患者依从性对慢性牙周病治疗的影响及因素分析

Analysis of influencing factors of chronic periodontitis patients′ compliance

目的分析牙周炎患者依从性的影响因素。方法调查93例已进入牙周支持治疗阶段的慢性牙周炎患者,根据其依从性的程度,分为完全依从性组和不稳定依从性组,记录简化软垢指数、简化牙石指数、菌斑指数、探诊出血指数;同时进行问卷调查,分析影响患者依从性的因素。结果患者对牙周病的认知程度是影响依从性最重要的因素,年龄也对依从性有很大的影响。但是性别、收入、付费方式、文化程度等对依从性无明显影响。结论医生应对患者进行完善细致的口腔卫生宣教,努力提高患者的认知程度,增强患者的依从性,有利于牙周炎疗效的长期稳定。

Objective To investigate the influencing the compliance of patients with periodontitis, Methods 93 patients with chronic periodontitis who had undergone supportive periodontal therapy（SPT） were divided into two groups： the complete compliance and the erratic compliance groups. Debris index-simplified（DI-S）, calculus index-simplified（CI-S）, plaque index（PLI）, and bleeding on probing （BOP） were determined, and also a questionnaire was used for survey and SPSS 13.0 software package was used for statistical analysis. Results Patient＇s cognitive degree of periodontitis was the most important ta their compliance, while other factors, such as gender, age, income, paying manner, and educational background had few effects on compliance. Conclusion Dentists should realize the importance and necessity of oral hygiene instruction（ OHI） and try their best to improve the cognitive degree. This leads to a strengthened compliance and therefore a long-term stability of management effects.