四手操作配合LEARNS模式健康教育对阻生牙拔除术患者疾病认知水平及配合度的影响

姜爱君; 徐冬冬

doi:10.16766/j.cnki.issn.1674-4152.003884

四手操作配合LEARNS模式健康教育对阻生牙拔除术患者疾病认知水平及配合度的影响

doi: 10.16766/j.cnki.issn.1674-4152.003884

姜爱君,
徐冬冬^,

温州医科大学附属口腔医院口腔颌面外科，浙江温州 325000

基金项目:

浙江省自然科学基金项目 LBQ20H140001

温州市科研项目 Y20220385

详细信息

通讯作者:
徐冬冬，E-mail：junjun883031@163.com

中图分类号: R782.11 R473.78
计量
- 文章访问数: 11
- HTML全文浏览量: 8
- PDF下载量: 2
- 被引次数: 0
出版历程
- 收稿日期: 2024-08-19
- 网络出版日期: 2025-03-27

The effect of four handed operation combined with LEARNS model health education on disease cognition and cooperation in patients undergoing impacted tooth extraction surgery

JIANG Aijun,
XU Dongdong^,

Wenzhou Medical University Affiliated Stomatological Hospital Oral and Maxillofacial Surgery, Wenzhou, Zhejiang 325000, China

摘要

摘要: 目的随着阻生牙拔除术患者数量的增多，临床对于护理服务提出了更高要求，本研究应用四手操作配合LEARNS模式健康教育，分析其对阻生牙拔除术患者疾病认知水平及配合度的影响。方法选取2022年11月—2024年2月在温州医科大学附属口腔医院行阻生牙拔除术的113例患者作为研究对象，根据随机数字表法将其分为对照组(56例)和观察组(57例)。对照组患者应用常规护理联合四手操作，观察组在对照组基础上配合LEARNS模式进行健康教育。比较2组患者干预前后疾病认知水平及心理状态，统计2组患者治疗配合度及术后并发症发生情况。结果干预后，观察组患者疾病认知水平得分明显高于对照组(P < 0.05)；干预后，观察组患者牙科畏惧量表(DFS)及牙科焦虑量表(DAS)得分均低于对照组(P < 0.05)；观察组患者治疗配合度为98.2%(56/57)，高于对照组[85.7%(48/56)，P < 0.05]；阻生牙拔除术后，观察组并发症发生率为3.5%(2/57)，低于对照组[17.9%(10/56)，χ²=6.127，P=0.013]。结论四手操作配合LEARNS模式健康教育有利于提高阻生牙拔除术患者疾病认知水平及配合度，能有效缓解患者牙科焦虑、恐惧等不良情绪，值得临床应用。
- 阻生牙拔除术 /
- 四手操作 /
- LEARNS健康教育 /
- 疾病认知水平 /
- 配合度 /
- 牙科焦虑 /
- 牙科恐惧
Abstract: Objective The increase in the number of patients undergoing impacted tooth extraction surgery has resulted in higher demands being placed on nursing services in clinical practice. The present study employs a combination of four-handed operation and the LEARNS model of health education to analyze its impact on the disease cognition level and cooperation of patients undergoing impacted tooth extraction surgery. Methods The present study selected 113 patients who underwent impacted tooth extraction surgery at the Affiliated Stomatological Hospital of Wenzhou Medical University from November 2022 to February 2024 as the subjects for its investigation study subjects. The subjects were randomly divided into two groups: a control group (56 cases) and an observation group (57 cases). The randomization was performed using a random number table method. The control group received routine nursing care in combination with four-handed handed operation, while the observation group received LEARNS model health education in addition to the control group. A comparison should be made of the cognitive level and psychological status from two groups of patients before and after intervention, and the treatment cooperation and postoperative complications in the two groups of patients should be calculated. Results Following the intervention, a statistically significant difference was observed in the disease cognitive level score of the observation group in comparison to the control group (P < 0.05). Furthermore, post-intervention, the observation group demonstrated lower scores on both the dental fear scale (DFS) and the dental anxiety scale (DAS) when compared to the control group (P < 0.05); The treatment cooperation rate of patients in the observation group was 98.2% (56/57), which was higher than 85.7% (48/56) in the control group (P < 0.05); Following the extraction of impacted teeth, the incidence of complications in the observation group was 3.5% (2/57), which was lower than that in the control group [17.9% (10/56), χ²=6.127, P=0.013]. Conclusion The findings of this study demonstrate that a four-handed operation in combination with the LEARNS model health education program is beneficial for improving the disease awareness and cooperation level of patients undergoing impacted tooth extraction surgery. The results of this study indicate that this combination effectively alleviates dental anxiety and fear and is worthy of clinical application.
- Extraction of impacted teeth /
- Four handed operation /
- LEARNS health education /
- Disease cognitive level /
- Compatibility /
- Dental anxiety /
- Dental fear

