基于计划行为理论的虚拟社区支持对牙颌面畸形患者术后生活质量和心理状态的影响  

Impact of virtual community support based on the theory of planned behavior on the postoperative quality of life and psychological state of patients with dentofacial deformities

作　　者：史亚伟 刘羽涵 张瑾 徐静 胡万娟 李润婕 徐筱璐 Shi Yawei;Liu Yuhan;Zhang Jin;Xu Jing;Hu Wanjuan;Li Runjie;Xu Xiaolu(Department of Oral and Maxillofacial Surgery Ward,Stomatological Hospital Affiliated to Nanjing Medical University/School of Stomatology,Nanjing Medical University/Jiangsu Provincial Stomatological Hospital,Nanjing,Jiangsu 210009,China)

机构地区：[1]南京医科大学附属口腔医院·南京医科大学口腔医学院/江苏省口腔医院口腔颌面外科病房,江苏南京210009

出　　处：《现代临床医学》2025年第2期81-84,95,共5页Journal of Modern Clinical Medicine

基　　金：江苏省科教能力提升工程——江苏省研究型医院建设单位科研项目(YJXYYJSDW4);江苏省医学创新中心科研项目(CXZX202227)。

摘　　要：目的:探讨基于计划行为理论(TPB)的虚拟社区支持对牙颌面畸形患者术后生活质量和心理状态的影响。方法:选取2023年1-6月我院收治的70例牙颌面畸形患者,根据随机数字表法分为试验组(n=35)和对照组(n=35)。对照组实施常规护理,试验组在对照组的基础上通过搭建虚拟社区平台对牙颌面畸形患者进行干预。在干预前及干预3个月后,采用OQLQ量表评价生活质量、SAS量表评价焦虑程度、SDS量表评价抑郁程度。结果:干预后,两组OQLQ量表总分及各维度得分均低于干预前,且试验组OQLQ量表总分及各维度得分均显著低于对照组(P<0.05);试验组SAS、SDS得分均低于干预前和对照组(P<0.05)。结论:基于TPB理论的虚拟社区支持能有效提高牙颌面畸形患者的术后生活质量,改善其心理状态。Objective:To explore the impact of virtual community support based on the theory of planned behavior(TPB)on the postoperative quality of life and psychological state of patients with dentofacial deformities.Methods:Seventy patients with dentofacial deformities admitted to our hospital from January to June 2023 were selected and divided into an experimental group(n=35)and a control group(n=35)according to the random number table method.The control group received routine nursing,and the experimental group was intervened by building a virtual community plaform for patients with dentofacial deformities on the basis of the control group.Before the intervention and 3 months after the intervention,the Orthognathic Quality of Life Questionnaire(OQLQ)was used to evaluate the quality of life,the Self-Rating Anxiety Scale(SAS)was used to evaluate the degree of anxiety,and the Self-Rating Depression Scale(SDS)was used to evaluate the degree of depression.Results:After the intervention,the total score and scores of all dimensions of the OQLQ scale in both groups were lower than those before the intervention,and the total score and scores of all dimensions of the OQLQ scale in the experimental group were significantly lower than those in the control group(P<0.05).The scores of SAS and SDS in the experimental group were lower than those before the intervention and those in the control group(P<0.05).Conclusion:Virtual community support based on the TPB theory can effectively improve the postoperative quality of life and psychological state of patients with dentofacial deformities.

关 键 词：计划行为理论 虚拟社区 牙颌面畸形 生活质量 心理状态 

分 类 号：R473.78[医药卫生—护理学]