临床与病理杂志2025，Vol.45Issue(5)：588-595,8.DOI:10.11817/j.issn.2095-6959.2025.250047
基于eCASH理念的临床护理路径在种植牙患者围手术期中的应用
Application of a clinical nursing pathway based on the eCASH concept in the perioperative period of dental implant patients
摘要
Abstract
Objective:Dental implant surgery is an important method for restoring missing teeth.During the perioperative period,patients often experience negative emotions such as anxiety and depression due to surgical stress,which can affect the stability of vital signs and surgical cooperation.Although the traditional nursing model meets basic needs,it has limitations in individualized comfort management and comprehensive pathway-based interventions.This study aims to integrate the early comfort using analgesia,minimal sedatives,and maximal humane care(eCASH)concept into a clinical nursing pathway,to explore an optimized perioperative nursing approach. Methods:Ninety-eight patients who underwent dental implant surgery at the Affiliated Stomatological Hospital of Nanjing Medical University between January 2023 and June 2024 were randomly assigned into a control group(n=49)and an observation group(n=49)using a random number table method.The control group received traditional care,including routine preoperative health education,basic intraoperative life support and psychological counselling,and standard postoperative rehabilitation guidance.The observation group received a clinical nursing pathway based on the eCASH concept.Vital signs,anxiety,depression,and satisfaction levels were compared between groups before and after intervention. Results:After intervention,the heart rate and mean arterial pressure in the observation group were lower than those in the control group(both P<0.05).Anxiety and depression scores were significantly lower in the observation group compared with the control group(both P<0.05).Patient satisfaction scores were significantly higher in the observation group(P<0.05). Conclusion:A clinical nursing pathway based on the eCASH concept can significantly reduce perioperative anxiety and depression in dental implant patients,stabilize vital signs,improve intraoperative comfort,and enhance patient satisfaction,showing potential for clinical promotion.关键词
使用镇痛、最小化镇静和最大化人文关怀实施早期舒适化/临床护理路径/种植牙/围手术期/满意度Key words
early comfort using analgesia,minimal sedatives,and maximal humane care/clinical nursing pathway/dental implant/perioperative period/satisfaction引用本文复制引用
丁倩,陈珊珊,高敏,谢玲玲..基于eCASH理念的临床护理路径在种植牙患者围手术期中的应用[J].临床与病理杂志,2025,45(5):588-595,8.基金项目
南京医科大学科技发展基金(NMUSN202102).This work was supported by Science and Technology Development Fund of Nanjing Medical University,China(NMUSN202102). （NMUSN202102）
