Effect analysis of personalized nursing in the care of elderly patients with dental pulp diseases
个性化护理应用于牙体牙髓疾病老年患者护理中的效果分析

摘要

目的 深入探究个性化护理应用于牙体牙髓疾病老年患者护理中的临床效果。方法 选取本院牙科2023年11月至2024年11月收治的100例因牙体牙髓疾病入院的老年患者为研究对象，严格遵循随机数字表法将其均分为对照组与观察组，每组各50例。对照组在牙体牙髓病治疗全程实施常规护理，观察组则开展个性化护理，并运用SDS量表、MDAS量表测评两组心理状态，采用自制《口腔卫生评定量表》评估口腔健康程度，对比两组护理前后相关指标。结果 护理前，两组患者心理状态得分无显著差异（P>0.05），均处于较高焦虑、抑郁水平；护理后，观察组MDAS评分由（14.18±1.98）分降至（8.09±0.87）分，SDS评分由（18.98±1.88）分降至（14.43±2.03）分，显著低于对照组（P＜0.05）。护理前，两组口腔健康状况得分均较低且无显著差异（P>0.05）；护理后，观察组口腔健康状况评分从（20.65±3.67）分提升至（36.12±1.98）分，显著高于对照组（P＜0.05）。结论 个性化护理能够显著改善牙体牙髓疾病老年患者焦虑、抑郁等不良心理状态，大幅提升其口腔健康水平，在老年牙病护理领域展现出突出的应用价值与实践意义，值得在临床广泛推广应用。

Abstract

Objective To investigate the clinical effects of personalized nursing on elderly patients with dental pulp diseases.
Methods A total of 100 elderly patients admitted to the dental department from November 2023 to November 2024 were selected as the study subjects. They were strictly divided into a control group and an observation group using a random number table, with 50 patients in each group. The control group received routine nursing throughout the treatment, while the observation group received personalized nursing. The psychological state of both groups was assessed using the SDS scale and MDAS scale, and oral health was evaluated using a self-developed Oral Health Evaluation Scale. The relevant indicators before and after nursing were compared between the two groups.
Results Before nursing, there was no significant difference in the psychological state scores of the two groups (P>0.05), both showing high levels of anxiety and depression. After nursing, the MDAS score of the observation group decreased from (14.18±1.98) to (8.09±0.87), and the SDS score decreased from (18.98±1.88) to (14.43±2.03), significantly lower than the control group (P<0.05). Before nursing, both groups had low scores in oral health status with no significant difference (P>0.05); after nursing, the oral health status score of the observation group increased from (20.65±3.67) to (36.12±1.98), significantly higher than the control group (P<0.05).
Conclusion   Personalized nursing can significantly improve the anxiety, depression and other adverse psychological states of elderly patients with dental pulp diseases, greatly improve their oral health level, show outstanding application value and practical significance in the field of elderly dental disease care, and is worth widespread promotion and application in clinical practice.