口颌面肌功能紊乱患儿家长对口面肌功能治疗的认知调查  

A survey of parents’cognition about orofacial myofunctional therapy in children with orofacial muscle dysfunction

作　　者：丁琴[1] 汪隼[1] 赖光云[1] DING Qin;WANG Sun;LAI Guang-yun(Department of Pediatric Dentistry,Shanghai Ninth People's Hospital,Shanghai JUw Tong University School of Medicine,College of Stomulology,Shanghai Jiao Tong University,National Center for Stomatology,National Clinical Research Center for Oral Diseases,Shanghai Key Laboratory of Stonuitology,Shanghai 200011,China)

机构地区：[1]上海交通大学医学院附属第九人民医院儿童口腔科,上海交通大学口腔医学院,国家口腔医学中心,国家口腔疾病临床医学研究中心,上海市口腔医学重点实验室,上海200011

出　　处：《上海口腔医学》2021年第5期539-542,共4页Shanghai Journal of Stomatology

基　　金：上海交通大学医学院附属第九人民医院护理院基金(JYHL2019MS12)。

摘　　要：目的:了解患儿家长对口面肌功能治疗(OMT)的认知差异性及其影响因素,为针对性开展口面肌功能治疗提供依据。方法:使用自行设计的调查问卷,对98例接受口面肌功能治疗的患儿家长进行基本信息和口面肌功能治疗相关问题的调查,采用SPSS 22.0软件包对数据进行统计学分析。结果:患儿家长对口面肌功能的总认知度较低,为23.47%。对错畸形的认知情况(68.4%)与口面肌功能紊乱的认知情况(26.5%)、口面肌功能治疗意义的认知情况(28.6%)以及口面肌功能针对性治疗的认知(23.5%)存在显著差异(P<0.001)。不同特征的家长对口面肌功能治疗的总体认知度不同,50岁以上家长认知度较低(13.33%),高学历家长认知度较高(48.08%);不同性别、职业和家庭月收入组认知度比较差异无统计学意义。与低认知度相比,高认知度的家长依从性和合作度更好(P<0.01)。结论:OMT是一个长期的治疗过程,需要患儿持之以恒的坚持和积极努力的配合,其疗效主要取决于患儿的依从性和合作度,较高的认知度是具备良好依从性和合作度的前提,需要加强口面肌功能治疗宣教,尤其对特殊体征家长进行口腔健康宣教,提高对口面肌功能治疗的认知度,避免错[牙合]畸形发生。PURPOSE:To investigate the difference of parent’s cognition of children’s orofacial myofunctional therapy(OMT)and its influencing factors,to provide reference for children’s OMT.METHODS:Self-designed questionnaire was used to investigate the basic information and related problems of 98 parents whose children received OMT.SPSS 22.0 software package was used for statistical analysis.RESULTS:The parents’total cognition of OMT was relatively low(23.47%).The cognition of malocclusion(68.4%)was significantly different from that of orofacial dysfunction(26.5%),the therapeutic significance of OMT(28.6%)and the attitude of specific treatment of orofacial myofunctional therapy(23.5%)(P<0.001).Parents with different backgrounds had different recognition of OMT:the cognitive degree of parents over 50 years old was low(13.33%),while the cognitive degree of the parents with high educational background was high(48.08%).There was no significant difference in cognition among different gender,occupation and family monthly income.High recog-nition had good compliance and cooperation.Comparing with low recognition,the difference from high recognition on compli-ance and cooperation was significant(P<0.01).CONCLUSIONS:OMT is a long-term treatment process,which needs children’s perseverance and active cooperation.The curative effect mainly depends on the children’s compliance and coopera-tion.Higher awareness is the premise of good compliance and cooperation.To improve the recognition of OMT and avoid oc-currence of malocclusion,it is necessary to strengthen education of OMT,especially for parents with special backgrounds.

关 键 词：错[牙合]畸形 口面肌功能紊乱 肌功能训练 认知调查 

分 类 号：R783.5[医药卫生—口腔医学]