Volume 23 Issue 2
Feb.  2025
Turn off MathJax
Article Contents
JIANG Aijun, XU Dongdong. The effect of four handed operation combined with LEARNS model health education on disease cognition and cooperation in patients undergoing impacted tooth extraction surgery[J]. Chinese Journal of General Practice, 2025, 23(2): 273-276. doi: 10.16766/j.cnki.issn.1674-4152.003884
Citation: JIANG Aijun, XU Dongdong. The effect of four handed operation combined with LEARNS model health education on disease cognition and cooperation in patients undergoing impacted tooth extraction surgery[J]. Chinese Journal of General Practice, 2025, 23(2): 273-276. doi: 10.16766/j.cnki.issn.1674-4152.003884

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

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

 LBQ20H140001

 Y20220385

  • Received Date: 2024-08-19
    Available Online: 2025-03-27
  •   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.

     

  • loading
  • [1]
    SEEHRA J, MORTAJA K, WAZWAZ F, et al. Interventions to facilitate the successful eruption of impacted maxillary incisor teeth due to the presence of a supernumerary: a systematic review and meta-analysis[J]. Am J Orthod Dentofacial Orthop, 2023, 163(5): 594-608. doi: 10.1016/j.ajodo.2023.01.004
    [2]
    GHAEMINIA H, NIENHUJJS M E, TOEDTLING V, et al. Surgical removal versus retention for the management of asymptomatic disease-free impacted wisdom teeth[J]. Cochrane Database Syst Rev, 2020, 5(5): CD003879. DOI: 10.1002/14651858.CD003879.
    [3]
    冯丽嫦, 林丽珊, 周小彤, 等. 多种形式的口腔健康宣教在阻生牙拔除术后患者中的应用效果[J]. 护理实践与研究, 2019, 16(5): 95-96.

    FENG L C, LIN L S, ZHOU X T, et al. The application effect of various forms of oral health education in patients after impacted tooth extraction surgery[J]. Nursing Practice and Research, 2019, 16(5): 95-96.
    [4]
    丁婧, 程春, 张洋洋, 等. 四手操作配合"知信行"健康宣教在根管治疗中的应用及效果评价[J]. 中华全科医学, 2022, 20(5): 886-889. doi: 10.16766/j.cnki.issn.1674-4152.002479

    DING Q, CHENG C, ZHANG Y Y, et al. Application and Effect Evaluation of Four Hand Operation Combined with "Knowledge, Faith and Action" Health Education in Root Canal Treatment[J]. Chinese Journal of General Practice, 2022, 20(5): 886-889. doi: 10.16766/j.cnki.issn.1674-4152.002479
    [5]
    赵佳妮, 吕婧, 张月英. LEARNS模式在冠状动脉CT血管成像检查患者健康教育中的应用[J]. 中国实用护理杂志, 2024, 40(16): 1207-1213.

    ZHAO J N, LV Q, ZHANG Y Y. Application of LEARNS mode in health education for patients undergoing coronary CT angiography[J]. Chinese Journal of Practical Nursing, 2024, 40(16): 1207-1213.
    [6]
    刘红春, 范旭, 胡德渝, 等. 德阳市成年人的口腔健康知识、态度及行为调查[J]. 华西口腔医学杂志, 2005, 23(1): 46-48.

    LIU H C, FAN X, HU D Y, et al. Survey on Oral Health Knowledge, Attitude, and Behavior of Adults in Deyang City[J]. West China Journal of Stomatology, 2005, 23(1): 46-48.
    [7]
    梁焕友, 彭助力, 潘集阳, 等. 牙科畏惧调查(DFS)量表中文版的研制与评价[J]. 中山大学学报(医学科学版), 2006, 27(2): 236-240.

    LIANG H Y, PENG Z L, PAN J Y, et al. Development and Evaluation of the Chinese Version of the Dental Fear Survey (DFS) Scale[J]. Journal of Sun Yat sen University (Medical Science Edition), 2006, 27(2): 236-240.
    [8]
    蒋银杨, 胡颖, 何克新. 口腔门诊成人患者牙科焦虑症调查及相关因素分析[J]. 实用口腔医学杂志, 2009, 25(5): 725-727.

