知信行理论联合循证干预对下颌骨骨折患者术后健康行为及咀嚼能力的影响  

Effect of Knowledge-Attitude-Practice Theory Combined with Evidence-Based Intervention on Postoperative Health Behavior and Chewing Ability of Patients with Mandibular Fractures

作　　者：邵明芳 SHAO Mingfang(Department of Stomatology,Xinyang Central Hospital,Xinyang 464000,China)

机构地区：[1]信阳市中心医院口腔科,河南信阳464000

出　　处：《河南医学研究》2025年第4期757-761,共5页Henan Medical Research

摘　　要：目的探究知信行理论联合循证干预对下颌骨骨折患者术后健康行为以及咀嚼能力的影响,以期为临床优化护理方案提供参考。方法采用前瞻性随机对照研究,选取信阳市中心医院口腔科2020年1月至2022年12月拟行下颌骨骨折切开复位坚固内固定联合颌间牵引钉外固定治疗的60例下颌骨骨折患者作为研究对象,采用随机数字表法分为联合组与对照组。对照组接受循证干预,联合组加用知信行理论干预。比较两组患者的临床指标(骨折愈合时间、术后并发症)、术后3个月(T_(2))、6个月时(T_(3))咀嚼功能、健康行为以及护理满意度情况。结果联合组患者骨折愈合时间短于对照组(P<0.05);但术后并发症比较,差异无统计学意义(P>0.05)。T_(2)、T_(3)时,联合组患者咬合力以及咀嚼能力高于对照组(P<0.05)。联合组术后1个月时(T_(1))、T_(2)、T_(3)时健康促进生活方式量表-Ⅱ中文修订版评分均高于对照组(P<0.05)。联合组护理满意度优于对照组(P<0.05)。结论知信行理论联合循证干预能够缩短下颌骨骨折患者愈合时间、提高咬合力与咀嚼能力,改善护理满意度。Objective To explore the impact of knowledge-attitude-practice theory combined with evidence-based intervention on postoperative health behavior and chewing ability of patients with mandibular fractures,in order to provide reference for optimizing nursing plans in clinical practice.Methods A prospective randomized controlled study was conducted,and 60 patients with mandibular fracture who were scheduled to undergo open reduction,rigid internal fixation,and external fixation with mandibular traction screws in the Department of Stomatology of Xinyang Central Hospital from January 2020 to December 2022 were selected as the research objects.They were divided into a combined group and a control group by using random number table.The control group received evidence-based intervention,and on this basis,the combined group received knowledge-attitude-practice theory intervention.The clinical indexes(fracture healing time,postoperative complications),chewing function,health behavior and nursing satisfaction at 3 months(T_(2))and 6 months(T_(3))after operation were compared between the two groups.Results The fracture healing time of the combined group patients was shorter than that of the control group(P<0.05).However,there was no statistical significant difference in postoperative complications(P>0.05).At T_(2) and T_(3),the bite force quotient and chewing ability of patients in the combined group were higher than those in the control group(P<0.05).The health promotion lifestyle profile-Ⅱreformulate scores of the combined group at 1 month after operation(T_(1)),T_(2),and T_(3) were higher than those of the control group(P<0.05).The nursing satisfaction of the combined group was better than that of the control group(P<0.05).Conclusion Knowledge-attitude-practice theory combined with evidence-based intervention can shorten the healing time of mandibular fracture patients,improve bite force quotient and chewing ability,and improve nursing satisfaction.

关 键 词：知信行理论 循证干预 下颌骨骨折 健康行为 

分 类 号：R473.78[医药卫生—护理学]