摘要
目的 研究基于自我效能理论系统的口腔健康管理对正畸牙釉质脱矿患者口腔健康自理能力和脱矿程度的干预效果。方法 采用便利抽样法,选择2022年3月至9月在南京医科大学附属口腔医院固定矫治的120例受试者进行牙釉质脱矿筛查,按照随机数字表法将其分为观察组(n=60)与对照组(n=60)。对照组接受常规护理干预,观察组在对照组的基础上实施基于自我效能理论系统的口腔健康管理,分别在基线(T0)、干预6个月(T1)以及12个月(T2)时评定患者的自我效能感、口腔健康自理能力和牙釉质脱矿指数(EDI)。结果 重复测量方差分析结果显示,干预后,不同时间点观察组患者健康行为自我效能感量表得分和口腔健康自理能力得分均高于干预前和对照组,差异有统计学意义(P<0.05);在T2时观察组患者牙釉质脱矿指数为(0.16±0.09),显著低于对照组的(0.48±0.28),差异具有统计学意义(P<0.05)。结论 基于自我效能理论系统的口腔健康管理可提高正畸牙釉质脱矿患者的自我效能感和口腔健康自理能力、降低牙釉质脱矿率,有效改善口腔卫生情况。
Objective To evaluate the intervention effects of oral health management based on self-efficacy theory system on patients with enamel demineralization during orthodontic treatment.Methods 120 patients with enamel demineralization during orthodontic treatment from March to September 2022 were selected by the convenient sampling method.They were randomly divided into the experimental group(n=60)and the control group(n=60)though convenience sampling.The control group received the routine care,while the experimental group received the oral health management based on self-efficacy theory system.The self-efficacy,the self-care ability of oral health and the index of enamel demineralization(EDI)were compared between the two groups at the baseline(T0),six months of experimental intervention(T1),and 12 months of experimental intervention(T2).Results Repeated measures analysis of variance showed that the scores of the health behavior self-efficacy and the oral health self-care ability of patients of the experimental group at different times were higher than those before intervention and the control group(P<0.05).At T2,the enamel demineralization index of the experimental group was(0.16±0.09),which was significantly lower than that of the control group(0.48±0.28)(P<0.05).Conclusions The oral health management based on self-efficacy theory system could improve the self-efficacy and the oral health self-care ability,reduce the rate of enamel demineralization,and effectively improve oral health of orthodontic patients with enamel demineralization.
作者
张梦男
管兆兰
胡丹艳
马俊青
ZHANG Mengnan;GUAN Zhaolan;HU Danyan;MA Junqing(Department of Orthodontic,Affiliated Stomatological Hospital of Nanjing Medical University/Jiangsu Provincial Stomatological Hospital,Nanjing 210029,China)
出处
《医药高职教育与现代护理》
2024年第1期49-54,共6页
Medical Higher Vocational Education and Modern Nursing
基金
江苏省科技计划社会发展项目(BE2021724)。
关键词
正畸矫治
自我效能感理论
口腔健康管理
牙釉质脱矿
Orthodontic treatment
Self-efficacy theory
Oral health management
Demineralization of tooth enamel
