接纳与承诺疗法对焦虑及抑郁青少年患者正畸依从性的干预效果及治疗满意度的影响

The intervention effect of acceptance and commitment therapy on orthodontic compliance of adolescents with anxiety and depression and its influence on treatment satisfaction

目的探究接纳与承诺疗法(ACT)对焦虑及抑郁青少年患者正畸依从性的干预效果及治疗满意度的影响。方法选取2018年12月至2020年12月于抚州市中医院口腔科接受正畸治疗的80例焦虑及抑郁青少年患者作为研究对象,按随机数字表法分为观察组与对照组,每组40例。对照组给予口腔正畸治疗,观察组在对照组基础上联合ACT治疗,比较两组治疗前后儿童抑郁障碍自评量表(DSRSC)评分、儿童焦虑型情绪障碍筛查量表(SCARED)评分及治疗前后正畸依从性、家属治疗满意度。结果治疗前,两组DSRSC、SCARED评分比较差异无统计学意义;治疗后,两组DSRSC、SCARED评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组按时复诊率、口腔清洁达标率、矫形装置完好率均高于对照组,差异均有统计学意义(P<0.05)。观察组治疗满意率为92.50%,高于对照组的75.00%,差异有统计学意义(P<0.05)。结论ACT疗法可有效改善正畸患者的心理灵活性,可通过提升其正畸依从性增强治疗效果,且患者及家属的治疗满意度较高,值得临床推广应用。

Objective To explore the intervention effect of acceptance and commitment therapy(ACT)on orthodontic compliance of adolescents with anxiety and depression and its influence on treatment satisfaction.Methods 80 adolescent patients with anxiety and depression who received orthodontic treatment in the Department of Stomatology,Fuzhou Hospital of Traditional Chinese Medicine from December 2018 to December 2020 were selected as the research subjects,and they were divided into observation group and control group according to the random number table method,with 40 cases in each groups.The control group was given orthodontic treatment,and the observation group was treated with ACT on the basis of the control group,the scores of depression self-rating scale for children(DSRSC),the screen for child anxiety related emotional(SCARED),the orthodontic compliance before and after treatment,and treatment satisfaction of families were compared between the two groups.Results Before treatment,there was no significant difference in the DSRSC and SCARED scores between the two groups;after treatment,the DSRSC and SCARED scores of the two groups were lower than those before treatment,and the observation group was lower than the control group,and the differences were statistically significant(P<0.05).The on-time follow-up rate,oral hygiene compliance rate,and orthopedic device integrity rate in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The treatment satisfaction rate of the observation group was 92.50%,which was higher than 75.00%of the control group,and the difference was statistically significant(P<0.05).Conclusion ACT therapy can effectively improve the psychological flexibility of orthodontic patients,and can enhance the treatment effect by improving their orthodontic compliance,and the treatment satisfaction of patients and their families is high,which is worthy of clinical application.