行为转变理论指导下的健康管理对慢性牙周病患者口腔卫生的影响  

Influence of health management under the role of the trans-theoretical model of behavior on oral health of patients with chronic periodontal disease

作　　者：丁菲燕 雷雳 曾真 张太阳 钟菁 DING Fei-yan;LEI Li;ZENG Zhen;ZHANG Tai-yang;ZHONG Jing(The First Affiliated Hospital of Gannan Medical University,Ganzhou,Jiangxi 341000)

机构地区：[1]赣南医科大学第一附属医院,江西赣州341000

出　　处：《赣南医科大学学报》2025年第3期262-266,共5页JOURNAL OF GANNAN MEDICAL UNIVERSITY

摘　　要：目的:探究实施行为转变理论指导下的健康管理对慢性牙周病患者口腔保健自我效能、口腔保健行为、口腔健康状况及口腔健康生活质量的改善效果。方法:选择2020年1月—2023年10月赣南医科大学第一附属医院收治的慢性牙周病患者98例,按随机抽样法分为观察组(n=50)与常规组(n=48),常规组给予常规健康管理,观察组给予行为转变理论指导下的健康管理,干预3个月后评估2组患者口腔保健自我效能、口腔卫生状况及口腔健康生活质量。结果:干预后,观察组口腔保健自我效能评分高于常规组,差异有统计学意义(P<0.05),观察组使用颤动刷牙、刷牙3次·d^(-1)、刷牙时间≥3 min比例高于常规组,差异有统计学意义(P<0.05),观察组牙龈指数、软垢指数、龈沟出血指数低于常规组,差异有统计学意义(P<0.05),观察组口腔健康生活质量评分低于常规组,差异有统计学意义(P<0.05)。结论:在慢性牙周病治疗期间实施行为转变理论指导下的健康管理,能提高患者口腔保健自我效能,纠正其口腔保健行为,改善其口腔健康状况与口腔健康生活质量。Objective:To explore the effect of health management under the role of the trans-theoretical model of behavior on oral health of patients with chronic periodontal disease,and to observe the effect of this management model on oral health self-efficacy,oral health behavior,oral health status and improvement of life quality in oral health of patients with chronic periodontal disease.Methods:A total of 98 patients with chronic periodontal disease admitted to The First Affiliated Hospital of Gannan Medical University from January 2020 to October 2023 were selected and divided into an observation group(n=50)and a conventional group(n=48)according to the random number table method.The conventional group was given routine health management,and the observation group was given health management under the role of he role of the trans-theoretical model of behavior.After 3 months of intervention,the oral health self-efficacy,oral health status and oral health quality of life of the two groups were compared and evaluated.Results:After the intervention,the oral health self-efficacy scores of the observation group was higher than that of the conventional group,with statistical significance(P<0.05);the ratios of using vibratory brushing,brushing 3 times·d^(-1),and brushing time≥3 min the observation group was higher than that of the conventional group,with statistical significance(P<0.05);the gingival index,soft scale index and gingival sulcus bleeding index in the observation group was lower than that of the regular group,with statistical significance(P<0.05);the scores of oral health quality of life in the in the observation group were lower than those in the conventional group,with statistical significance.Conclusion:Implementing health management under the role of the trans-theoretical model of behavior during the treatment of chronic periodontal disease can improve patients'oral health self-efficacy,correct their oral health care behavior,and improve their oral health status and oral health quality of life.

关 键 词：慢性牙周病 行为转变理论 健康教育 口腔卫生 

分 类 号：R473.78[医药卫生—护理学]