Evaluation of the effect of evidence-based nursing combined with personalized psychological model in the perioperative period of patients with oral and maxillofacial fractures
循证护理联合个性化心理模式在口腔颌面部骨折患者围手术期中的效果评估

摘要

目的 探讨循证护理联合个性化心理模式在口腔颌面部骨折患者围手术期的效果。方法 本次研究的方法为对比分析，选择80例口腔颌面部骨折患者作为研究样本，且所有样本均选自2024年2月至2025年2月期间在本医院进行治疗的患者。通过随机数字表法将所有患者进行分组，且其中的40例患者仅接受循证护理进行干预，命名为对照组，另位40例患者接受循证护理联合个性化心理模式，命名为观察组，以此比较两组患者不同护理模式下的治疗依从性、心理状态变化、并发症发生率和护理满意度。结果 比较两组患者治疗依从性，发现观察组患者在饮食、用药、康复训练等方面有着显著优势（P＜0.05）；比较两组患者心理状态变化情况，发现观察组患者不管在抑郁心理和焦虑心理方面均有所改变，且改变情况更佳（P＜0.05）；比较两组患者并发症发生率，发现观察组的感染、出血、疼痛和张口受限人数均更少（P＜0.05）。结论 循证护理联合个性化心理模式在口腔颌面部骨折患者围手术期中能够起到高效作用，与单一的护理方式相比较，效果更加显著，能够改善患者心理状态，提升依从性，降低并发症发生率。

Abstract

Objective To investigate the effect of evidence-based nursing combined with personalized psychological model in the perioperative period of patients with oral and maxillofacial fractures.
Methods This study employed a comparative analysis method, selecting 80 patients with oral and maxillofacial fractures as the research sample, all of whom were treated at our hospital between February 2024 and February 2025. All patients were randomly assigned using a random number table, with 40 patients receiving only evidence-based nursing intervention (control group) and 40 patients receiving evidence-based nursing combined with personalized psychological model (observation group). The treatment compliance, psychological status changes, complication rates, and nursing satisfaction were compared between the two groups.
Results A comparison of treatment compliance between the two groups revealed that patients in the observation group had significant advantages in terms of diet, medication, and rehabilitation training adherence (P<0.05). Comparing psychological status changes between the two groups, the observation group exhibited improvements in both depressive and anxious psychological states, with more pronounced changes (P<0.05). In terms of complication rates, the observation group had fewer cases of infection, bleeding, pain, and limited mouth opening (P<0.05).
Conclusion   Evidence-based nursing combined with personalized psychological models can play an efficient role in the perioperative period of patients with oral and maxillofacial fractures. Compared with single nursing methods, it demonstrates more significant effects, which can improve patients' psychological status, enhance compliance, reduce the incidence of complications, and increase patients' recognition of nursing staff.