Department of Oral Growth and Development, Division of Disease Control & Molecular Epidemiology, Health Sciences University of Hokkaido, Hokkaido, Japan.
J Clin Periodontol. 2010 Mar;37(3):276-82. doi: 10.1111/j.1600-051X.2009.01529.x. Epub 2010 Jan 19.
To examine whether or not oral health care-specific self-efficacy can predict loss to follow-up for long-term periodontal treatment.
Our prospective cohort study enrolled 144 patients with chronic periodontitis. Patient self-efficacy was assessed on the initial visit using the self-efficacy scale for self-care (SESS). Participants were then followed for 30 months from the onset of periodontal treatment. The loss to follow-up is the main outcome variable. Multiple logistic regression analysis was conducted to examine the association between self-efficacy for self-care and loss to follow-up for periodontal treatment. Gender, age, number of teeth, probing depth, plaque control record (PCR) value, PCR improvement rate, general self-efficacy scale score, and SESS score were used as the independent variables, and loss to follow-up as a dependent variable.
A total of 67 patients were lost to follow-up over the course of the study. Compared with the high-scoring SESS group (60-75), the odds ratio of loss to follow-up for the middle- (54-59) and low-scoring groups (15-53) were 1.05 [95% confidence interval (CI): 0.36-3.07] and 4.56 (95% CI: 1.11-18.74), respectively.
Assessment of oral health care-specific self-efficacy may be useful in predicting loss to follow-up in long-term periodontal treatment.
探讨口腔保健自我效能是否可以预测长期牙周治疗的失访情况。
我们的前瞻性队列研究纳入了 144 例慢性牙周炎患者。在初始就诊时使用自我护理自我效能量表（SESS）评估患者的自我效能。参与者从牙周治疗开始后随访 30 个月。失访是主要的观察结局变量。采用多因素逻辑回归分析评估自我护理自我效能与牙周治疗失访之间的关系。性别、年龄、牙齿数、探诊深度、菌斑控制记录（PCR）值、PCR 改善率、一般自我效能感量表评分和 SESS 评分作为自变量，失访作为因变量。
研究过程中共有 67 例患者失访。与 SESS 评分高分组（60-75）相比，中分组（54-59）和低分组（15-53）的失访比值比分别为 1.05（95%可信区间：0.36-3.07）和 4.56（95%可信区间：1.11-18.74）。
评估口腔保健自我效能可能有助于预测长期牙周治疗的失访情况。
