【摘要】 目的探讨基于信息-知识-信念-行为(IKAP)理论的延续性护理干预对慢性牙周炎患者牙周临床指标和生活质量的影响。方法选取2019年6月至2020年6月深圳市人民医院口腔医学中心收治的120例慢性牙周炎患者作为研究对象,根据门诊号的奇偶性将其随机分为两组,奇数编号入对照组(n=60),偶数编号入观察组(n=60)。对照组患者接受常规护理干预,观察组患者在常规护理的基础上接受基于IKAP的延续性护理干预。比较两组患者护理后的疾病认知度和口腔行为习惯(刷牙方法、每次刷牙持续时间和刷牙频次),以及护理前后的牙周临床指标(菌斑指数、牙龈指数和探诊深度)和生活质量。结果护理后,观察组的疾病认知度总良好率显著高于对照组(P<0.05),口腔行为习惯(刷牙方法、每次刷牙持续时间和刷牙频次)均显著优于对照组(P值均<0.05)。护理后,两组的菌斑指数、牙龈指数和探诊深度均显著低于同组护理前(P值均<0.05),且观察组的上述指标均显著低于对照组(P值均<0.05);两组的总体口腔健康评价指数表(GOHAI)各项得分均显著高于同组护理前(P值均<0.05),且观察组均显著高于对照组(P值均<0.05)。结论采用基于IKAP理论的延续性护理模式可有效提高慢性牙周炎患者对疾病的认知水平,改善其口腔行为习惯和牙周健康状态临床指标,且提高其生活质量。更多还原

【Abstract】 Objective To explore the impact of continuous nursing intervention based on information,knowledge,attitude,and practice(IKAP)theory on periodontal health indicators and quality of life among patients with chronic periodontitis. Methods A total of120 patients with chronic periodontitis treated in the Stomatology Center of Shenzhen People’s Hospital from June2019 to June2020 were selected and randomly divided into two groups according to the parity of the outpatient number. The patients whose outpatient numbers were odd numbers were assigned to the control group(60 cases),and the patients whose outpatient numbers were even numbers were assigned to the observation group(60 cases). The control group received routine nursing intervention,and the observation group received continuous nursing intervention based on the IKAP theory on the basis of routine nursing. The patients. disease awareness,oral habits(brushing method,duration of each brushing,and frequency of brushing)after nursing,periodontal health indicators(plaque index,gingival index and probing depth)and quality of life before and after nursing were compared between the two groups. Results After nursing,the overall rate of good disease awareness of the observation group was significantly higher than that of the control group(P< 0. 05). The oral habits(brushing method,duration of each brushing,and frequency of brushing)of the observation group were significantly better than those of the control group(all P< 0. 05). After nursing,the plaque index,gingival index and probing depth of the two groups were significantly lower than those before nursing(all P< 0. 05),and the above indicators of the observation group were significantly lower than those of the control group(all P< 0. 05). The scores of various items of geriatric oral health assessment index(GOHAI)of the two groups were significantly higher than those before nursing(all P< 0. 05),and the scores of the observation group were significantly higher than those of the control group(all P< 0. 05). Conclusion The continuous nursing based on the IKAP theory can effectively improve the disease awareness of patients with chronic periodontitis,change their oral habits and improve their periodontal health indicators and quality of life.更多还原