个体护理对颞下颌关节紊乱病患者焦虑和抑郁的影响。
The Effect of Individual Nursing on Anxiety and Depression in Patients with Temporomandibular Disorders.
机构信息
Department of Oral and Maxillofacial, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Department of Endocrinology, Yanbian University Hospital, Yanji, Jilin, China.
出版信息
Contrast Media Mol Imaging. 2022 Jul 12;2022:7748696. doi: 10.1155/2022/7748696. eCollection 2022.
OBJECTIVE
This study aimed to explore the effects of individualized nursing in patients with temporomandibular disorders (TMD).
METHODS
From June 2019 to April 2021, 80 patients with TMD were admitted to the First Affiliated Hospital of Wenzhou Medical University. Among them, 40 patients (control group, CG) received routine nursing and 40 patients (experimental group, EG) received individualized nursing. Functional exercise compliance, pain score, maximum mouth opening, nursing satisfaction questionnaire, self-rating anxiety scale, and self-rating depression scale were investigated.
RESULTS
From June 2019 to April 2021, 81 patients with TMD were admitted to the First Affiliated Hospital of Wenzhou Medical University. Among them, 40 patients (control group) received routine care and 41 patients (experimental group) received individual care. There were no significant differences in mouth opening and pain score between the two groups before surgery ( > 0.05), but there were significant differences in mouth opening and pain score between the two groups 3 weeks after surgery. Patients' anxiety and depression were assessed by the SAS and SDS scores. Before nursing, the control group and experimental group ( < 0.05) had no significant difference. After nursing, the score of both groups decreased ( < 0.05). However, the score was lower in the experimental group, compared to the control group ( < 0.01).
CONCLUSION
In summary, individualized nursing can improve patients' physical condition and reduce negative emotions and complications. In light of this, the study needs further verification by a large sample randomized controlled trial.
目的
本研究旨在探讨个体化护理对颞下颌关节紊乱病（TMD）患者的影响。
方法
2019 年 6 月至 2021 年 4 月，温州医科大学附属第一医院收治 TMD 患者 80 例。其中，40 例患者（对照组，CG）接受常规护理，40 例患者（实验组，EG）接受个体化护理。调查患者功能锻炼依从性、疼痛评分、最大张口度、护理满意度问卷、焦虑自评量表（SAS）和抑郁自评量表（SDS）。
结果
2019 年 6 月至 2021 年 4 月，温州医科大学附属第一医院收治 TMD 患者 81 例。其中，40 例患者（对照组）接受常规护理，41 例患者（实验组）接受个体化护理。两组患者术前张口度和疼痛评分比较差异无统计学意义（>0.05），但术后 3 周张口度和疼痛评分差异有统计学意义（<0.05）。采用 SAS 和 SDS 评分评估患者焦虑和抑郁。护理前，对照组和实验组比较差异无统计学意义（>0.05）。护理后，两组评分均下降（<0.05），但实验组评分低于对照组（<0.01）。
结论
综上所述，个体化护理可改善患者身体状况，减轻负性情绪和并发症。鉴于此，本研究需要更大样本的随机对照试验进一步验证。
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