摘要
目的:探讨认知行为干预对固定矫正器正畸患者心理负担和自护能力的影响。方法:选取2020年1月-2021年1月某院收治的90例固定矫正器正畸患者为研究对象,按照入院先后分为对照组和观察组,每组各45例;对照组采取常规干预,观察组采取认知行为干预;对比两组治疗依从性,干预前后心理负担[汉密尔顿焦虑自评量表(HAMA)、汉密尔顿抑郁自评量表(HAMD)]、舒适度和疼痛情况[Kolcaba简化舒适状况量表、视觉模拟评分法(VAS)]、自护能力[自我护理能力量表(ESCA)]及自我效能[口腔保健自我效能量表(SESS)]。结果:两组治疗依从性比较,观察组高于对照组(χ^(2)=5.404,P<0.05)。干预后,两组HAMA、HAMD评分均下降(P<0.05),且观察组均低于对照组(t=-8.993,-7.187;P<0.05);干预后,两组Kolcaba量表评分均升高(P<0.05),且观察组均高于对照组(t=10.804,P<0.05);两组VAS评分均降低(P<0.05),且观察组均低于对照组(t=-15.429,P<0.05);干预后,两组自我概念、健康知识水平、自我护理技能、自我护理责任感及ESCA量表总分均高于干预前(P<0.05),且观察组均高于对照组(t=6.692,3.663,5.640,5.183;P<0.05);干预后,两组口腔就诊、正确刷牙、平衡饮食得分均高于干预前(P<0.05),且观察组均高于对照组(t=4.295,7.013,7.427;P<0.05)。结论:对固定矫正器正畸患者采用认知行为干预效果显著,可提高治疗依从性,减轻心理负担,缓解疼痛,提高舒适度、自护能力和口腔保健自我效能。
Objective:To explore the effect of cognitive behavior intervention on the psychological burden and self-care ability of orthodontic patients with fixed appliances.Methods:A total of 90 cases of fixed appliance orthodontic patients admitted to our hospital from January 2020 to January 2021 were selected as the research objects.They were divided into control group and observation group according to the order of admission,with 45 cases in each group;The control group received routine intervention,while the observation group received cognitive behavioral intervention;Compare the treatment compliance of the two groups,psychological burden[Hamilton Self Rating Anxiety Scale(HAMA),Hamilton Self Rating Depression Scale(HAMD)],comfort and pain[Kolcaba Simplified Comfort Scale,Visual Analog Scale(VAS)],self-care ability[Self Care Ability Scale(ESCA)]and self-efficacy[Oral Health Self efficacy Scale(SESS)]before and after intervention.Results:The treatment compliance of the two groups was higher in the observation group than in the control group(χ^(2)=5.404,P<0.05).After intervention,the scores of HAMA and HAMD in both groups decreased(P<0.05),and the scores in the observation group were lower than those in the control group(t=-8.993,-7.187;P<0.05);After intervention,the Kolcaba scale score in both groups increased(P<0.05),and the observation group was higher than the control group(t=10.804,P<0.05);The VAS scores in both groups were lower(P<0.05),and those in the observation group were lower than those in the control group(t=-15.429,P<0.05);After intervention,the total scores of self-concept,health knowledge level,self-care skills,self-care responsibility and ESCA scale in the two groups were higher than those before intervention(P<0.05),and those in the observation group were higher than those in the control group(t=6.692,3.663,5.640,5.183;P<0.05);After intervention,the scores of oral treatment,correct brushing and balanced diet in the two groups were higher than those before intervention(P<0.05),and the scores in the observation group were higher than those in the control group(t=4.295,7.013,7.427;P<0.05).Conclusion:Cognitive behavioral intervention has significant effect on orthodontic patients with fixed appliances,which can improve treatment compliance,reduce psychological burden,relieve pain,improve comfort,self-care ability and oral health self-efficacy.
作者
陈刚
莫丽飞
胡宇
CHEN Gang;MO Lifei;HU Yu(Yichang Central People's Hospital Department of Stomatology,Yichang 443000,China;Yuan'an County Hospital of Traditional Chinese Medicine Department of Stomatology;Department of Stomatology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology)
出处
《中国健康心理学杂志》
2024年第5期709-714,共6页
China Journal of Health Psychology
基金
2021年度湖北省自然科学基金(编号:2021CFB399)。
关键词
认知行为干预
固定矫正器
正畸
心理负担
自护能力
舒适度
疼痛
口腔保健自我效能
Cognitive behavioral intervention
Fixed orthodontic appliances
Orthodontics
Psychological burden
Self care ability
Comfort
Pain
Oral health self-efficacy
