6步法行为认知干预对慢性牙周炎患者口腔保健认知及行为、生活质量的影响

Effects of 6-step Behavioral Cognition Intervention on Oral Health Cognition,Behavior and Quality of Life in Patients with Chronic Periodontitis

目的探讨6步法行为认知干预对慢性牙周炎患者口腔保健认知及行为、自我效能的影响。方法简单随机选取广州市东升医院2018年12月—2019年12月共140例慢性牙周炎患者作为研究对象,随机分为研究组(n=70),对照组(n=70),对照组接受常规口腔保健指导,研究组接受常规口腔保健指导和6步法行为认知干预。比较干预前、干预后1个月患者的对口腔保健的认知、行为(每日刷牙次数、单次刷牙时间、每周清洗牙间隙次数)及口腔健康影响程度量表得分。结果干预前两组患者对口腔保健认知、行为、口腔健康影响程度量表得分对比,差异无统计学意义(t=1.140、1.183、0.902、1.602、1.209,P>0.05)。干预后1个月,研究组患者的认知(80.65±5.98)分比对照组(72.46±6.67)分高,行为指标每日刷牙次数(2.41±0.54)次、单次刷牙时间(2.44±0.67)min、每周清洗牙间隙次数(5.42±3.86)次均比对照组(1.88±0.49)次、(2.02±0.71)min、(1.82±1.36)次高,口腔健康影响程度量表得分(23.65±5.48)分比对照组(31.46±6.17)分低,差异均有统计学意义(t=7.649、6.081、3.600、7.360、7.918,P<0.001)。结论6步法行为认知干预可以显著提高慢性牙周炎患者对口腔保健的认知,改善口腔保健行为、提高其口腔健康生活质量。

Objective To investigate the effect of 6-step behavioral cognitive intervention on oral health cognition,behavior and self-efficacy of patients with chronic periodontitis.Methods A total of 140 patients with chronic periodontitis in Guangzhou Dongsheng Hospital from December 2018 to December 2019 were simple random selected as the research objects.They were randomly divided into study group(n=70)and control group(n=70).The control group received routine oral health guidance,the study group received routine oral health guidance and 6-step behavioral cognitive intervention.The patients'perceptions of oral health care,behaviors(the number of times of brushing each day,the time of single brushing,the number of cleaning between teeth per week)and the scores of the oral health impact scale were compared before and one month after the intervention.Results Before the intervention,the scores of the two groups of patients on the oral health cognition,behavior,and oral health impact scale,the difference was not statistically significant(t=1.140,1.183,0.902,1.602,1.209,P>0.05).One month after the intervention,the cognition of patients in the study group(80.65±5.98)points was higher than that of the control group(72.46±6.67)points,and the behavior indicators of daily brushing times(2.41±0.54)times,single brushing time(2.44±0.67)min,number of weekly cleaning interdental spaces(5.42±3.86)times was higher than that of the control group(1.88±0.49)times,(2.02±0.71)min,(1.82±1.36)times,and the oral health impact scale score(23.65±5.48)points was lower than that of the control group(31.46±6.17)points,the difference was statistically significant(t=7.649,6.081,3.600,7.360,7.918,P<0.001).Conclusion The 6-step behavioral cognitive intervention can significantly improve the cognition of patients with chronic periodontitis on oral health care,improve their oral health care behaviors,and improve their oral health quality of life.