项前瞻性研究，纳入2018年12月至2020年1月接受OMS的120例患者。采用随机数字表法将研究对象分为研究组和对照组，每组60例。对照组采用常规护理，研究组给予优质护理。比较两组患者干预前后的心理状态、希望水平、生活质量（QOL）、并发症及满意率。
干预后，两组汉密尔顿焦虑量表（HAMA）和汉密尔顿抑郁量表（HAMD）评分均显著降低，且研究组降低更显著（均P<0.05）。干预后，两组赫思希望指数（HHI）和生活质量综合评定问卷-74（GQOLI-74）评分均升高，且研究组升高更显著（均P<0.01）。与对照组相比，研究组并发症总发生率显著更低（P=0.04），而护理满意率更高（P=0.032）。
优质护理并发症发生率低，总体满意率高，可显著缓解OMS后的不良情绪，促进生活质量。
