品管圈在提高青少年固定正畸患者刷牙依从性中的应用分析

Application analysis of quality control circle in improving brushing compliance of adolescent fixed orthodontic patients

目的探讨品管圈活动在提高青少年固定正畸患者刷牙依从性中的效果,旨在提高青少年口腔清洁依从性,改善口腔情况。方法选取2021年7月-2022年6月品管圈(QCC)活动开展前青少年固定正畸患者60例为对照组,选取2022年7月-2023年6月QCC活动开展后的青少年固定正畸患者60例为观察组;于2022年7月成立QCC活动小组,品管圈活动主题为提高青少年固定正畸患者刷牙依从性,分析影响青少年固定正畸患者刷牙依从性的真因,制定目标,提出相应的解决对策,实施对策并进行品管圈活动效果评价;对比两组患者的刷牙依从情况、检测牙周指标(牙龈指数、菌斑指数)、龈沟液炎症介质水平。结果经量表调查,观察组每日刷牙时间、刷牙积极性评分均更高(P<0.05);与对照组相比,观察组PLI、GI更低(P<0.05);与对照组相比,观察组IL-6、IL-1β、TNF-α水平更低(P<0.05)。结论开展品管圈活动可解决青少年固定正畸患者刷牙依从性差的问题,能够促进其口腔清洁,保证良好的口腔健康,具有提高临床固定正畸治疗效果的积极作用。

Objective To explore the effect of quality control circle activities on improving the brushing compliance of adolescent fixed orthodontic patients,aiming to improve their oral hygiene compliance and oral condition.Methods Sixty adolescent fixed orthodontic patients before the implementation of the Quality Control Circle(QCC)activity from July 2021 to June 2022 were selected as the control group,and sixty adolescent fixed orthodontic patients after the QCC activity from July 2022 to June 2023 were selected as the observation group;a QCC activity group was established in July 2022,with the theme of quality control circle activities to improve the brushing compliance of adolescent fixed orthodontic patients,analyze the real factors affecting the brushing compliance of adolescent fixed orthodontic patients,set goals,propose corresponding solutions,implement strategies,and evaluate the effectiveness of circle activities;compare the brushing compliance,periodontal indicators(gingival index,plaque index),and levels of inflammatory mediators in gingival crevicular fluid between two groups of patients.Results According to the questionnaire survey,the observation group had higher daily brushing time and brushing motivation scores(P<0.05);compared with the control group,the observation group had lower PLI and GI(P<0.05);compared with the control group,the observation group showed IL-6 and IL-1β,TNF-αis lower(P<0.05).Conclusion It has been found that conducting quality control circle activities can solve the problem of poor brushing compliance in adolescent fixed orthodontic patients,promote oral hygiene,ensure good oral health,and achieve a positive effect on improving the clinical effectiveness of fixed orthodontic treatment.