动机式访谈法对提高牙周支持治疗依从性的效果研究(1)
【摘要】 目的：探讨动机式访谈法对提高牙周支持治疗依从性的效果。方法：选择2016年2-7月本院诊断为慢性牙周炎并接受了规范化牙周系统治疗第一阶段牙周基础治疗后的患者80例，按照随机数字表法分为干预组和对照组，各40例。干预组给予动机式访谈，对照组给予常规健康教育。比较两组牙周支持治疗依从性。结果：干预后1年，干预组依从性优于对照组，差异有统计学意义(P<0.01)；干预组干预后治疗信念评分、治疗依从意愿评分以及治疗依从信心评分均显著升高，并在干预后1年仍然保持在较高的水平(P<0.01)；在干预后3个月、6个月及1年，干预组治疗信念评分、治疗依从意愿评分以及治疗依从信心评分均显著高于对照组，差异均有统计学意义(P<0.01)。结论：动机式访谈能够显著提高牙周支持治疗患者的治疗依从性。
【关键词】 动机式访谈； 牙周支持治疗； 依从性
Effect of Motivational Interviewing Method on Improving Compliance of Periodontal Supportive Treatment/CAI Ming-xing，YAO Yuan，KE Li-na.//Medical Innovation of China，2017，14(26)：033-036
【Abstract】 Objective：To discuss the effect of motivational interviewing method on improving the compliance of periodontal supportive treatment.Method：From February 2016 to July 2016 in our hospital 80 patients of diagnosed as chronic periodontitis and accepted standardized periodontal treatment system the first stage of periodontal therapy，they were randomly divided into the intervention group and the control group，40 cases of each group.The intervention group was given motivational interviewing and the control group was given regular health education.Periodontal supportive treatment compliances of two groups were compared.Result：1 year after intervention，the compliance of the intervention group was better than that of the control group，the difference was statistically significant(P<0.01)，treatment belief score，treatment compliance intention score and treatment compliance confidence score of the intervention group after intervention were increased significantly，and remained at a high level for 1 year after intervention(P<0.01).After 3 months，6 months and 1 year after the intervention，treatment belief score，treatment compliance intention score and treatment compliance confidence score of the intervention group were higher than those of the control group(P<0.01).Conclusion：Motivational interviewing can significantly improve the treatment compliance of patients with periodontal supportive care.
【Key words】 Motivational interviewing； Periodontal supportive treatment； Compliance
First-author’s address：Zhuhai Stomatological Hospital，Zhuhai 519000，China
doi：10.3969/j.issn.1674-4985.2017.26.009
牙周病是口腔科常見病，随着我国社会的老龄化，牙周病的发病率也呈上升趋势。牙周病的治疗是一个长期过程，积极治疗阶段的临床疗效难以长期保持，因此在积极治疗后进入长期的维护阶段在临床上称为牙周支持治疗(supportive periodontal therapy，SPT)，以巩固临床疗效[1]。而治疗的依从性影响后续的SPT，影响远期疗效[2]。动机式访谈是通过帮助患者探讨、解决矛盾情绪，引发行为改变的一种指导性、以患者为中心的访谈[3]。本研究采用动机式访谈的方法以提高患者SPT阶段的依从性，取得了良好的效果，现报道如下。
1 资料与方法, http://www.100md.com(蔡明星 姚远 柯丽娜)
【关键词】 动机式访谈； 牙周支持治疗； 依从性
Effect of Motivational Interviewing Method on Improving Compliance of Periodontal Supportive Treatment/CAI Ming-xing，YAO Yuan，KE Li-na.//Medical Innovation of China，2017，14(26)：033-036
【Abstract】 Objective：To discuss the effect of motivational interviewing method on improving the compliance of periodontal supportive treatment.Method：From February 2016 to July 2016 in our hospital 80 patients of diagnosed as chronic periodontitis and accepted standardized periodontal treatment system the first stage of periodontal therapy，they were randomly divided into the intervention group and the control group，40 cases of each group.The intervention group was given motivational interviewing and the control group was given regular health education.Periodontal supportive treatment compliances of two groups were compared.Result：1 year after intervention，the compliance of the intervention group was better than that of the control group，the difference was statistically significant(P<0.01)，treatment belief score，treatment compliance intention score and treatment compliance confidence score of the intervention group after intervention were increased significantly，and remained at a high level for 1 year after intervention(P<0.01).After 3 months，6 months and 1 year after the intervention，treatment belief score，treatment compliance intention score and treatment compliance confidence score of the intervention group were higher than those of the control group(P<0.01).Conclusion：Motivational interviewing can significantly improve the treatment compliance of patients with periodontal supportive care.
【Key words】 Motivational interviewing； Periodontal supportive treatment； Compliance
First-author’s address：Zhuhai Stomatological Hospital，Zhuhai 519000，China
doi：10.3969/j.issn.1674-4985.2017.26.009
牙周病是口腔科常見病，随着我国社会的老龄化，牙周病的发病率也呈上升趋势。牙周病的治疗是一个长期过程，积极治疗阶段的临床疗效难以长期保持，因此在积极治疗后进入长期的维护阶段在临床上称为牙周支持治疗(supportive periodontal therapy，SPT)，以巩固临床疗效[1]。而治疗的依从性影响后续的SPT，影响远期疗效[2]。动机式访谈是通过帮助患者探讨、解决矛盾情绪，引发行为改变的一种指导性、以患者为中心的访谈[3]。本研究采用动机式访谈的方法以提高患者SPT阶段的依从性，取得了良好的效果，现报道如下。
1 资料与方法, http://www.100md.com(蔡明星 姚远 柯丽娜)