自我效能干预在口腔正畸治疗中的应用  

Self-efficacy intervention in orthodontic treatments

作　　者：郑衍亮[1] 张作记[2] 陈杰[3] 

机构地区：[1]济宁市第一人民医院口腔科,济宁272100 [2]济宁医学院行为医学教育研究所,济宁272067 [3]青岛大学附属医院口腔正畸科,青岛266071

出　　处：《国际口腔医学杂志》2017年第2期161-164,共4页International Journal of Stomatology

摘　　要：目的探讨自我效能干预对口腔正畸治疗患者心理状态的作用,建立合理的临床心理干预模式。方法选择136例患者按照就诊顺序编号,奇数号入干预组(自我效能心理行为干预组),偶数号入对照组。对照组进行常规正畸知识教育,干预组增加自我效能干预。应用焦虑自评量表(SAS)、抑郁自评量表(SDS)、一般自我效能量感表(GSES)、Wong-Baker面部表情疼痛量表,对2组患者进行评估。结果治疗第二个月复诊后1周,干预组疼痛总分低于对照组,差异有统计学意义(P<0.05)。治疗1个月后,SAS、SDS和GSES评分,干预组和对照组相比较,差异均有统计学意义(P<0.05)。治疗1年后,SAS、SDS和GSES评分,干预组和对照组相比较,差异均有统计学意义(P<0.05)。正畸治疗1年后进行正畸治疗满意度评定,干预组得分高于对照组,差异有统计学意义(P<0.05)。结论对正畸治疗患者进行自我效能干预,可以显著降低心理卫生问题发生,提高正畸的疗效,增强治疗依从性,减轻疼痛。Objective This study investigated the effects of self-efficacy intervention on the psychological state of orthodontic patients and established a reasonable intervention model to enhance clinical effects. Methods One hundred and thirty-six patients were numbered according to the order of treatment： odd numbers were assigned to the intervention group（self-efficacy intervention group）, and even numbers to the control group. General knowledge of orthodontics was explained to the control group. Beside the general knowledge of orthodontics, the intervention group was given self- efficacy intervention. The two groups were assessed using the self-rating anxiety scale（SAS）, self-rating depression scale（SDS）, general self-efficacy scale（GSES）, and Wong-Baker faces pain scale throughout treatment. Results The scores of Wong-Baker faces pain scale in intervention group were lower in the control compared with the intervention group; and the difference was statistically significant after 2 months of intervention（P〈0.05）. A month after intervention, SAS, SDS, and GSES scores of the intervention and control groups were significantly different（P〈0.05）. A year after intervention, SAS, SDS, and GSES scores of the intervention and the control groups were significantly different（P〈0.05）. The satisfaction score in the intervention group is statistically higher than that in the control group（P〈0.05）. Conclusion Self-efficacy intervention can significantly reduce the morbidity of the mental health problem, improve the curative effect of orthodontics, enhance the patient compliance, and relieve pain in orthodontic patients.

关 键 词：自我效能 口腔正畸 心理干预 临床疗效 

分 类 号：R473.78[医药卫生—护理学]