基于IMB理论的口腔个体化健康宣教对口腔正畸患者口腔卫生、正畸依从性的影响  

Effects of individualized oral health education based on IMB theory on oral hygiene and orthodontic compliance of orthodontic patients

作　　者：夏进连 Xia Jinlian(Affiliated Hospital of Jinggangshan University,Ji'an,Jiangxi 343000,China)

机构地区：[1]井冈山大学附属医院,江西吉安343000

出　　处：《首都食品与医药》2023年第9期127-130,共4页Capital Food Medicine

摘　　要：目的探讨基于IMB理论的口腔个体化健康宣教对口腔正畸患者口腔卫生、正畸依从性的影响。方法选取2019年6月-2021年6月井冈山大学附属医院口腔科门诊口腔正畸患者90例,采用随机数字表法分为治疗组和对照组,每组各45例。对照组采用常规口腔健康宣教,治疗组进行基于IMB理论的口腔个体化健康宣教,两组均予以矫治器正畸。比较两组患者干预前后口腔保健认知水平及口腔卫生行为、正畸依从性、菌斑指数、牙龈指数变化,对比两组护理满意度。结果干预后,两组患者口腔保健知识掌握率及口腔卫生行为的正确率均较治疗前提高(P<0.05);且治疗组干预后知识掌握率和行为正确率均高于对照组,差异有统计学意义(P<0.05);治疗组按时复诊、口腔卫生保持依从率高于对照组(P<0.05);治疗中断率低于对照组,差异有统计学意义(P<0.05);干预1个月时,两组PLI、GI均较干预前升高(P<0.05);干预6个月时,两组PLI、GI均较干预1个月时降低(P<0.05);且治疗组干预1个月、6个月的PLI、GI均低于对照组,差异有统计学意义(P<0.05);干预后,治疗组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论基于IMB理论的口腔个体化健康宣教能提高口腔正畸患者对口腔保健认知水平及口腔卫生行为的了解,保持健康的口腔卫生习惯,患者满意度更高,依从性更好。Objective To explore the effect of individualized oral health education based on IMB theory on oral hygiene and compliance of orthodontic patients.Methods A total of 90 patients with orthodontics in the outpatient department of Stomatology of our hospital were selected from June 2019 to June 2021 and divided into treatment group and control group by random number table method,45 cases in each group.The control group received routine oral health education,the treatment group received individualized oral health education based on IMB theory,and both groups received orthodontics.The cognitive level of oral health care and oral health behavior,orthodontic compliance,plaque index and gingival index changes before and after intervention were compared between the two groups,and the nursing satisfaction was compared between the two groups.Results After intervention,the mastery rate of oral health knowledge and correct rate of oral health behavior in two groups were improved compared with before treatment(P<0.05).After intervention,the knowledge mastery rate and behavior accuracy rate of the treatment group were higher than those of the control group,the difference was statistically significant(P<0.05).The rates of punctual visit and oral hygiene compliance in the treatment group were higher than those in the control group(P<0.05).Treatment interruption compliance rates were lower than control group,the difference was statistically significant(P<0.05).At 1 month of intervention,PLI and Gl in both groups were higher than before intervention(P<0.05);at 6 months of intervention,PLI and Gl of two groups were decreased compared with 1 month of intervention(P<0.05).The PLI and Gl of the treatment group at 1 month and 6 months were lower than those of the control group,the difference was statistically significant(P<0.05).After intervention,nursing satisfaction of the treatment group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conelusion The individualized oral health educati

关 键 词：IMB理论 口腔个体化健康宣教 口腔正畸 口腔保健认知水平及口腔卫生行为正畸依从性 菌斑指数 牙龈指数 

分 类 号：R783.5[医药卫生—口腔医学]