传播方式在牙龈炎患者口腔卫生指导中效果研究.docVIP

传播方式在牙龈炎患者口腔卫生指导中的效果研究 　　【摘要】 目的：探讨传播方式在提高牙龈炎患者口腔卫生指导依从性中的运用效果，以期达到降低牙龈炎患病率的目的。方法：选择2013年8-10月在本所进行健康体检时筛查出的成年牙龈炎患者540例，统一进行口腔局部诊治，同时发放自行设计的调查问卷，并运用大众传播与人际传播相结合的综合传播方式开展口腔卫生指导，3个月后复诊，强化综合传播干预；6个月后，进行口腔检查，填写同一调查问卷，与初诊时进行自身对照，评估综合传播效果。结果：综合传播前后患者牙龈炎及口腔卫生相关知识掌握程度、口腔卫生指导依从性比较差异均有统计学意义（P0.001）；综合传播后牙菌斑数（PI）、牙龈指数（GI）、龈沟出血指数（SBI）均明显低于综合传播前（P0.001）。结论：综合健康传播可有效提高口腔卫生指导的依从性，降低牙龈炎患病率。 　　【关键词】 传播方式； 牙龈炎； 口腔卫生； 依从性 　　【Abstract】 Objective：To explore the application effect of comprehensive healthy transmission in oral hygiene instruction and further reduce the prevalence of gingivitis. Method：540 adult gingivitis patients were randomly selected in our center from Aug 2013 to Oct 2013. After received the same diagnosis and remedy， all participants were asked to finish a questionnaire， Meanwhile， an oral hygiene instruction was conducted among the participants through mass communication and inter-personal communication combination method. Comprehensive communicational intervention was further enhanced when participants paid return visits 3 months later. 6 months later， all participants underwent an oral check and completed the same questionnaire. We evaluated the communication effects by contrast the oral hygiene condition and awareness of each participants 6 months later to the beginning.Result： Participants gained more knowledge about gingivitis and oral hygiene after received comprehensive healthy transmission， and the compliance to the oral hygiene instruction had been significantly improved （P0.001）. Additionally， the dental plaque index （PI）， gingival index （GI） and sulcus bleeding index （SBI） were all significantly lower after the intervention（P0.001）.Conclusion：The comprehensive healthy transmission method could effectively improve the compliance of oral hygiene instruction and may further reduce the gingivitis prevalence. 　　【Key words】 Comprehensive healthy transmission； Gingivitis； Oral hygiene； Compliance 　　牙龈炎是一种发病率较高的口腔疾病，年龄分布较广，其中我国成人患病率达70%以上[1-3]。牙龈炎如得不到及时治疗或在