Effect of the oral cavity nursing intervention based on the dietary guidance on the compliance behavior in patients with dental ulcer
-
摘要: 目的：探讨基于饮食指导的口腔护理干预对口腔溃疡病人遵医行为的作用。方法：选取口腔溃疡病人100例，依据随机数表法分为观察组和对照组，各50例。对照组病人给予常规口腔护理干预，观察组病人在此基础上给予基于饮食指导的口腔护理干预。采用改良Morisky依从性问卷（MMAS-8）评价2组病人的遵医行为，采用视觉模拟评分法（VAS）评估病人疼痛程度，采用自制《口腔溃疡病人疾病及饮食知识问卷》评估病人疾病及饮食知识掌握程度，并分析影响病人溃疡愈合的危险因素。结果：观察组病人疾病及饮食知识掌握率明显高于对照组（P<0.01）。观察组病人干预后1、4、7 d的VAS评分均明显低于对照组（P<0.01），MMAS-8评分均明显高于对照组（P<0.01）。观察组干预后的各类食物进食达标率均高于对照组（P<0.05～P<0.01），口腔愈合优良率高于对照组（P<0.05），溃疡愈合时间明显短于对照组（P<0.01）。Logistic回归分析显示，未掌握疾病及饮食知识、疼痛（VAS评分≥3分）、遵医行为依从性差（MMAS-8评分<30分）、食物进食未达标均为口腔溃疡愈合效果差的独立危险因素（P<0.01）。结论：基于饮食指导的口腔护理干预有助于减轻病人疼痛，提高病人遵医行为依从性，改善溃疡愈合效果，值得临床推广。Abstract: Objective: To investigate the effects of oral cavity nursing intervention based on the dietary guidance on the compliance behavior in patients with dental ulcer.Methods: One hundred patients with dental ulcer were divided into the observation group and control group according to the random number table method(50 cases each group).The control group was intervened using conventional oral nursing,and the observation group was intervened using oral cavity nursing intervention based on the dietary guidance on the basis of control group.The compliance behavior in two groups was evaluated using the modified Morisky adherence questionnaire(MMAS-8),the pain degree in two groups was assessed using the visual analogue scale(VAS),the knowledge of dental ulcer and diet in two groups was evaluated using the self-made questionnaire,and the risk factors of influencing the ulcer healing in two groups were analyzed.Results: The mastery rates of the disease and diet knowledge in observation group were significantly higher than that in control group(P<0.01).After 1,4 and 7 d of intervention,the VAS scores and MMAS-8 scores in observation group were significantly lower and higher than those in control group,respectively(P<0.01).After intervention,the feeding compliance rate of all kinds of food in observation group was higher than that in control group(P<0.05 to P<0.01),the excellent rate of mouth healing in observation group was higher than that in control group(P<0.05),and the healing time in observation group was significantly shorter than that in control group(P<0.01).Logistic regression analysis results showed that the unknowledge of disease and diet,degree of pain,poor compliance behavior and underfeeding were the independent risk factors of the poor healing(P<0.01).Conclusions: The oral cavity nursing intervention based on the dietary guidance can effectively improve the compliance behavior and healing effect,and alleviate the pain of patients,which is worthy of promotion in clinic.
-
Keywords:
- dental ulcer /
- oral cavity nursing /
- dietary guidance /
- compliance behavior
-
-
[1] COOLBRANDT A,WILDIERS H,AERTGEERTS B.Characteristics and effectiveness of complex nursing interventions aimed at reducing symptom burden in adult patients treated with chemo-therapy:a systematic review of randomized controlled trials[J].Int J Nurs Stud,2014,51(3):495.
[2] 吕美娃,李世君.口腔护理联合饮食干预对口腔溃疡病人的影响[J].中国社区医师,2017(33):143. [3] 郭凤仙.氧气雾化器行粒细胞集落刺激因子雾化吸入治疗化疗后口腔溃疡的疗效观察与护理干预[J].中国保健营养(中旬刊),2013,15(7):351. [4] 贾辰,石云凯,邓琳瑕.探讨口腔护理结合饮食干预对口腔溃疡病人的影响[J].中国现代药物应用,2016,10(11):226. [5] PETERSON DE,OHM K,BOWEN J,et al.Systematic review of oral cryotherapy for management of oral mucositis caused by cancer Therapy[J].Support Care Cancer,2013,21(1):327.
[6] 沙锦芳.对行化疗的病人进行循证护理和标准化口腔护理对预防其发生口腔黏膜炎的效果分析[J].当代医药论丛,2015,13(21):65. [7] 庄丽华.放化疗致放射性皮炎以及口腔黏膜炎的临床护理对策[J].国际护理学杂志,2017,36(21):3022. [8] MIGLIORATI C,HEWSON I,LALLA RV,et al.Systematic review of laser and other light therapy for the management of oral mucositis in cancer patients[J].Support Care Cancer,2013,21(1):333.
[9] CALANTOG A,HALLAJIAN L,NABELSI T,et al.A prospective study to assess in vivo optical coherence tomography imaging for early detection of chemotherapy-induced oral mucositis[J].Lasers Surg Med,2013,45(1):22.
[10] 刘婧,王云军.基于循证理论的口腔护理干预对化疗口腔溃疡病人护理满意度的影响[J].中国医药导报,2017,14(23):168. [11] RABER-DURLACHER JE,YON BI,LOGAN RM,et al.Systematic review of cytokines and growth factors for the management of oral mucositis in cancer patients[J].Support Care Cancer,2013,21(1):343.
[12] 李万春,黄锡英,任金贤.清咽含漱液联合综合护理在放化疗后口腔溃疡护理中的应用[J].河南医学研究,2017,(12):2303. [13] ZEIDLER K,AM K,SENN O,et al.Optimal reproeedural platelet transfusion threshold for eentral venous catheter insertions in patients with thrombocytopenia[J].Transfusion,2011,51(11):2269.
[14] 罗艳燕.饮食控制缓解复发性口腔溃疡分析[J].中国卫生产业,2015,12(5):1. [15] NICOLATOU GO,SARRI T,BOWEN J,et al.Systematic review of amifostine fur the management of oral mucositis in cancer patients[J].Support Care Cancer,2013,21(1):357.
[16] 刘玉华.两种口腔护理方法对化疗后口腔溃疡预后的效果比较[J].世界最新医学信息文摘,2016,16(16):266. [17] FREIFELD AG,BOW EJ,SEPKOWITZ KA,et al.Clinical practice guide-line for the use of antimicrobial agents in neutropenic patients withcancer:2010 Update by the Infectious Disease Society of America[J].Clin Infect Dis,2011,52(4):427.
[18] 金艳.口腔溃疡应用口腔护理结合饮食干预的效果分析[J/CD].全科口腔医学杂志(电子版),2015,2(7):28. [19] CONN VS,RUPPAR TM,ENRIQUEZ M,et al.Healthcare provider targeted interventions to improve medication adherence:systematic review and meta-analysis[J].Int J Clin Pract,2015,69(8):889.
[20] 王兴媛.饮食控制缓解复发性口腔溃疡的临床研究[J].中国卫生标准管理,2015,6(19):69.
计量
- 文章访问数: 3196
- HTML全文浏览量: 417
- PDF下载量: 23
下载:
