基于Ahmadi模式的延续护理在颌面手术患者术后的应用分析

来源:用户上传      作者:江慧　李文君　吕亚丽

　　[摘要]目的：探究基于Ahmadi模式的延m护理在颌面手术患者术后的应用。方法：随机选取2018年9月-2020年10月进行颌面手术的82例患者作为研究对象，随机分为观察组和对照组，每组41例。对照组实施传统护理干预，观察组在此基础上引入基于Ahmadi模式的延续护理进行干预。通过Zung焦虑自评量表（Self-rating anxiety scale，SAS）、抑郁自评量表（Self-rating depression scale，SDS）、自我护理能力测定量表（Exercise of self-care ability measurement scale，ESCA）及明尼苏达心力衰竭生活质量量表（Minnesota heart failure quality of life scale，MLHFQ）比较干预前后患者的心理状况、自护能力、生活质量变化。比较干预前后两组患者颌面功能变化;干预3个月后，比较两组患者对护理干预的满意度。结果：干预后，两组患者SAS、SDS及MLHFQ各项评分均有降低，且观察组低于对照组，差异有统计学意义（P<0.05）。干预后两组患者开口功能、咀嚼功能及ESCA各项评分较干预前均有提升，且观察组高于对照组，差异有统计学意义（P<0.05）。干预后观察组患者对护理服务的满意度高于对照组，差异有统计学意义（P<0.05）。结论：基于Ahmadi模式的延续护理在颌面手术患者术后的应用能提高患者心理健康水平，改善负面情绪，加强自护能力意识和水平，全面改善生活质量，加快颌面功能恢复速度，且满意度较高。
　　[关键词]Ahmadi模式;延续护理;颌面手术;心理健康;自护能力;颌面功能
　　[中图分类号]R782 [文献标志码]A [文章编号]1008-6455（2022）01-0161-04
　　Application of Continuous Nursing Based on Ahmadi Mode in Patients after Maxillofacial Surgery
　　JIANG Hui1，LI Wenjun2，LV Yali3
　　（1.Department of Oral Surgery; 2.Second Department of Pediatrics，Qingdao Hospital of Traditional Chinese Medicine，Qingdao 266000，Shandong，China; 3.Department of Oral Surgery，Qingdao Haici Medical Group，Qingdao 266000，Shandong，China）
　　Abstract： Objective To explore the application of continuation nursing based on Ahmadi mode in patients after maxillofacial surgery. Methods A total of 82 patients undergoing maxillofacial surgery were enrolled as the research objects between September 2018 and October 2020. They were randomly divided into observation group and control group， 41 cases in each group. The control group was given traditional nursing intervention， while observation group was additionally given continuation nursing based on Ahmadi mode. The changes of psychological status， self-care ability and quality of life in patients before and after intervention were compared by Self-Rating Anxiety Scale （SAS）， Self-Rating Depression Scale （SDS）， exercise of self-care ability measurement scale （ESCA） and Minnesota Heart Failure Quality of Life Scale （MLHFQ）. The changes of maxillofacial function before and after intervention between the two groups were compared. After 3 months of intervention， satisfaction with nursing intervention between the two groups was compared. Results After intervention， scores of SAS， SDS and MLHFQ in both groups were decreased， which were lower in observation group than control group （P<0.05）. After intervention， scores of opening function， chewing function and ESCA in both groups were increased， which were higher in observation group than control group （P<0.05）. After intervention， satisfaction with nursing services in observation group was higher than that in control group （P<0.05）. Conclusion The application of continuous nursing based on Ahmadi mode in patients after maxillofacial surgery can improve psychological health and negative emotions， strengthen awareness and level of self-care ability， comprehensively improve quality of life and accelerate recovery of maxillofacial function， with high satisfaction.
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