Dental caries is a common oral disease in clinic, which has a serious impact on children's growth and development. Related statistics show that every year there are a lot of school-age children to the hospital for treatment of the pit and fissure sealant, to avoid the occurrence of dental caries [1]. In our hospital during the period from 2015 to 2016 to accept the 1000 children of pit and fissure sealant were routine nursing and comprehensive nursing, the observation group adopted comprehensive nursing children achieved good nursing effect, the specific content of the report is as follows:
1, patient data and nursing methods
1.1, clinical data
In our hospital during the period from 2015 to 2016 a total of 1000 cases of children sealant treated patients as the research object, which are evenly divided into control group and observation group with 500 cases in each group, the control group, 292 cases of male patients 208 cases of female patients, the age of the patients was 4-10 years old, average age (6.2 + 1.1) years; the observation group, 318 cases of male patients 182 cases of female patients; patients were aged 4-10 years old, average age (6 + 1.6) years; two groups of patients with gender, age, disease and other clinical data of two groups were similar in age and gender and other basic information on no significant difference compare with of.
1.2, nursing methods
Patients in the control group received routine nursing, and the observation group received comprehensive nursing intervention:
1.2.1, preoperative nursing
Provide a clean environment for the treatment of patients with remission, tension, fear and other adverse psychological, nursing staff should be warm reception of patients, with simple language to the patients and their families in the nest ditch closed the purpose, methods and precautions, improve the matching degree. In addition, the nursing staff should take the initiative to inform children with sealant only in teeth surface coated with a layer of film, play a protective role in the teeth, will not produce pain, alleviate bad mood with nervousness and fear, so as to keep the stable mood, relaxed and happy to accept treatment.
1.2.2, intraoperative care
Nursing staff to assist the patient lying flat on the child's special dental chair, to guide the correct position, the light is adjusted to the most appropriate state. Inform the patient of discomfort during the treatment. In the process of operation, keep the action gentle, try not to touch the patient's tongue, to avoid nausea and vomiting. The main reason is the shedding of sealant sealant failure, nursing and retain the integrity depends on the clinical operation, high quality skilled, strict control of wet insulation, saliva contamination, reduce repeat etching step, ensure sealant quality, achieve the anticaries effect of [2].
1.2.3, postoperative care
The patient's teeth closed after the nursing staff to assist the patient sit up from the chair, and take the initiative to help patients to clean the mouth, praise good children, sealant to be fully cured for 7 hours, the nursing staff repeatedly told the children not to bite two hours of fasting, excellent food [3]. Maintain oral hygiene. Nursing staff should take the initiative to explain to the families of patients with oral health related knowledge, so that it can urge patients to develop good oral hygiene habits.
1.4, evaluation and observation
Evaluation of the two groups were observed in 3, 6, 12 months time points after treatment of the tooth sealant retention rate and caries incidence.
1.5, statistical analysis
The collected data were processed by SPSS17.0 statistical software. The chi square test was used to count the data, and P<0.05 was used as the criterion of statistical significance between the groups.
2, results
Two groups of patients: the sealant retention rate of pit and fissure in the observation group after treatment 3, 6, 12 month closure retention rate significantly higher than the control group, two groups of patients after treatment of dental caries incidence; in the observation group after treatment 3, 6 and 12 months after the dental caries rate was significantly lower the control group, the two groups differed significantly, P<0.05. See table 1:
Table 1 retention rate and caries incidence rate of the patients in the two groups after treatment for 3, 6 and 12 months (n%)
3, discussion
Sealant has been developed, and widely used in clinical practice, anticaries effect has been affirmed, as long as the retention of complete, can effectively prevent the occurrence of dental caries in children. In this study, the patients in the observation group were given comprehensive nursing intervention measures, to implement effective psychological counseling for children, to alleviate the adverse psychological mood of patients, and actively cooperate with the doctor's treatment [4]. To prevent children from medical intervention has a pain, bleeding and other adverse impression of interference, so that the treatment process can be carried out smoothly to avoid time delay or abnormal interruption. At the same time, do a good job of health education after treatment, so that children can maintain a good treatment after treatment, and do a good job of daily management, to ensure the healthy implementation of health education.
The results show that the observed retention rate was significantly higher than the control group children, group of children's teeth fissure sealant was complete in the process of pit and fissure sealant treatment in children, good comprehensive nursing care on the effect, can improve the tooth retention rate of pit and fissure sealant. This method is worthy of clinical application.
Reference
[1] Tang Junfang, Yuan Jun.36 cases of deciduous molar pit and fissure sealing nursing [J]. China health nutrition magazine, 2013,24 (9): 205-206.
Nursing coordination of [J]. nursing [2] Tao Beibei.56 cases of pit and fissure sealant for children, 2014,7 (31): 2897-2898.
[3] Chen Wei, Li Yujing, et al. Study on in vitro experimental model of secondary caries of pit and fissure sealant [J]. Beijing Stomatology, 2014,15 (2): 74-77. (in Chinese)
[4] Jin Bian. Preventive dentistry [M].5 edition. Beijing: People's Medical Publishing House, 2015:159-162.