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认知行为疗法综合护理在正畸扩弓治疗中的效果

Effects of comprehensive nursing with cognitive behavioral therapy in orthodontic osteodilated arch treatment.

作者信息

Yang Xin, Wang Zeng-Xiang, Tian Yu-Xing, Peng Chao, Yang Hui-Ning, Wu Ying

机构信息

Department of Nursing, Nanjing Stomatological Hospital, The Affiliated Hospital of Medical School, Nanjing University, Nanjing 210008, Jiangsu Province, China.

Department of Orthodontics, Nanjing Stomatological Hospital, Nanjing 210008, Jiangsu Province, China.

出版信息

World J Clin Cases. 2024 Aug 6;12(22):5051-5058. doi: 10.12998/wjcc.v12.i22.5051.

Abstract

BACKGROUND

This work explored the effects of cognitive behavior therapy (CBT)-based comprehensive nursing intervention (CNI) mode in arch expansion to treat patients with orthodontic osteodilated arch (OOA).

AIM

To explore the application effect of CBT-based CNI model in orthodontic expansion arch treatment.

METHODS

Using convenient sampling method, 81 patients with OOA were selected and rolled into a control group (Ctrl group, 40 cases) and an observation group (Obs group, 41 cases). During the treatment, patients in the Ctrl group received routine nursing intervention mode, and the those in the Obs group received CBT mode on the basis of this. Before and after intervention, the incidence of oral mucositis, the mastery rate of correct arch expansion method, self-rating anxiety scale score, soft scale index, and plaque index were compared for patients in different groups. In addition, satisfaction and complications were comparatively analyzed.

RESULTS

Incidence of oral mucositis in the Obs group was lower (14.6% 38.5%), and the mastery rate of correct arch expansion method was obviously higher (90.2% 55.0%) was obviously higher (all < 0.05). Meanwhile, the soft scale index and plaque index in the Obs group were much lower ( < 0.05). The compliance (90.24%) and satisfaction (95.12%) in the Obs group were greatly higher ( < 0.05).

CONCLUSION

The CBT-based CNI mode greatly improved the mastery rate of correct arch expansion method during arch expansion in treating patients with OOA and enhanced the therapeutic effect of arch expansion and the oral health of patients, improving the patient compliance.

摘要

背景

本研究探讨基于认知行为疗法(CBT)的综合护理干预(CNI)模式在扩弓治疗正畸性骨扩张弓(OOA)患者中的效果。

目的

探讨基于CBT的CNI模式在正畸扩弓治疗中的应用效果。

方法

采用便利抽样法,选取81例OOA患者,分为对照组(40例)和观察组(41例)。治疗期间,对照组患者接受常规护理干预模式,观察组患者在此基础上接受CBT模式。比较不同组患者干预前后口腔黏膜炎发生率、正确扩弓方法掌握率、自评焦虑量表评分、软垢指数和菌斑指数。此外,对满意度和并发症进行比较分析。

结果

观察组口腔黏膜炎发生率较低(14.6% 对38.5%),正确扩弓方法掌握率明显较高(90.2% 对55.0%)(均P<0.05)。同时,观察组软垢指数和菌斑指数低得多(P<0.05)。观察组的依从性(90.24%)和满意度(95.12%)大大更高(P<0.05)。

结论

基于CBT的CNI模式在治疗OOA患者扩弓过程中大大提高了正确扩弓方法的掌握率,增强了扩弓治疗效果和患者口腔健康,提高了患者依从性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ef8/11238773/7847bb4de6cd/WJCC-12-5051-g001.jpg

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