Effects of comprehensive nursing with cognitive behavioral therapy in orthodontic osteodilated arch treatment  

作　　者：Xin Yang Zeng-Xiang Wang Yu-Xing Tian Chao Peng Hui-Ning Yang Ying Wu 

机构地区：[1]Department of Nursing,Nanjing Stomatological Hospital,The Affiliated Hospital of Medical School,Nanjing University,Nanjing 210008,Jiangsu Province,China [2]Department of Orthodontics,Nanjing Stomatological Hospital,Nanjing 210008,Jiangsu Province,China

出　　处：《World Journal of Clinical Cases》2024年第22期5051-5058,共8页世界临床病例杂志

基　　金：The research was reviewed and approved by the Review Committee of Hospital of Chengdu University of Traditional Chinese Medicine(Approval No.NSH-23-319).

摘　　要：BACKGROUND This work explored the effects of cognitive behavior therapy(CBT)-based comprehensive nursing intervention(CNI)mode in arch expansion to treat patients with orthodontic osteodilated arch(OOA).AIM To explore the application effect of CBT-based CNI model in orthodontic expansion arch treatment.METHODS Using convenient sampling method,81 patients with OOA were selected and rolled into a control group(Ctrl group,40 cases)and an observation group(Obs group,41 cases).During the treatment,patients in the Ctrl group received routine nursing intervention mode,and the those in the Obs group received CBT mode on the basis of this.Before and after intervention,the incidence of oral mucositis,the mastery rate of correct arch expansion method,self-rating anxiety scale score,soft scale index,and plaque index were compared for patients in different groups.In addition,satisfaction and complications were comparatively analyzed.RESULTS Incidence of oral mucositis in the Obs group was lower(14.6%vs 38.5%),and the mastery rate of correct arch expansion method was obviously higher(90.2%vs 55.0%)was obviously higher(all P<0.05).Meanwhile,the soft scale index and plaque index in the Obs group were much lower(P<0.05).The compliance(90.24%)and satisfaction(95.12%)in the Obs group were greatly higher(P<0.05).CONCLUSION The CBT-based CNI mode greatly improved the mastery rate of correct arch expansion method during arch expansion in treating patients with OOA and enhanced the therapeutic effect of arch expansion and the oral health of patients,improving the patient compliance.

关 键 词：Orthodontic osteodilated arch Cognitive behavior therapy Comprehensive nursing intervention mode Nursing effect Pain management Oral care 

分 类 号：R47[医药卫生—护理学]