【摘要】 目的:观察分析笑气吸入与心理护理的协同作用对抗牙科畏惧症的效果。方法:选取150例牙科治疗患者为研究对象,采用Corah牙科焦虑量表(DAS)进行牙科恐惧症量化分析,随机分为3组,其中A组不做任何干预,B组给予心理护理干预,C组在心理护理干预的基础上给予笑气吸入干预,观察比较3组患者生命体征检测情况,对患者诊疗后发放调查问卷评估操作中的不适程度、耐受性、视觉模拟评分量表评分及护理满意度情况。结果:3组患者笑气吸入前血压及心率无明显差异,吸入后及治疗中C组患者收缩压、舒张压及心率均低于A组与B组;C组医生评估患者操作过程中平稳者多于B组,且B组多于A组;而患者对疼痛评估轻微者C组多于B组,且B组多于A组;A组在局麻及治疗时疼痛程度高于B组,B组高于C组;患者护理满意度C组高于B组,B组高于A组,且C组和B组患者心理护理得分高于A组;C组患者对操作过程评价、下次治疗期望得分高于A组及B组,差异均有统计学意义(均P<0.05)。结论:笑气吸入与心理护理的协同作用对牙科畏惧症患者效果显著,治疗过程中病人保持清醒,没有丧失意识,保护性反射活跃,并能积极配合治疗,可降低医生的压力,节约诊疗时间,提高工作效率,提高患者的就诊率及满意度,减轻或消除畏惧症。更多还原

【Abstract】 Objective: To observe and analyze the method and effect of nitrous oxide inhalation and synergistic effect of psychological nursing. Methods: 150 cases of dental patients were selected as the study objects,the DAS scale was used for analysis of dental fear quantization,which were randomly divided into three groups,group A was without any intervention,group B received psychological nursing intervention,group C was on the basis of psychological nursing intervention given nitrous oxide inhalation. The vital signs detection of the patients of the three groups were observed and compared. After treatment,discomfort,tolerance,visual analog scale score results and nursing satisfaction in questionnaire assessing were assessed. Results: Patients of three groups had no significant differences in blood pressure and heart rate before inhalation. Systolic pressure,diastolic pressure and heart rate of patients of group C after inhalation were lower than those of group A and group B. Doctors assessed the stable people during operation of group C were higher than those of group B,group B was higher than those of group A. Mild pain assessment of group C was higher than that of group B,and group B was higher than that of group A.Pain degrees of local anesthesia and treatment of group A was higher than that of group B,group B was higher than that of group C. Nursing satisfaction degree of patients of Group C was higher than that of group B,Group B was higher than that of group A. Psychological nursing scores of group B and group C were higher than that of group A.Evaluation,operation on the next treatment expected score of patients of group C were higher than those of group A and group B. The differences above were all statistically significant( P < 0. 05). Conclusion: Nitrous oxide inhalation and synergistic effect of psychological nursing has significant effects on fear of dental treatment,patients keep awake in treatment,consciousness is not loss,protective reflex is active,and actively cooperate with the treatment. It can reduce the pressure of doctors,save treatment time,improve work efficiency,improve the treatment rate and degree of satisfaction of patients,reduce or eliminate the fear symptom.更多还原