标准化路径式健康教育对慢性牙周病患者口腔保健行为及生活质量的影响  

Effects of standardized path health education on oral health behavior and quality of life in patients with chronic periodontal disease

作　　者：王洁茹 岳平 严春玲[1] WANG Jieru;YUE Ping;YAN Chunling(Department of Stomatology,the Affiliated Huai’an No.1 People’s Hospital of Nanjing Medical University,Jiangsu Province,Huai’an 223001,China)

机构地区：[1]南京医科大学附属淮安第一医院口腔科,江苏淮安223001

出　　处：《中国医药导报》2021年第20期152-155,共4页China Medical Herald

基　　金：国家自然科学基金资助项目(81760199)。

摘　　要：目的探讨标准化路径式健康教育在慢性牙周病患者中的应用效果。方法选择2018年1月至2019年6月南京医科大学附属淮安第一医院收治的慢性牙周病患者100例,按照随机数字表法将其分为观察组50例、对照组50例。对照组采用常规健康教育,观察组联合应用标准化路径健康教育。随访6个月,比较两组口腔保健行为、口腔健康生活质量。结果随访6个月,观察组脱落2例、对照组脱落4例。两组口腔保健行为达标率高于同组教育前(P<0.05),观察组采用竖刷式力度适当、使用牙线或冲洗器、定期牙齿洁治达标率高于对照组(P<0.05);两组口腔健康生活质量评分低于同组教育前(P<0.05),观察组功能限制、能力受限、身心缺陷、中文版口腔健康影响程度量表总分低于对照组(P<0.05)。结论标准化路径式健康教育能够为慢性牙周病患者提供明确的路径指引,有助于促进口腔保健行为的养成,改善患者口腔生活质量。Objective To explore the application effect of standardized path health education in patients with chronic periodontal disease.Methods A total of 100 patients with chronic periodontal disease admitted to the Affiliated Huai’an No.1 People’s Hospital of Nanjing Medical University from January 2018 to June 2019 were selected.According to random number table method,they were divided into observation group 50 cases and control group 50 cases.The control group received routine health education,while the observation group received standardized path health education.The oral health behaviors and oral health quality of life were compared between the two groups after six months follow-up.Results After six months of follow-up,there were two cases of abscission in the observation group and four cases in the control group,the compliance rate of oral health behavior in the two groups was higher than that before education(P<0.05).The standard reaching rates of adopted the vertical brush with appropriate strength,used dental floss or irrigator,and regular tooth cleaning of obersvation group were higher than those of the control group(P<0.05);the scores of oral health quality of life in two groups were lower than those before education(P<0.05),the scores of functional limitation,ability limitation,physical and mental deficiency,and the total scores of Chinese version of oral health impact profile scale in the observation group were lower than those in the control group(P<0.05).Conclusion Standardized path health education can provide clear path guidance for patients with chronic periodontal disease,promote the formation of oral health care behaviors,and improve the oral life quality of patients.

关 键 词：慢性牙周病 标准化 健康教育路径 口腔保健行为 口腔生活质量 

分 类 号：R787[医药卫生—口腔医学]