情绪弹性疗法结合口腔护理对干燥综合征患者不良情绪及口腔情况的影响

目的:探讨情绪弹性疗法结合护理对干燥综合征(SS)患者不良情绪及口腔情况的影响。方法:将2019年8月1日~2020年8月31日收治的120例SS患者随机分为对照组和观察组各60例,对照组给予常规口腔护理,观察组在常规口腔护理基础上给予情绪弹性疗法;比较两组干预7 d后口腔状况和口腔pH值变化情况、干预前后心理状况采用中文版心理弹性量表(CD-RISC)、抑郁自评量表(SDS)、焦虑自评量表(SAS)]、疾病疼痛和疾病活跃度采用干燥综合征患者报告指数(ESSPRI)、干燥综合征疾病活动指数(ESSDAI)]。结果:干预7 d后,观察组灼口症改善率、口腔溃疡治愈率均高于对照组(P<0.05),口腔溃疡治愈时间短于对照组(P<0.01);干预后,两组口腔pH高于干预前(P<0.05),且观察组高于对照组(P<0.01);干预后,观察组CD-RISC评分高于干预前和同期对照组(P<0.05,P<0.01);干预后,两组SDS、SAS评分均低于干预前(P<0.05),且观察组低于对照组(P<0.01);干预后,两组ESSPRI、ESSDAI评分均低于干预前(P<0.05),且观察组低于对照组(P<0.05)。结论:情绪弹性疗法结合口腔护理可明显改善干燥综合征患者的口腔感染状况,缓解患者不良情绪。

Effect of Emotional Resilience Therapy Combined with Oral Care on Negative Emotions and Oral Condition in Patients with Sjogren Syndrome

Objective:To explore the effect of emotional resilience therapy combined with oral care on negative emotions and oral condition in patients with sjogren syndrome(SS).Methods:A total of 120 patients with SS admitted during August 1,2019 to August 31,2020 were randomly divided into the control group and the observation group with 60 cases each.The control group was given routine oral care,while the observation group was given emotional resilience therapy.The changes in oral conditions and oral pH value after 7 d of nursing intervention,scores of Connor-Davidson Resilience Scale(CD-RISC),Self-Rating Depression Scale(SDS),Self-Rating Anxiety Scale(SAS),EULAR SS Patient Reported Index(ESSPRI)and EULAR SS disease activity index(ESSDAI)were compared between the two groups.Results:After intervention,the improvement rate of burning mouth syndrome and cure rate of oral ulcers in the observation group were higher than those in the control group,and the cure time of oral ulcers was shorter than that in the control group(P<0.05).The improvement of oral pH was higher in both groups than those before intervention,and higher in the observation group than that in the control group(P<0.05).After intervention,the CD-RISC scores in the observation group were higher than those before intervention and in the control group(P<0.05,P<0.01).After intervention,the SDS and SAS scores in both groups were lower than those before intervention(P<0.05),and were lower in the observation group than those in the control group(P<0.01).After intervention,the ESSPRI and ESSDAI scores in both groups were lower than those before intervention(P<0.05),and were lower in the observation group than those in the control group(P<0.01).Conclusion:Emotional resilience therapy combined with oral care can significantly improve oral infection and relieve negative emotions in SS patients.