目的：分析“互联网+护理服务”模式在口腔潜在恶性疾病（oral potentially malignant disorders,OPMD）光动力治疗中的应用效果。方法：选取武汉大学口腔医院门诊2023年1月至2024年3月期间收治的126例OPMD患者,均行光动力治疗,将其按照随机数字表法分为对照组（n=63）及干预组（n=63）,对照组给予常规护理,干预组在对照组基础上实施“互联网+护理服务”模式干预。对比两组患者光动力治疗的有效率、心理弹性水平[心理弹性量表（connor-davidson resilience scale,CD-RISC）]、不良反应率、生活质量[口腔健康影响程度量表-14中文版（oral health impact profile-14,OHIP-14）]及满意度。结果：干预组光动力治疗总有效率（87.30%）较对照组（71.43%）显著高。干预后两组患者CD-RISC量表各维度评分及总分均升高,且干预组较对照组更高。干预组光动力治疗不良反应总发生率（3.17%）较对照组（12.70%）更低。干预后两组患者OHIP-14总分均下降,且干预组较对照组更低。干预组护理满意度（98.41%）较对照组（88.89%）显著高。结论：在OPMD患者光动力治疗中应用“互联网+护理服务”模式,可提高知治疗效果、心理弹性水平,降低不良反应发生率,继而提升生活质量及护理满意度。
Abstract
Objective To analyze the application effect of the Internet Plus Nursing Service mode in photodynamic therapy for oral potentially malignant disorders (OPMD). Methods Totally 126 patients with OPMD who underwent photodynamic therapy in the Wuhan University Stomatological Hospital from January 2023 to March 2024 were selected. According to the random number table, they were divided into the control group (n=63) and the intervention group (n=63). The former was given routine care, and the latter was given the Internet Plus Nursing Service mode of intervention on above basis. The two groups were compared in terms of the effective rate of photodynamic therapy, psychological resilience level [Connor-Davidson Resilience Scale (CD-RISC)], the incidence of adverse reactions, quality of life [Oral Health Impact Profile-14 (OHIP-14)], and satisfaction. Results The total effective rate of photodynamic therapy in the intervention group (87.30%) was significantly higher than that in the control group (71.43%). After intervention, CD-RISC score in each dimension and total scores of both groups increased, and the intervention group had higher score. The overall incidence of adverse reactions to photodynamic therapy in the intervention group (3.17%) was lower than that in the control group (12.70%). After intervention, total OHIP-14 scores of both groups decreased, and the intervention group had a lower score. Nursing satisfaction rate in the intervention group (98.41%) was significantly higher than that in the control group (88.89%). Conclusion Applying the Internet Plus Nursing Service mode in photodynamic therapy for patients with OPMD can enhance therapeutic effects and psychological resilience, and reduce the incidence of adverse reactions, thereby improving the quality of life and nursing satisfaction.
关键词
口腔潜在恶性疾病 /
光动力治疗 /
“互联网+护理服务”模式 /
应用效果
Key words
oral potentially malignant disorders /
photodynamic therapy /
internet plus nursing service mode /
application effect
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基金
武汉大学护理专项科研培育基金项目“‘互联网+护理服务’模式在口腔潜在恶性疾病光动力治疗中的应用研究”（600400018）; 国家自然科学基金项目“ILCs 介导的 CD4+T 细胞免疫调节在口腔扁平苔藓炎症反应中的作用及机制研究”（82170965）
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