认知行为干预结合穴位按摩对无牙颌种植患者牙科焦虑的影响

目的研究认知行为干预结合穴位按摩对无牙颌种植患者牙科焦虑的影响。方法根据双盲法将2017年12月至2019年12月于我院口腔科行全口或半口无牙颌种植修复的82例患者分为对照组(37例)及干预组(45例)。对照组行常规指导护理,干预组在对照组基础上给予认知行为干预+穴位按摩。比较两组的心率、血压、牙科焦虑情况、术后疼痛程度及护理满意度。结果对照组护理后的心率、收缩压及舒张压均高于护理前及干预组(P<0.05)。干预组护理后的MDAS评分低于护理前及对照组(P<0.05)。干预组术后30 min的VAS评分低于对照组(P<0.05);两组术后7 d的VAS评分显著低于术后30 min(P<0.05),但组间比较,差异不显著(P>0.05)。干预组的护理满意度为97.78%,高于对照组的89.19%(P<0.05)。结论认知行为干预和穴位按摩应用于无牙颌种植患者中,可以显著减轻患者的焦虑、恐惧情绪,保证治疗过程顺利完成,减轻疼痛程度,提升护理满意度。

Effect of cognitive behavioral intervention combined with acupoint massage on dental anxiety of edentulous jaw implant patients

Objective To study the effect of cognitive behavioral intervention combined with acupoint massage on dental anxiety of edentulous jaw implant patients.Methods According to the double-blind method,82 patients undergoing full or half mouth edentulous jaw implant repair in the stomatology department of our hospital were divided into control group(37 cases)and intervention group(45 cases).The control group received routine guidance nursing,and the intervention group received cognitive behavior intervention+acupoint massage on the basis of the control group.The heart rate,blood pressure,dental anxiety,postoperative pain degree and nursing satisfaction of the two groups were compared.Results The heart rate,systolic blood pressure and diastolic blood pressure in the control group after nursing were higher than those before nursing and in the intervention group(P<0.05).The MDAS score in the intervention group after nursing was lower than that before nursing and in the control group(P<0.05).The VAS score in the intervention group at 30 min after operation was lower than that in the control group(P<0.05);the VAS score in the two groups at 7 d after operation were significantly lower than that at 30 min after operation(P<0.05),but there was no significant difference between the two groups(P>0.05).The nursing satisfaction in the intervention group was 97.78%,which was higher than 89.19%in the control group(P<0.05).Conclusion Cognitive behavior intervention and acupoint massage for edentulous jaw implant patients can significantly reduce the anxiety and fear mood,ensure the smooth completion of the treatment process,reduce pain degree,and improve nursing satisfaction.