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表 1 2组行阻生牙拔除术患者一般情况比较

Table 1. Comparison of general conditions between two groups of patients undergoing impacted tooth extraction

组别	例数	性别(例)		年龄(x±s，岁)	BMI(x±s)	阻生类型(例)
组别	例数	男性	女性	年龄(x±s，岁)	BMI(x±s)	近中阻生	舌向阻生	倒置阻生	远中阻生
对照组	56	27	29	32.78±3.16	21.51±2.88	18	22	10	6
观察组	57	30	27	33.33±4.07	21.24±3.10	16	23	11	7
统计量		0.220^a		0.801^b	0.479^b	0.256^a
P值		0.639		0.425	0.633	0.968
注：^a为χ²值，^b为t值。

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表 2 2组行阻生牙拔除术患者干预前后疾病认知水平比较(x±s，分)

Table 2. Comparison of disease cognition levels between 2 groups of patients undergoing impacted tooth extraction before and after intervention(x±s, points)

组别	例数	治疗过程		术后注意事项		口腔护理		总分
组别	例数	干预前	干预后	干预前	干预后	干预前	干预后	干预前	干预后
对照组	56	5.44±1.45	6.24±1.51^b	4.28±1.77	7.02±1.24^b	4.96±1.80	6.68±1.29^b	14.92±3.68	21.02±3.16^b
观察组	57	5.16±1.27	8.10±1.13^b	4.76±1.45	8.35±0.61^b	4.88±1.73	8.33±0.48^b	14.76±3.55	26.33±2.28^b
统计量		1.092^a	5.935^c	1.578^a	6.472^c	0.241^a	7.622^c	0.235^a	8.731^c
P值		0.277	< 0.001	0.117	< 0.001	0.810	< 0.001	0.814	< 0.001
注：^a为t值，^c为F值。与同组内干预前比较，^bP < 0.05。

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表 3 2组行阻生牙拔除术患者干预前后心理状态比较(x±s，分)

Table 3. Comparison of psychological states of the two groups of patients undergoing impacted tooth extraction before and after intervention(x±s, points)

组别	例数	DFS		DAS
组别	例数	干预前	干预后	干预前	干预后
对照组	56	65.87±12.56	50.08±8.55	15.24±2.83	10.81±2.73
观察组	57	66.13±10.24	32.55±6.37	14.97±3.02	6.23±1.14
统计量		0.121^a	9.853^b	0.490^a	9.024^b
P值		0.924	< 0.001	0.625	< 0.001
注：^a为t值，^b为F值。

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表 4 2组行阻生牙拔除术患者治疗配合度比较[例(%)]

Table 4. Comparison of treatment cooperation between 2 groups of patients undergoing impacted tooth extraction[cases (%)]

组别	例数	良好	一般	较差	治疗配合度
对照组	56	31(55.4)	17(30.4)	8(14.3)	48(85.7)
观察组	57	44(77.2)	12(21.1)	1(1.8)	56(98.2)
统计量			7.397^a		4.463^b
P值			0.025		0.035
注：^a为Z值，^b为χ²值。

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表 5 2组行阻生牙拔除术患者术后并发症发生率比较[例(%)]

Table 5. Comparison of postoperative complications between two groups of patients undergoing impacted tooth extraction[cases (%)]

组别	例数	活动性出血	炎症反应	干槽症	术后张口受限	总发生
对照组	56	4(7.1)	3(5.4)	1(1.8)	2(3.6)	10(17.9)
观察组	57	1(1.8)	1(1.8)	0	0	2(3.5)
注：2组患者术后并发症总发生率比较，χ²=6.127，P=0.013。

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