下颌骨缺损患者对咬合功能锻炼需求的质性研究  

A qualitative study on the needs of patients with mandibular defects for occlusal function

作　　者：赵燕[1,2] 张颖 陈茜 侯黎莉 ZHAO Yan;ZHANG Ying;CHEN Qian;HOU Li-li(Nursing Department,Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine.Shanghai 200011;School of Nursing,Shanghai Jiao Tong University.Shanghai 200025;Department of Oromaxillofacial Head and Neck Oncology,Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine,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]上海交通大学护理学院,上海200025 [3]上海交通大学医学院附属第九人民医院口腔颌面-头颈肿瘤科,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》2024年第1期106-112,共7页Shanghai Journal of Stomatology

基　　金：长三角科技创新共同体项目(21002411300);上海交通大学医学院护理科研重中之重项目(Jyhz2304)。

摘　　要：目的:了解口腔肿瘤术后下颌骨缺损患者咬合功能锻炼的现状与需求。方法 :采用目的 抽样法,对27例口腔肿瘤术后下颌骨缺损患者进行半结构式访谈,借鉴扎根理论的三级编码体系,运用Nvivo11质性分析软件进行自下而上的编码分析。结果:下颌骨缺损患者咬合功能锻炼的现状与需求可归纳为5个主题,即下颌骨缺损对患者的影响、咬合功能锻炼相关知识缺乏、对咬合功能锻炼内容的需求(期待专业化健康指导)、对咬合功能锻炼宣教方式的需求(期待多元化宣教方式及各种阻碍因素导致患者依从性降低)。结论 :建立统一规范的咬合功能锻炼方案,临床医护人员应关注患者的各种阻碍因素,调节患者心理状态,最大限度提高患者咬合功能锻炼的依从性。PURPOSE:To understand the current situation and needs of occlusal function exercise in patients with mandibular defects after oral tumor surgery.METHODS:Twenty-seven patients with mandibular defects after oral tumor surgery were interviewed semi-structurally by objective sampling method.The three-level coding system of rooting theory was used for reference,and Nvivo11 qualitative analysis software was used for bottom-up coding analysis.RESULTS:The current situation and needs of occlusal function exercise in patients with mandibular defects can be summarized into five themes,the impact of mandibular defects on patients,lack of knowledge related to occlusal function exercise,demand for content of occlusal function exercise(looking forward to professional health guidance),demand for education methods of occlusal function exercise(expecting diversified education methods and various obstacles to reduce patient compliance).CONCLUSIONS:To establish a unified and standardized program of occlusal function exercise,doctors and nurses should pay attention to various obstacles of patients,adjust the psychological state of patients,and maximize the compliance of patients with occlusal function exercise.

关 键 词：口腔肿瘤 下颌骨缺损 咬合 功能锻炼 质性研究 

分 类 号：R781.4[医药卫生—口腔医学]