慢性牙周炎维护治疗阶段延续护理效果的研究(1)
【摘要】 目的：探讨延续护理在慢性牙周炎患者的维护治疗阶段中的作用。方法：选取2016年5月-2017年6月在本院已完成牙周基础治疗进入牙周维护治疗的慢性牙周炎患者120例。按照随机数字表法将其分为试验组和对照组，各60例。对照组采取常规预约复诊方法进行复诊，试验组在此基础上进行延续护理，比较两组自我效能(SESS评分)、复诊依从性、菌斑指数(PLI)。结果：术后第6个月，试验组SESS-DC、SESS-B及总分均高于对照组(P<0.05)，但两组SESS-DH评分比较，差异无统计学意义(P>0.05);术后3、6个月，试验组复诊依从性均优于对照组(P<0.05);术后1、3、6个月，试验组PLI均低于对照组，差异均有统计学意义(P<0.05)。结论：延续护理有助于改善患者口腔保健的自我效能，进而可以显著提高患者牙周维护治疗阶段复诊依从性，巩固牙周基础治疗的效果，促进患者口内卫生健康。
【关键词】 延续护理; 维护治疗; 慢性牙周炎; 菌斑指数; 复诊依从性
【Abstract】 Objective：To explore the role of continuous nursing in the maintenance and treatment of chronic periodontitis patients.Method：A total of 120 patients with chronic periodontitis who had completed basic periodontal treatment and entered periodontal maintenance treatment in our hospital from May 2016 to June 2017 were selected.According to the random number table method，they were divided into experimental group and control group，60 cases in each group.The control group received routine appointment for re-visit，and experimental group received continuing nursing on this basis.The self-efficacy(SESS score)，follow-up compliance and plaque index(PLI)between two groups were compared.Result：6 months after operation，the SESS-DC，SESS-B and total scores of experimental group were higher than those of control group(P<0.05)，but the SESS-DH scores of two groups was compared，the difference was not statistically significant(P>0.05).3 and 6 months after operation，the compliance of experimental group were better than those of control group(P<0.05).1，3 and 6 months after operation，the PLI of experimental group were lower than those of control group，the differences were statistically significant(P<0.05).Conclusion：Continuous nursing can improve the self-efficacy of oral health care，and then significantly improve the compliance of patients during periodontal maintenance treatment，consolidate the curative effect of basic periodontal treatment，and promote oral health of patients.
【Key words】 Continuous nursing; Maintenance and treatment; Chronic periodontitis; Plaque index; Compliance for follow-up
First-author’s address：Foshan Stomatology Hospital，Foshan 528000，China
doi：10.3969/j.issn.1674-4985.2019.14.023
在我國，牙周病的患病率在龋齿之上，尤其是牙周炎更成为突出的保健问题[1-2]。对于慢性牙周炎患者，需要终生定期接受牙周维护治疗，只有在初次治疗后定期、规律的进行复诊才能保证治疗效果[3-4]。但既往研究提示发展中国家的大部分牙周疾病患者缺乏口腔自我护理意识，仅在出现明显牙痛等不适时才寻求诊治[5]。微信作为新兴的现代化沟通手段，是目前国内主流的社交软件，多个研究提示微信可作为改善护理效果的有力工具[6-7]。鉴于此，本研究以120例牙周维护治疗患者为研究对象，将微信纳入延续护理实践，对患者自我效能以及治疗预后的影响做深入探讨，旨在为改善慢性牙周炎治疗效果提供理论参考，现报道如下。, 百拇医药(陈淑仪 钟秀娟 温金谏 杨晓晖 曹加东)
【关键词】 延续护理; 维护治疗; 慢性牙周炎; 菌斑指数; 复诊依从性
【Abstract】 Objective：To explore the role of continuous nursing in the maintenance and treatment of chronic periodontitis patients.Method：A total of 120 patients with chronic periodontitis who had completed basic periodontal treatment and entered periodontal maintenance treatment in our hospital from May 2016 to June 2017 were selected.According to the random number table method，they were divided into experimental group and control group，60 cases in each group.The control group received routine appointment for re-visit，and experimental group received continuing nursing on this basis.The self-efficacy(SESS score)，follow-up compliance and plaque index(PLI)between two groups were compared.Result：6 months after operation，the SESS-DC，SESS-B and total scores of experimental group were higher than those of control group(P<0.05)，but the SESS-DH scores of two groups was compared，the difference was not statistically significant(P>0.05).3 and 6 months after operation，the compliance of experimental group were better than those of control group(P<0.05).1，3 and 6 months after operation，the PLI of experimental group were lower than those of control group，the differences were statistically significant(P<0.05).Conclusion：Continuous nursing can improve the self-efficacy of oral health care，and then significantly improve the compliance of patients during periodontal maintenance treatment，consolidate the curative effect of basic periodontal treatment，and promote oral health of patients.
【Key words】 Continuous nursing; Maintenance and treatment; Chronic periodontitis; Plaque index; Compliance for follow-up
First-author’s address：Foshan Stomatology Hospital，Foshan 528000，China
doi：10.3969/j.issn.1674-4985.2019.14.023
在我國，牙周病的患病率在龋齿之上，尤其是牙周炎更成为突出的保健问题[1-2]。对于慢性牙周炎患者，需要终生定期接受牙周维护治疗，只有在初次治疗后定期、规律的进行复诊才能保证治疗效果[3-4]。但既往研究提示发展中国家的大部分牙周疾病患者缺乏口腔自我护理意识，仅在出现明显牙痛等不适时才寻求诊治[5]。微信作为新兴的现代化沟通手段，是目前国内主流的社交软件，多个研究提示微信可作为改善护理效果的有力工具[6-7]。鉴于此，本研究以120例牙周维护治疗患者为研究对象，将微信纳入延续护理实践，对患者自我效能以及治疗预后的影响做深入探讨，旨在为改善慢性牙周炎治疗效果提供理论参考，现报道如下。, 百拇医药(陈淑仪 钟秀娟 温金谏 杨晓晖 曹加东)