Cox健康互动模式在慢性牙周炎患者口腔卫生指导中的效果研究  

Study on the effect of Cox health interaction model in oral health guidance for patients with chronic periodontitis

作　　者：雷冰 赵珊梅[1,2,4] 刘瑾 薛伟旗[1,2,4] 张丽梅 LEI Bing;ZHAO Shan-mei;LIU Jin;XUE Wei-qi;ZHANG Li-mei(Shaanxi Key Laboratory of Craniomaxillofacial Precision Medicine,Stomatological Hospital of Xi'an Jiaotong University,Shaanxi Xi'an 710004,China;Shaanxi Provincial Dental and Jaw Disease Clinical Research Center,Shaanxi Xi'an 710004,China;Department of Stomatology,Stomatological Hospital of Xi'an Jiaotong University,Shaanxi Xi'an 710004,China;Department of Periodontology,Stomatological Hospital of Xi'an Jiaotong University,Shaanxi Xi'an 710004,China)

机构地区：[1]西安交通大学口腔医院,陕西省颅颌面精准医学研究重点实验室,陕西西安710004 [2]陕西省牙颌疾病临床研究中心,陕西西安710004 [3]西安交通大学口腔医院口腔综合科,陕西西安710004 [4]西安交通大学口腔医院牙周科,陕西西安710004

出　　处：《临床口腔医学杂志》2022年第11期659-663,共5页Journal of Clinical Stomatology

基　　金：国家自然科学基金项目(81704128);西安交通大学口腔医院临床新技术、新业务项目(xjkqxjs2019-08)。

摘　　要：目的:探讨Cox健康互动模式在慢性牙周炎患者口腔卫生指导中的应用效果,为慢性牙周炎患者口腔健康教育提供理论依据。方法:对2020年4月~2020年10月对我院就诊的112例慢性牙周炎患者为研究对象,采用随机数表法分为对照组和观察组,各56例。对照组给予常规干预,观察组实施Cox健康互动模式干预,干预3个月后评价效果。结果:共失访4例,最终参与本研究对照组55例,观察组53例。干预3个月后,两组软垢指数、牙石指数、牙龈指数、出血指数较干预前降低,且观察组低于对照组(P<0.05);观察组自我效能量表各维度及总分高于对照组(P<0.05);观察组每天刷牙次数≥3次、每次刷牙时长≥3 min、每天使用牙线或牙缝刷、使用正确刷牙方法占比均高于对照组,差异均有统计学意义(P<0.05)。结论:Cox健康互动模式是一个有效的健康教育方法,能提升患者自我管理能力和健康行为,促进了良好的口腔卫生行为,改善慢性牙周炎患者的健康结局。Objective:To explore the application effect of Cox health interaction model in oral health guidance for patients with chronic periodontitis,and to provide theoretical basis for oral health education for patients with chronic periodontitis.Methods:From April 2020 to October 2020,112 patients with chronic periodontitis who visited the periodontal department of our hospital were selected as the research objects,and were divided into the control group and the observation group by random number table method,with 56 cases in each group.The control group was given routine nursing care,and the observation group was given the Cox health interaction model intervention,and the effect was evaluated after 3 months of intervention.Results:A total of 4 cases were lost to follow-up,and 55 cases in the control group and 53 cases in the observation group finally participated in this study.After 3 months of intervention,the soft scale index,stone index,gingival index and bleeding index of the two groups were lower than those before the intervention,and the observation group was lower than the control group(P<0.05).Each dimension and total score of the self-efficacy scale in the observation group were higher than those in the control group(P<0.05).The frequency of brushing≥3 times per day,the duration of each brushing≥3 minutes,the daily use of dental floss or interdental brush,and the use of correct brushing methods in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:The Cox health interaction model is an effective health education method that enhances patient self-management skills and healthy behaviors,promotes good oral hygiene behaviors,and improves health outcomes for patients with chronic periodontitis.

关 键 词：Cox健康互动模式 慢性牙周炎 菌斑控制 口腔卫生指导 

分 类 号：R781.4[医药卫生—口腔医学] R780.1[医药卫生—临床医学]