IMB模型联合延续性口腔健康教育在妊娠期妇女口腔管理中的应用  

The application of IMB model combined with continuous oral health education in the oral management of pregnant women

作　　者：李玲玲 李梦媛 焦姣 张馨 李亚荣 米璇 刘颖蓉 黄瑞哲[1,2] LI Lingling;LI Mengyuan;JIAO Jiao;ZHANG Xin;LI Yarong;MI Xuan;LIU Yingrong;HUANG Ruizhe(Shanxi Provincial Key Laboratory of CranioMaxillofacial Precision Medicine,Stomatology Hospital,Xi′an Jiaotong University,Xi′an 710004,China;Center of Oral Prevention and Health,Stomatology Hospital,Xi′an Jiaotong University,Xi′an 710004,China;Department of Preventive Health Care,Yinchuan Stomatological Hospital,Yinchuan 750002,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]西安交通大学口腔医院口腔预防保健中心,陕西西安710004 [3]宁夏银川市口腔医院预防保健科,宁夏银川750002

出　　处：《宁夏医学杂志》2024年第6期511-515,共5页Ningxia Medical Journal

摘　　要：目的 探究并分析信息-动机-行为技巧(IMB)模型联合延续性口腔健康教育在妊娠期妇女口腔管理中的应用价值。方法 选取妊娠期妇女440例,其中失访40例,最终入组400例,采用随机数字表法将其随机分为对照组和观察组,每组各200例。对照组均进行传统口腔健康教育,观察组实施IMB模型联合延续性口腔健康教育,分别于干预前、干预后第3个月、第6个月对2组孕妇进行菌斑指数(PLI)、牙龈出血指数(GBI)、牙周袋深度(PD)、简化牙石指数(CI-S)、简化软垢指数(DI-S)、龋易感性检查(Cariostat值),并对2组口腔保健知识认知和口腔行为改变情况进行调查评估。结果 PLI、GBI、PD、CI-S和DI-S得分组间、时间及交互比较差异均有统计学意义(P<0.05),干预前2组PLI、GBI、PD、CI-S和DI-S得分比较差异无统计学意义(P>0.05),干预后3个月、干预后6个月观察组PLI、GBI、PD、CI-S和DI-S得分均低于对照组(P<0.05)。Cariostat值组间、时间及交互差异比较均有统计学意义(P<0.05),干预前2组Cariostat值比较差异无统计学意义(P>0.05),干预后3个月、干预后6个月观察组Cariostat值均低于对照组(P<0.05)。干预前2组口腔保健知识认知情况比较差异无统计学意义(P>0.05),干预后3个月及干预后6个月观察组认知自我效能较高人数多于较低和一般人数(P<0.05)。干预前2组口腔行为改变情况无明显差异(P>0.05),干预后3个月及干预后6个月观察组健康行为较好人数多于一般和较差人数(P<0.05)。结论 IMB模型联合延续性口腔健康教育在妊娠期妇女口腔管理中的应用价值较高,有利于改善孕妇口腔状况,提升孕妇对口腔保健知识的认知,促进其保持良好的口腔行为习惯。Objective To analyze the application value of information-motivation—behavioral skills(IMB)model combined with continuous oral health education in the oral management of pregnant women.Methods Selected 440 cases of pregnant women,of which 40 cases were lost,and 400 cases were finally enrolled,which were randomly divided into the control group and the observation group(n=200).The control group received traditional oral health education,and the observation group carried out IMB model combined with continuous oral health education.Before intervention and at the 3rd month and 6th month after intervention,and the two groups of pregnant women were given periodontal examination plaque index(PLI),gingival bleeding index(GBI),periodontal pocket depth(PD),calculus index-simplified(CI-S),debris index-simplified(DI-S)and caries susceptibility test(Cariostat value),and the oral health care knowledge cognition and oral behavior change were investigated and evaluated in the two groups.Results There were statistical differences in PLI,GBI,PD,CI-S and DI-S scores between groups,time and interaction(P<0.05),no differences in PLI,GBI,PD,CI-S and DI-S scores between the two groups before intervention(P>0.05).The scores of PLI,GBI,PD,CI-S and DI-S in the observation group were lower than those in the control group after 3 months and 6 months of intervention(P<0.05).The differences in Cariostat values between groups,time and interaction were statistically significant(P<0.05),there was no difference in Cariostat values between the two groups before the intervention(P>0.05),and the Cariostat values of the observation group were lower than those of the control group 3 months after the intervention and 6 months after the intervention(P<0.05).There was no significant difference between the two groups in oral health care knowledge cognition before intervention(P>0.05),and the number of higher cognitive self-efficacy in the observation group 3 months after intervention and 6 months after intervention was more than the number of lower and a

关 键 词：信息-动机-行为技巧模型 延续性口腔健康教育 妊娠期 口腔管理 

分 类 号：R780.1[医药卫生—口腔医学]