成人正畸患者口腔健康素养现状及影响因素分析  

Current status of oral health literacy and its influencing factors among adult orthodontic patients

作　　者：胡祥莹 王璧霞[2] 袁卫军[1] 朱敏[2] 肖燕[1] HU Xiang-ying;WANG Bi-xia;YUAN Wei-jun;ZHU Min;XIAO Yan(Department of Nursing,Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine.Shanghai 200011;Department of Oral and Craniomaxillofacial Surgery,Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine,College of Stomatology,Shanghai Jiao Tong University,National Center for Stomatology,National Clinical Research Center for Oral Diseases,Shanghai Key Laboratory of Stomatology,Shanghai Research Institute of Stomatology.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护理部,上海200011 [2]上海交通大学医学院附属第九人民医院口腔颅颌面科,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,上海市口腔医学研究所,上海200011

出　　处：《上海口腔医学》2023年第5期545-550,共6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级基金(JYHL2023MS04,JYHL2020MS09);上海交通大学医学院附属第九人民医院优秀护理人才计划(JYHRC22-P02)。

摘　　要：目的:调查成人正畸患者口腔健康素养现状并分析其影响因素。方法:采取便利抽样方法,选择2021年11月—2022年2月上海交通大学医学院附属第九人民医院163例门诊成人正畸患者为研究对象。采用一般资料调查表、中文版口腔健康素养量表、中文版口腔保健自我效能量表及社会支持量表进行问卷调查。采用SPSS 21.0软件包对数据进行统计学分析。结果:成人正畸患者口腔健康素养得分为(48.74±5.54)分,得分最低的2个条目属于关注(6.80±1.19)和支持(6.40±1.59)维度。多元逐步回归分析显示,成人正畸患者就诊自我效能、社会支持利用度、亲友正畸史和客观支持是口腔健康素养的影响因素。结论:成人正畸患者口腔健康素养处于中上水平,但关注和支持素养有待提高。加强就诊自我效能、客观支持和对社会支持的利用度,可提高成人正畸患者口腔健康素养。对无亲友正畸史的患者应重点关注。PURPOSE:To investigate the current status of oral health literacy among adult orthodontic patients and analyze its influencing factors.METHODS:Totally 163 adult orthodontic patients were recruited by convenience sampling method from November 2021 to February 2022 at the Department of Oral and Craniomaxillofacial Surgery,Center of Craniofacial Orthodontics in Shanghai Ninth People's Hospital.General information questionnaire,Chinese version of Health Literacy in Dentistry(HeLD-14),Chinese version of Self-Efficacy Scale for Self-care(SESS)and Social Support Rating Scale(SSRS)were applied.SPSS 21.0 software package was used for data analysis.RESULTS:The mean score of oral health literacy in adult orthodontic patients was(48.74±5.54),and the lowest score were obtained in concern(6.80±1.19)and support(6.40±1.59)dimensions.Multiple stepwise regression analysis showed that adult orthodontic patients*consultation self-efficacy,social support utilization,family or friends orthodontic history and objective support were the influencing factors of oral health literacy.CONCLUSIONS:The oral health literacy in adult orthodontic patients is at a middle to high level,but concern and support literacy need to be improved.Strengthening consultation self-efficacy,objective support and utilization of social support can improve adult orthodontic patients'oral health literacy.Attention should be paid to patients who have no relatives or friends with history of orthodontic treatment.

关 键 词：成人正畸 健康素养 自我效能 社会支持 

分 类 号：R783.5[医药卫生—口腔医学]