同伴支持对中重度牙周病患者口腔保健自我效能和口腔健康生活质量影响.docVIP

同伴支持对中重度牙周病患者口腔保健自我效能和口腔健康生活质量影响 　　[摘要] 目的 探讨同伴支持对中重度牙周炎患者口腔保健自我效能和口腔健康生活质量的影响。 方法 选取2015年1月～2016年3月到广东省中山火炬开发区医院治疗的中重度牙周炎患者60例作为研究对象，要求患病时间超过1年、病情相对稳定，在常规治疗基础上行同伴支持干预。在干预前和干预2个月后，分别采用口腔保健自我效能量表（SESS）和老年人口腔健康生活质量评价指数（GOHAI）进行调查，比较前后差异。 结果 同伴支持干预后SESS定期口腔就诊的自我效能、正确刷牙的自我效能、平衡饮食的自我效能3个维度评分高于干预前评分，差异有统计学意义（P 0.05）。同伴支持干预后GOHAI总分，口腔生理功能、疼痛与不适、心理功能和行为影响4个维度和大部分条目评分低于干预前，差异有统计学意义（P 0.05）。 结论 同伴支持干预对于提高中重度牙周炎患者口腔保健自我效能和口腔健康生活质量具有良好作用。 　　[关键词] 口腔健康生活质量；口腔保健自我效能；同伴支持 　　[中图分类号] R783.5 [文献标识码] A [文章编号] 1673-7210（2017）01（b）-0158-04 　　The effect of peer support on the oral health self-efficacy and the oral health quality of life for moderately and severe periodontal diseases 　　JIA Jinling JIA Ning 　　Department of Stomatology， Zhongshan Torch Development District Hospital， Guangdong Province， Zhongshan 528437， China 　　[Abstract] Objective To explore the effect of peer support on the oral health self-efficacy and the oral health quality of life for moderately or severe periodontal diseases. Methods 60 patients with moderately or severe periodontal diseases were selected as the research subjects in Zhongshan Torch Development District Hospital from January 2015 to March 2016， who should be in ill more than 1 year while the disease relatively stable. All patients were accepted peer support intervention based on the routine treatment. Before the intervention and 2 months later， self-efficacy scale for self-care （SESS） and geriatric oral health assessment index （GOHAI） were investigated and compared. Results The self-efficacy of regular dental clinic， brushing teeth right， balanced diet of SESS after intervention were significantly higher than those before intervention， with statistically significant differences （P 0.05）. The total score and the scores of the oral function， the pain and discomfort and the psychological function and behavior influence of GOHAI after intervention were significantly lower than those before intervention， with statistically significant difference