论文部分内容阅读
目的:探究视频教育结合Teach-back在慢性牙周炎患者种植修复治疗中的应用效果。方法:采用非同期类试验性研究和便利抽样法，选取2019年1—8月上海市第十人民医院收治的种植修复的慢性牙周炎患者41例为对照组，实施常规口腔健康教育。2019年9月至2020年5月该医院收治的种植修复的慢性牙周炎患者42例为观察组，实施视频教育结合Teach-back，对比2组口腔保健自我效能、牙周临床指标、种植体周围黏膜炎发生率。结果:种植修复后6、12个月，观察组口腔保健自我效能总分及定期口腔就诊、正确刷牙、平衡饮食3个维度评分分别为（66.31 ± 4.32）和（67.19 ± 4.65）分，（22.04 ± 1.35）分和（21.69 ± 1.82）分，（21.73 ± 1.65）分和（22.64 ± 1.82）分，（22.54 ± 1.62）分和（22.86 ± 1.74）分，均高于对照组的（53.81 ± 4.78）分和（54.09 ± 5.67）分，（17.02 ± 2.58）分和（17.43 ± 2.16）分，（17.65 ± 1.74）分和（18.54 ± 2.36）分，（19.14 ± 2.13）分和（18.12 ± 2.58）分。差异有统计学意义（n t值为6.52 ~ 12.39，均n P<0.05）。观察组种植修复后6、12个月时菌斑指数、改良出血指数和牙龈乳头指数评分分别为（0.80 ± 0.17）分和（0.75 ± 0.14）分，（0.79 ± 0.19）分和（0.81 ± 0.18）分，（2.08 ± 0.45）分和（2.10 ± 0.53）分，均低于对照组的（0.92 ± 0.19）分和（0.99 ± 0.21）分，（1.03 ± 0.17）分和（1.16 ± 0.21）分，（2.45 ± 0.68）分和（2.62 ± 0.61）分，差异有统计学意义（n t值为2.93 ~ 8.16，均n P<0.05）。观察组种植修复后12个月种植体周围黏膜炎发生率为7.14%（3/42），低于对照组的26.83%（11/41），差异有统计学意义（n χ2=5.73，n P<0.05）。n 结论:视频教育结合Teach-back可提高慢性牙周炎患者种植修复治疗期间口腔保健自我效能，改善口腔保健行为，进而改善种植体周围牙周状况，降低黏膜炎发生率。“,”Objective:To explore the application effect of video education combined with Teach-back in the treatment of patients with chronic periodontitis.Methods:Using non-simultaneous experimental research methods, From January to August in 2019, 41 patients with chronic periodontitis who underwent implant restoration in Shanghai Tenth People′s Hospital was selected by convenience sampling method as the control group, and implemented routine oral health education. From September 2019 to May 2020, 42 patients with chronic periodontitis who underwent implant restoration in Shanghai Tenth People′s Hospital were the observation group, and implemented video education combined with Teach-back. Compare the two groups of oral health care self-efficacy, periodontal clinical indicators, and the incidence of peri-implant mucositis.Results:Comparing 6 months and 12 months after implant restoration, the total scores of oral health self-efficacy and regular oral visits, correct brushing, and balanced diet in the observation group were 66.31 ± 4.32 and 67.19 ± 4.65, 22.04 ± 1.35 and 21.69 ± 1.82, 21.73 ± 1.65 and 22.64 ± 1.82, 22.54 ± 1.62 and 22.86 ± 1.74 respectively, which were higher than the control group 53.93 ± 4.78 and 54.09 ± 5.67, 17.02 ± 2.58 and 17.43 ± 2.16, 17.65 ± 1.74 and 18.54 ± 2.36, 19.14 ± 2.13 and 18.12 ± 2.58, the difference between the two groups at the two time points were statistically significant (n t values were 6.52-12.39, all n P<0.05). And the PLI, mSBI, and PIS scores of the observation group were 0.80 ± 0.17 and 0.75 ± 0.14, 0.79 ± 0.19 and 0.81 ± 0.18, 2.08 ± 0.45 and 2.10 ± 0.53, respectively, which were lower than the control group 0.92 ± 0.19 and 0.99 ± 0.21, 1.03 ± 0.17 and 1.16 ± 0.21, 2.45 ± 0.68 and 2.62 ± 0.61, the difference between the two groups at the two time points were statistically significant (n t values were 2.93-8.16, all n P<0.05). 12 months after, the incidence of mucositis around implants in the observation group was 7.14%(3/42), which was lower than 26.83%(11/41)in the control group (n χ2=5.73, n P<0.05).n Conclusions:Video education combined with Teach-back can improve the self-efficacy of oral health care during implant restoration treatment in patients with chronic periodontitis, improve oral health care behavior, thereby improving the periodontal condition around the implant and reducing the incidence of mucositis.