摘要
目的:口腔种植术为修复缺牙的重要手段,患者围手术期常因手术应激出现焦虑、抑郁等负面情绪,影响生命体征的稳定性和手术配合度。传统护理模式虽能满足基本需求,但在个性化舒适管理与全程路径化干预方面存在局限。本研究旨在通过整合使用镇痛、最小化镇静和最大化人文关怀实施早期舒适化(early comfort using analgesia,minimal sedatives and maximal humane care,eCASH)理念与临床护理路径,探索更优化的围手术期护理方案。方法:选取2023年1月至2024年6月在南京医科大学附属口腔医院行口腔种植术的98例患者,采用随机数字表法分为对照组(n=49)和观察组(n=49)。对照组实施传统护理,包括术前常规健康宣教、术中基础生命支持及心理疏导、术后常规康复指导;观察组实施基于eCASH理念的临床护理路径。比较2组干预前后生命体征、焦虑、抑郁及满意度情况。结果:干预后,观察组心率、平均动脉压显著低于对照组(均P<0.05);观察组患者焦虑和抑郁评分均低于对照组(均P<0.05);观察组患者满意度评分高于对照组(P<0.05)。结论:基于eCASH理念的临床护理路径可显著减轻种植牙患者围手术期焦虑、抑郁情绪,稳定生命体征,提升术中舒适度,提高患者满意度,具备临床推广价值。
Objective:Dental implant surgery is an important method for restoring missing teeth.During the perioperative period,patients often experience negative emotions such as anxiety and depression due to surgical stress,which can affect the stability of vital signs and surgical cooperation.Although the traditional nursing model meets basic needs,it has limitations in individualized comfort management and comprehensive pathway-based interventions.This study aims to integrate the early comfort using analgesia,minimal sedatives,and maximal humane care(eCASH)concept into a clinical nursing pathway,to explore an optimized perioperative nursing approach.Methods:Ninety-eight patients who underwent dental implant surgery at the Affiliated Stomatological Hospital of Nanjing Medical University between January 2023 and June 2024 were randomly assigned into a control group(n=49)and an observation group(n=49)using a random number table method.The control group received traditional care,including routine preoperative health education,basic intraoperative life support and psychological counselling,and standard postoperative rehabilitation guidance.The observation group received a clinical nursing pathway based on the eCASH concept.Vital signs,anxiety,depression,and satisfaction levels were compared between groups before and after intervention.Results:After intervention,the heart rate and mean arterial pressure in the observation group were lower than those in the control group(both P<0.05).Anxiety and depression scores were significantly lower in the observation group compared with the control group(both P<0.05).Patient satisfaction scores were significantly higher in the observation group(P<0.05).Conclusion:A clinical nursing pathway based on the eCASH concept can significantly reduce perioperative anxiety and depression in dental implant patients,stabilize vital signs,improve intraoperative comfort,and enhance patient satisfaction,showing potential for clinical promotion.
作者
丁倩
陈珊珊
高敏
谢玲玲
DING Qian;CHEN Shanshan;GAO Min;XIE Lingling(Outpatient Operating Room,Nanjing Medical University Affiliated Stomatological Hospital/Jiangsu Provincial Stomatological Hospital,Nanjing 210029,China)
出处
《临床与病理杂志》
2025年第5期588-595,共8页
Journal of Clinical and Pathological Research
基金
南京医科大学科技发展基金(NMUSN202102)。
作者简介
第一作者:丁倩,Email:934369179@qq.com,ORCID:0009-0002-5908-6905;通信作者:谢玲玲,Email:Chhxll123@163.com,ORCID:0009-0001-2121-920X。
