自我效能干预对口腔种植患者牙科焦虑症及口腔健康相关生活质量的影响  

Effect of self-efficacy intervention on dental anxiety and oral health related quality of life in dental implant patients

作　　者：杨政尧 马琰[1] 朱亚玲 吴佩佩 姑则丽努尔.阿布都克力木 尼加提.吐尔逊 YANG Zhengyao;MA Yan;ZHU Yaling;WU Peipei;Guzelinuer·Abudukelimu;Nijiati· Tuerxun(Department of Stomatology,the Second Affiliated Hospital of Xinjiang Medical University , Urumqi 830063,China)

机构地区：[1]新疆医科大学第二附属医院口腔科,新疆乌鲁木齐830063

出　　处：《西北国防医学杂志》2019年第4期241-245,共5页Medical Journal of National Defending Forces in Northwest China

摘　　要：目的:探讨自我效能干预对口腔种植患者牙科焦虑症及口腔健康相关生活质量的影响。方法:选择接受口腔种植治疗的患者108例,用随机数字表法分为实验组和对照组,每组各54例。对照组进行常规口腔知识宣教干预,实验组在对照组基础上采用自我效能疗法进行干预。干预前后采用自我效能感量表(general self-efficacy scale,GSES)、状态-特质焦虑量表(state-trait anxiety inventory,STAI)和口腔健康相关生活质量量表(oral health related quality of life questionnaire,OHRQoL)对两组患者进行评估。结果:干预前两组的状态焦虑量表(state anxiety inventory,S-AI)、特质焦虑量表(trait anxiety inventory,T-AI)、GSES评分比较,差异无统计学意义(P>0.05)。首次干预后、干预后1个月、干预后6个月实验组S-AI评分均低于对照组;干预后6个月实验组T-AI评分低于对照组(均P<0.01)。首次干预后、干预后1个月、干预后6个月实验组GSES评分高于对照组(P<0.01)。治疗前两组的OHRQoL评分差异无统计学意义,治疗后实验组的OHRQoL评分高于对照组(P<0.01)。结论:自我效能干预可有效缓解口腔种植患者牙科焦虑症状,并提高种植治疗后的口腔健康相关生活质量。Objective: To explore the effect of self-efficacy intervention on dental anxiety and oral health related quality of life in dental implant patients. Methods: A total of 108 dental implant patients were selected and randomly divided into intervention group and control group,54 patients in each group.General knowledge of orthodontics was explained in control group. Beside the general knowledge of orthodontics,the intervention group was given self-efficacy intervention.The patients were evaluated by the general self-efficacy scale(GSES),the state-trait anxiety inventory(STAI) and the oral health related quality of life questionnaire(OHRQoL). Results: There was no statistically significant difference in state anxiety inventory(S-AI),trait anxiety inventory(T-AI) and GSES scores between the two groups before intervention ( P > 0.05 ).S-AI score of intervention group was lower than that of the control group after the first intervention ,1 months after intervention and 6 months after intervention,and the T-AI score of intervention group was lower than that of the control group after 6 months of intervention( P <0.01).After the first intervention,1 months after intervention and 6 months after intervention ,the GSES score of the intervention group was higher than that of the control group( P <0.01).There was no statistically significant difference in the OHRQoL score between the two groups before the implant treatment,and the OHRQoL score of the intervention group was higher than that of the control group after the implantation( P <0.01). Conclusion: Self-efficacy intervention can effectively alleviate dental anxiety and improve the quality of life related to oral health after implant treatment.

关 键 词：口腔种植 自我效能 牙科焦虑症 口腔健康相关生活质量 

分 类 号：R828.8[医药卫生—临床医学]