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目的探讨错牙合畸形患者交往焦虑的状况及治疗联盟对错牙合畸形成年人交往焦虑的影响。方法 141名错牙合畸形儿童患者96名错牙合畸形成人患者分别接受儿童交往焦虑量表(SASC)和交往焦虑量表(IAS)调查,并对成人组进行三期治疗联盟干预治疗,分析其干预前后交往焦虑变化。结果 1在调查中,儿童在SASC上得分显著高于全国常模(t=28.43,P<0.05),且男童与女童相比存在显著差异(t=3.67,P<0.05);2成人错牙合畸形患者在交往焦虑量表上的得分显著高于正常人常模,且两者存在统计学差异(t=26.87,P<0.05);3接受患患治疗联盟干预治疗患者,其交往焦虑得分低于未接受者且两者存在显著差异;接受患患和医患治疗联盟干预治疗的患者,其交往焦虑得分显著低于未接受干预治疗及仅接受患患治疗联盟干预治疗的患者(F=19.40,P<0.05)。结论错牙合畸形能负面影响儿童、成人的人际交往;治疗联盟的干预方式可以有效减少成人交往焦虑,恢复其自信心。
Objective To investigate the status of anxiety in patients with malocclusion and the effect of treatment alliance on the association anxiety in malocclusion. Methods One hundred and fourteen children with malocclusion and deformity were enrolled in this study. 96 children with malocclusion and deformity were investigated by SASC and IAS, respectively. The intervention before and after the change of anxiety. Results 1 In the survey, children scored significantly higher on SASC than the national norm (t = 28.43, P <0.05), and boys and girls had significant differences (t = 3.67, P <0.05) Patients with occlusal deformity had significantly higher scores on the interpersonal anxiety scale than those in normal people, and the difference was statistically significant (t = 26.87, P <0.05). 3 The patients receiving the treatment alliance intervention had higher anxiety Score was lower than non-recipients and there was a significant difference between the two; patients receiving treatment and treatment of patients with Union Hospital intervention anxiety scores were significantly lower than those who did not receive intervention and treatment-treated patients received only Union treatment (F = 19.40, P <0.05). Conclusions The malocclusion can negatively affect the interpersonal communication between children and adults. The intervention of treatment alliance can effectively reduce adult anxiety and restore self-confidence.