慢性牙周炎患者口腔保健自我效能现状及影响因素分析

Current status and influencing factors of self-efficacy for oral self-care in patients with chronicperiodontitis

目的探讨慢性牙周炎患者口腔保健自我效能现状及其影响因素。方法采用一般情况调查表、口腔保健自我效能量表（SESS）、牙科畏惧量表（DFS）和医学应对方式问卷（MCMQ）对357例慢性牙周炎患者进行问卷调查。结果慢性牙周炎患者SESS总分为（58．66±7．27）分，属于中等水平。各维度得分中，平衡饮食的自我效能得分最高，为（20．42±2．88）分，正确刷牙的自我效能得分最低，为（18．37±2．94）分。多元线性回归分析结果显示，年龄、牙科畏惧水平和医学应对方式是慢性牙周炎患者口腔保健自我效能的影响因素，共解释总变异量的53．6％。结论医护人员应加强对口腔保健自我效能较低患者的关注，以口腔保健自我效能各维度及影响因素为切入点，实施针对性的心理行为干预，降低牙科畏惧水平，改善医学应对方式，提高口腔保健自我效能水平，促进口腔保健行为和身心健康。

Objective To investigate the current status and influencing factors of self-efficacy tor oral self-care in patients with chronic periodontitis. Methods A total of 357 patients with chronic periodontitis were investigated with the self-designed questionnaire, Self-Efficacy Scale for Self-care （SESS）, Dental Fear Scale（DFS） and Medical Coping Modes Questionnaire（MCMQ）. Results The total score of SESS was （58.66±7.27） points, which was at the medium level. In the scores of each dimension, self-efficacy for dietary habits was the highest, （20.42 ± 2.88） points, and self-efficacy for brushing of the teeth was the lowest, （18.37± 2.94） points. Multiple linear regression analysis showed that age, dental fear and medical coping mode were influencing factors of self-efficacy for oral serf-care, which explained 53.6% of the variance. Conclusions Medical staff should pay more attention to the patients who are in low level of self- efficacy for self-care. Oriented by each dimension and influencing factors, specific psychological intervention should be given to reduce denial fear, improve medical coping style, enhance the level of self-efficacy for oral self-care and promote oral self-care behaviors and somatopsychic health.