| Research objectives:1.To investigate the role of smartphone applications(We Chat)nursing model in postoperative nursing care of dental implant's bone augmentation.2.To observe the influence of the nursing model on the relationship between doctors and dental patients3.To take further step to use this nursing model application to improve the stability of bone augmentation post operation Material and methods:This study was a quasi experimental study,non-randomized concurrent control trial.From October 10,2014 to December 10,2014,a questionnaire survey was conducted from two stomatological hospitals in one city,and took the relevant literatures reviews to understand what factors are crucial in the use of smartphones to carry out the implementation with We Chat's nursing care applications(apps).We selected 113 patients who took the first time bone augmentation operation of dental implant with 153 teeth as the research's object by convenience sampling method in first class stomatological hospital from December 2014 to June 2015,and we divided the 113 patients into two group: intervention group and control group randomly: 56 in the intervention group using We Chat application nursing model,57 in the control group using conventional oral nursing mode,the study was ended on December 2016,and every patient continued follow-up for 18 months.We collected all relevant data from patients who were first time to attend in oral implant augmentation surgery after 3 months,6 months,12 months and 18 months,data collection technique as follows:1.Oral hygiene maintenance situation: monitoring the simplified oral hygiene index(OHI-S)scale,Follow-up compliance rate2.Implant stability: monitoring the stability of implant system(ISQ),using osstell mentor implant diagnostics(Integration,Sweden)to monitor the biomechanical bonding degree of the implant.3.Satisfaction of life quality after oral implant: the oral quality of life scale(OHRQOL)was used to measure the satisfaction of patients Results:Until December 2016,a total of 113 patients completed the study,57 in the control group,56 in the intervention group,the results are as follows:1.Oral hygiene maintenance situation: OHI-S measured in the intervention group and the control group had no difference compared with the score before the experiment(15.93±1.597;16.07±1.65?p=0.771>0.005,the difference has no statistically significant),With the prolongation of follow-up the oral hygiene maintenance situation of the intervention group was higher than that of the control group;Follow-up compliance rate within the prescribed time period of the intervention group in 3 months,6 months,12 months,18 months were 96%,100%,100%,100%;Follow-up compliance rate within the prescribed time period of the control group were 98%,89%,82%,79%.2.Stability of the implant: monitoring the stability of the implant system(ISQ)to measure the biomechanical bonding degree of the implant,the stability of the implant in the intervention group was higher than that of the control group3.Satisfaction of life quality after oral implant: the intervention group had no difference in satisfaction of life quality after oral implant compared with it before the experiment.As the experiment proceeds,the satisfaction of life quality of the intervention group was higher than that of the control group.Conclusions:1.It is feasible to promote the standardization of We Chat nursing apps in clinical practice2.The nursing model can improve the cooperation between doctors and patients and play an important role in building a harmonious relationship between doctors and patients3.The nursing model can effectively improve the patient's oral health maintenance situation,and improve patient compliance and ultimately improve the stability of the implant. |
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