“五步法”问题解决模式在正畸治疗患者个体化护理中的应用-《中国美容医学》

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Title:: Application of Five-step Method Problem-solving Model in the Individualized Nursing of Orthodontic Patients

文章编号:: 1008-6455（2022）07-0153-04

作者:: 贾晓娥; 任昊天; 陈静; (海军军医大学第一附属医院长海医院口腔科上海 200433)

Author(s):: JIA Xiaoe; REN Haotian; CHEN Jing; (Department of Stomatology,Changhai Hospital,the First Affiliated Hospital of Naval Medical University,Shanghai 200433,China)

关键词:: 五步法; 问题解决模式; 个体化护理; 正畸; 口腔健康

Keywords:: fi ve-step method; problem-solving mode; individualized nursing; orthodontics; oral health

分类号:: R473.78

文献标志码:: B

摘要:: 目的：分析“五步法”问题解决模式在正畸治疗患者个体化护理中的应用效果。方法：选取笔者医院2019年6月-2021年2月门诊收治的正畸治疗患者198例，采取偶奇数随机法将患者分为观察组与对照组，观察组103例，对照组95例。对照组采取常规护理，观察组采取“五步法”问题解决模式落实个体化护理。干预后观察两组口腔卫生情况，观察并记录干预前和干预后1、3、5个月的菌斑指数、牙龈指数及牙釉质脱矿指数。结果：干预后观察组口腔卫生优良率（97.09%）明显高于对照组（89.47%），差异有统计学意义（P＜0.05）。干预后1、3、5个月观察组菌斑指数、牙龈指数及牙釉质脱矿指数明显低于对照组，差异有统计学意义（P＜0.05）。结论：基于“五步法”问题解决模式的个性化护理用于正畸治疗患者中可提高口腔卫生优良率，改善菌斑指数、牙龈指数及牙釉质脱矿指数，促进牙周健康。

Abstract:: Objective To analyze the application effect of “five-step method” problem-solving model in the individualized nursing of orthodontics patients. Methods 198 patients with orthodontics treated in the outpatient department of the hospital were selected between June 2019 and February 2021, and were divided into the observation group (103 cases) and the control group (95 cases) by the even-odd random method. The control group received routine nursing, while the observation group applied the “five-step method” problem-solving model to implement individualized nursing. After intervention, the oral hygiene of the two groups was observed. The plaque index, gingival index and enamel demineralization index were observed and recorded before intervention and at 1 month, 3 months and 5 months after intervention. Results After intervention, the excellent and good rate of oral hygiene in the observation group was significantly higher than that in the control group (97.09% vs 89.47%), the difference was statistically significant (P＜0.05). The plaque index, gingival index and enamel demineralization index of the observation group were significantly lower than those of the control group at 1, 3 and 5 months after the intervention (P＜0.05). Conclusion Individualized nursing based on “five-step method” problem-solving model for orthodontic patients can enhance the excellent and good rate, reduce the plaque index, gingival index and enamel demineralization index, promote the recovery of periodontal health

《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

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