成人正畸患者牙周组织健康干预方案的构建  

Construction of periodontal tissue health intervention program for adult orthodontic patients with periodontitis

作　　者：张玉革[1] 刘均娥[3] 王磊 谭小彤 ZHANG Yuge;LIU Jun'e;WANG Lei;TAN Xiaotong(Department of Nursing,Beijing Stomatological Hospital,Capital Medical University,Beijing,100070,China)

机构地区：[1]首都医科大学附属北京口腔医院护理部,北京市100070 [2]首都医科大学附属北京口腔医院王府井院区正畸科,北京市100070 [3]首都医科大学护理学院

出　　处：《中国护理管理》2025年第2期203-207,共5页Chinese Nursing Management

基　　金：首都医科大学附属北京口腔医院学科建设基金临床专项(18-09-22);首都医科大学附属北京口腔医院创新基金(23-09-28)。

摘　　要：目的:构建成人正畸患者牙周组织健康干预方案,为临床实践提供参考。方法:2024年2月—3月,采用文献回顾、小组讨论、专家咨询等方法,以健康行为过程取向理论为指导,构建成人正畸患者牙周组织健康干预方案,通过德尔菲法对15名专家进行函询,根据专家修改意见对所涉及的条目进行修订,形成方案终稿。结果:2轮函询专家权威系数为0.829,积极系数为100%,变异系数为0.091~0.532和0.044~0.196,肯德尔和谐系数为0.246和0.293(P<0.01)。最终形成的干预方案包括前意向阶段、意向阶段、行动阶段3个阶段,共计17条具体干预措施。结论:成人正畸患者牙周组织健康干预方案具有科学性、可靠性和实用性,具有口腔专科护理特色,易于临床推广,能够为临床医护人员开展口腔健康教育提供参考。Objective:To construct a periodontal tissue health intervention program for adult orthodontic patients with periodontitis,providing a reference for clinical practice.Methods:Based on the Health Action Process Approach,a periodontal tissue health intervention program for adult orthodontic patients with periodontitis was constructed by literature review,group discussion,and expert consultation from February to March in 2024.The Delphi method was used to consult 15 experts,and the relevant items were revised based on the experts'opinions to form the final program.Results:The authority coefficient of two rounds of expert consultation was 0.829.The positive coefficient was 100%,the coefficient of variation was 0.091-0.532 and 0.044-0.196,and the Kendall harmony coefficients were 0.246 and 0.293(P<0.01).The final intervention program included three stages of pre-intention stage,intention stage,and action stage,and a total of 17 specific intervention measures.Conclusion:The intervention program constructed in this study is scientific,reliable and practical.It has the characteristics of stomatological nursing and is easy to be promoted in clinical practice,which can provide references for the clinical practice of stomatological health education.

关 键 词：正畸 牙周健康 方案构建 可视化菌斑检测 健康行为过程取向理论 德尔菲技术 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]