CAJ | 학술논문

目的探讨个体化护理措施对接受固定正畸矫治的青少年患者托槽脱落率的影响.方法将正畸门诊接受固定矫治的120例青少年患者按性别随机均分为四组,A组女患者30例,B组男患者30例,以上两组患者采用个体化护理措施(由专职护士运用语言、示范、文字等教育相结合的方式,从认知、心理、行为、家庭四个方面进行护理),C组女患者30例,D组男患者30例,采用常规正畸护理健康宣教.分别记录四组患者佩戴固定矫治器1个月时托槽脱落的情况,计算托槽脱落率.将A组与C组、B组与D组、A组与B组、C组与D组,分别进行统计分析.结果佩戴固定矫治器1个月时,四组患者托槽脱落率分别为o.20％、0.40％、1.57％、1.76％,A组与C组比较、B组与D组比较均存在明显统计学差异(P＜0.05);A组与B组比较、C组与D组比较均没有明显统计学差异(P＞0.05).结论在青少年固定正畸矫治过程中,性别差异不是影响托槽脱落率的主要因素,护士运用个体化的护理措施,提高了患者的主动配合能力,从而降低了患者托槽的脱落率.
목적 탐토개체화호리조시대접수고정정기교치적청소년환자탁조탈락솔적영향.방법 장정기문진접수고정교치적120례청소년환자안성별수궤균분위사조,A조녀환자30례,B조남환자30례,이상량조환자채용개체화호리조시(유전직호사운용어언、시범、문자등교육상결합적방식,종인지、심리、행위、가정사개방면진행호리),C조녀환자30례,D조남환자30례,채용상규정기호리건강선교.분별기록사조환자패대고정교치기1개월시탁조탈락적정황,계산탁조탈락솔.장A조여C조、B조여D조、A조여B조、C조여D조,분별진행통계분석.결과 패대고정교치기1개월시,사조환자탁조탈락솔분별위o.20％、0.40％、1.57％、1.76％,A조여C조비교、B조여D조비교균존재명현통계학차이(P＜0.05);A조여B조비교、C조여D조비교균몰유명현통계학차이(P＞0.05).결론 재청소년고정정기교치과정중,성별차이불시영향탁조탈락솔적주요인소,호사운용개체화적호리조시,제고료환자적주동배합능력,종이강저료환자탁조적탈락솔.
Objective To evaluate the effect of individualized nursing on the failure rates of bracket in adolescents treated by fixed appliances.Methods 120 adolescents treated by fixed appliances were randomly assigned to 4 groups (A,B,C and D).30 females in group A and 30 males in group B were treated by individualized nursing (that is,nurses using language,illustration and texts to help patients in recognition,mentality,behavior) ; 30 females in group C and 30 males in group D were treated by routine nursing.The failure rates of bracket of the four groups were calculated after one month.And it was compared between group A and B,group C and D,group A and C,and group B and D.Results After one month,the failure rates of bracket were 0.20％,0.40％,1.57％ and 1.76％,respectively.Significant differences were not found between group A and B and group C and D (P＞0.05),but were found between group A and C and group B and D (P＜0.05).Conclusions During the orthodontic treatment of adolescents,gender has little effect on the failure rates of bracket.Individualized nursing could improve compliance,thus reduce the failure rates of bracket.