Jönsson B, Lindberg P, Oscarson N, Ohrn K
Department of Public Health and Caring Services, Uppsala University, Uppsala, Sweden.
Int J Dent Hyg. 2006 May;4(2):77-83. doi: 10.1111/j.1601-5037.2006.00175.x.
The present study was a randomized control trial to test an intervention emanating from the Client Self-care Commitment Model (CSCCM), to encourage patients to increase their responsibility for their oral self-care.
A total of 75 individuals were re-examined 1-2 years after their initial therapy at the Department of Periodontology, Uppsala County Council, Sweden. Patients who exhibited insufficient compliance, 37 individuals, were included in a randomized single-blind control trial to test an intervention based on the CSCCM. Patients were examined at baseline and 3 months after hygiene treatment.
The results demonstrated that patients in the intervention (IV) group increased their interdental cleaning and reduced their plaque index significantly compared with the control group. The former also reduced the number of periodontal pockets >4 mm significantly from baseline until after the hygiene treatment. The majority of the individuals in the IV group reported that the written commitment had influenced on their oral self-care habits in a positive direction.
The CSCCM enhanced the client participation in the treatment process and improved the compliance and oral self-care behaviours. In addition, the model contributed to a reduction in periodontal pockets.
本研究是一项随机对照试验，旨在测试源自患者自我护理承诺模型（CSCCM）的一项干预措施，以鼓励患者增强其口腔自我护理的责任感。
共有75人在瑞典乌普萨拉郡议会牙周病科接受初始治疗1至2年后接受复查。37名依从性不足的患者被纳入一项随机单盲对照试验，以测试基于CSCCM的干预措施。在基线时以及进行口腔卫生治疗3个月后对患者进行检查。
结果表明，与对照组相比，干预（IV）组患者增加了牙间隙清洁并显著降低了菌斑指数。从基线到口腔卫生治疗后，前者还显著减少了深度大于4毫米的牙周袋数量。IV组中的大多数人报告称，书面承诺对他们的口腔自我护理习惯产生了积极影响。
CSCCM增强了患者在治疗过程中的参与度，提高了依从性和口腔自我护理行为。此外，该模型有助于减少牙周袋。
