集体心理干预对青少年口腔正畸患者疗效影响的研究(1)
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[摘要]目的：探讨采用集体心理干预措施对青少年口腔正畸患者治疗效果的影响。方法：收集2008年7月～2011年7月在口腔科门诊就诊的错牙合畸形青少年患者116例，随机分为干预组和对照组，均采用标准直丝弓技术进行矫治，对干预组施以与家长交流、正畸认知宣教、鼓励疗法、暗示疗法等心理干预措施。观察记录各组患者复诊情况、口腔卫生情况、配合积极人数、矫治器损坏情况、疗程≤18个月的人数和复发病例等。结果：干预组基本都取得满意的疗效，无放弃治疗患者，口腔卫生状况、积极配合、矫治器损坏、治疗时间、复发等方面均优于对照组(P<0.05)。结论：集体心理干预措施可明显提高青少年患者正畸治疗的效果。
[关键词]集体心理干预；青少年；错牙合畸形；正畸治疗
[中图分类号]R783 [文献标识码]A [文章编号]1008-6455(2012)03-0478-02
Influence of collective psychological intervention on curative effect of juvenile patients receiving orthodontic treatment
HUANG Min1,ZHAO Lei2,PENG Jing-ying3
(1.Department of Stomatology,The Fourth People's Hospital of Yunnan Provision,Dali 671000,Yunnan,China;2.People's Hospital of Dali District;3.People's Hospital of Midu)
Abstract: Objective To study the influence of collective psychologival intervention on curative effect of orthodontic juvenile patients receiving orthodontic treatment. Methods Divide 116 juvenile patients receiving orthodontic treatment into two groups:coached group and comparison group.Each group had 58 patients who were all cured with standard straight arch wire technique.To the coached group,a number of approaches were applied,such as communication with patients' parents,propaganda and education of knowing about orthodontic treatment,ebcouragement therapy,suggestion therapy.The condition of broken appliance,the condition of registration for subsequent visit,hygienic condition of the oral cavity and treating time were recorded and analyzed. Results Patients from coached group behave conspicuously better in self-discipline,self-consciousness,initiation,treatment time and attitude than patients from comparison group(P<0.05). Conclusion Collective psychological intervention has greatly improved the curative effect of orthodontic juvenile patients.
Key words:collective psychological intervention;teenagers;malocclusion;orthodontic treatment.
随着口腔正畸技术和人民生活水平的提高，接受正畸治疗的患者越来越多。牙颌畸形不仅影响患者的容貌和功能，还可能导致出现不同程度的心理问题。正畸治疗疗程长，复诊次数多且过程复杂，需要患者理解、支持和全力配合。国内外众多学者与临床正畸医师的大量研究均表明心理因素是正畸治疗配合性的主要影响因素[1-4]。身心健康作为正畸治疗的最高目标已受到广泛的重视，忽略患者的心理因素往往会影响正畸疗效。青少年患者是门诊正畸工作的主要服务对象，有其独特的心理特征。本研究对青少年正畸患者采用集体心理干预的方法，探讨其对正畸治疗的影响。
1 材料和方法
1.1临床资料：收集2008年7月～2011年7月在口腔科门诊就诊的不同类型错牙合畸形青少年患者116例(男54例，女62例)，年龄11～18岁，平均13.6岁。纳入标准：治疗设计为固定矫治且预计疗程≤24个月、首次接受正畸治疗、无严重身心疾病史。
1.2 分组：随机分为干预组和对照组。干预组58例(男26例，女32例)，平均年龄13.4岁；对照组58例(男28例，女30例)，平均年龄14 ......
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