    JIANG Y Y, HU Y, HE K S. Investigation of Dental Anxiety Disorder in Adult Patients in Oral Outpatient Department and Analysis of Related Factors[J]. Journal of Practical Oral Medicine, 2009, 25(5): 725-727.
    [9]
    刘湘艳, 肖莉, 程晓卉, 等. 规范循证护理联合四手操作在下颌智齿牙胚拔除患者中的价值[J]. 国际护理学杂志, 2024, 43(11): 2035-2038.

    LIU X Y, XIAO L, CHENG X H, et al. The value of standardized evidence-based nursing combined with four handed operation in patients undergoing mandibular wisdom tooth germ extraction[J]. International Journal of Nursing, 2024, 43(11): 2035-2038.
    [10]
    PETRONIS Ž, ZIGMANTAVIČIUS J, GERVICKAS A. Various wound closure ways after impacted lower wisdom teeth removal: a review[J]. Stomatologija, 2020, 22(4): 107-115. http://pubmed.ncbi.nlm.nih.gov/33847282/
    [11]
    GRISAR K, LUYTEN J, PREDA F, et al. Interventions for impacted maxillary canines: a systematic review of the relationship between initial canine position and treatment outcome[J]. Orthod Craniofac Res, 2021, 24(2): 180-193.
    [12]
    王蕾, 胡成文, 许芳, 等. LEARNS模式健康教育对初产妇育儿胜任感及母乳喂养的影响[J]. 军事护理, 2024, 41(5): 51-54.

    WANG L, HU C W, XU F, et al. The impact of LEARNS health education on the parenting competence and breastfeeding of primiparous women[J]. Military Nursing, 2024, 41(5): 51-54.
    [13]
    高苗苗, 金瑞华, 淮盼盼, 等. 基于LEARNS模式的健康教育对慢性肾脏病病人的影响[J]. 护理研究, 2023, 37(16): 2983-2987.

    GAO M M, JIN R H, HUAI P P, et al. The impact of health education based on LEARNS model on patients with chronic kidney disease[J]. Nursing Research, 2023, 37(16): 2983-2987.
    [14]
    赵琳琳, 梁燕桃, 詹凯琼. 六手操作与四手操作护理在乳牙预成冠修复术中的应用效果[J]. 国际护理学杂志, 2023, 42(13): 2377-2380.

    ZHAO L L, LIANG Y T, ZHAN K Q. The application effect of six hand operation and four hand operation nursing in pre crown restoration of deciduous teeth[J]. International Journal of Nursing, 2023, 42(13): 2377-2380.
    [15]
    王荣, 张爽爽, 丰花, 等. 基于LEARNS模式的康复训练对髋部骨折患者术后功能恢复的影响[J]. 川北医学院学报, 2023, 38(3): 417-420.

    WANG R, ZHANG S S, FENG H, et al. The impact of LEARNS based rehabilitation training on postoperative functional recovery in patients with hip fractures[J]. Journal of Chuanbei Medical College, 2023, 38(3): 417-420.
    [16]
    钟阳, 杨华. 下颌阻生第三磨牙手术瓣设计的研究进展[J]. 中国基层医药, 2023, 30(3): 478-480.

    ZHONG Y, YANG H. Research progress on the design of surgical flaps for mandibular obstructive third molars[J]. Chinese Journal of Primary Medicine and Pharmacy, 2023, 30(3): 478-480.
    [17]
    刘珊珊, 张冰, 李晶, 等. LEARNS模式在老年高血压患者健康教育中的应用[J]. 护理学杂志, 2022, 37(8): 76-79.

    LIU S S, ZHANG B, LI J, et al. Application of LEARNS model in health education for elderly patients with hypertension[J]. Journal of Nursing, 2022, 37(8): 76-79.
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(5)

    Article Metrics

    Article views (13) PDF downloads(2) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return