动机性访谈技术在儿童口腔全麻术后疗效评估

Efficacy Evaluation of Motivational Interviewing Technique in Children after Oral General Anesthesia.

目的:对比两种不同的口腔健康管理方式在改善DGA患儿术后效果的差异,并进一步研究其可能存在的影响因素。方法:将130名进行DGA治疗的患儿作为研究对象,分为试验组和对照组,记录患儿DGA术前、术后1、3、6月龋活跃性、龋齿数及口腔卫生习惯,采用SPSS 17.0软件进行统计分析。结果:与术前相比,1月、3月、6月复查的患龋风险及患龋率均下降,但试验组下降更明显,且差异具有统计学意义。术后6月随访时,龋态风险和患龋人数相关,差异具有统计学意义。风险因素显示仅睡前吃甜食饮料、牙线使用情况与DGA术后龋病复发有明显相关,差异具有统计学意义。结论:动机性访谈技术与传统常规口腔宣教相比,在降低DGA术后龋风险及患龋率方面有明显的优势,值得在临床中进一步推广。

Objective:To compare two oral health management methods in improving the postoperative effect for children received DGA,and to study the possible influencing factors.Methods:A total of 130 children who received DGA treatment were selected and divided into two groups.The caries activity,the number of caries,and the oral hygiene habits were recorded before DGA,1 month,3 months,and 6 months after DGA.Results:Compared with preoperative,the caries risk and caries rate of re-examination in 1 month,3 months,and 6 months were decreased,but the decrease was more obvious in the experimental group(P<0.05).During the 6-month follow-up,the risk of caries state was correlated with the number of caries(P<0.05).Risk factors showed that only eating sweets and beverages before going to bed and using dental floss were significantly associated with the recurrence of caries after DGA(P<0.05).Conclusion:Compared with traditional oral education,motivational interviewing technology has obvious advantages in reducing caries risk and caries rate after DGA,and it is worthy of further promotion in clinical practice.