心理干预联合教育对牙髓病患者心理弹性及健康行为的影响
Effects of psychological intervention combined with education on psychological resilience and healthy behavior of patients with pulp disease.
作者信息
Wang Qing-Feng, Guo Shi-Liang, Tang Hai-Yan, Wu Ying
机构信息
Nanjing Stomatological Hospital, Affiliated Hospital of Medical School, Institute of Stomatology, Nanjing University, Nanjing 210000, Jiangsu Province, China.
Department of Medical Psychology, The Fourth People's Hospital of Yancheng, Yancheng 224000, Jiangsu Province, China.
出版信息
World J Psychiatry. 2025 Apr 19;15(4):100929. doi: 10.5498/wjp.v15.i4.100929.
BACKGROUND
The two-way, three-stage psychological intervention for patients with dental pulp disease offers a reference for nursing interventions in such cases.
AIM
To examine the effects of a three-stage psychological intervention on psychological resilience and health behaviors.
METHODS
A total of 114 patients with dental pulp disease treated between December 2022 and December 2023 were allocated into two groups according to the random lottery method, with 57 patients in each group. The control group adopted the teaching method, while the observation group used a three-stage psychological intervention combined with the teaching method. We compared psychological resilience, coping strategies, dental fear, health behavior habits, and stigma between the two groups.
RESULTS
The intervention group showed significantly improved scores on the psychological resilience scale (Connor-Davidson Resilience Scale) ( < 0.05); positive and negative response scores also improved after the intervention ( < 0.05); significant differences were observed between the observation and control groups in the Chinese version of the Stouthard Dental Fear Scale (Dental Anxiety Inventory), the Social Impact Scale, and health behavior score ( < 0.05).
CONCLUSION
Combining a three-stage psychological intervention with the back-teaching method effectively reduces dental fear and stigma in patients with dental pulp disease. It also improves psychological resilience, coping strategies, and health behavior habits, achieving significant results.
背景
牙髓病患者双向三阶段心理干预为该类病例护理干预提供参考。
目的
探讨三阶段心理干预对心理弹性及健康行为的影响。
方法
选取2022年12月至2023年12月间接受治疗的114例牙髓病患者，采用随机抽签法分为两组，每组57例。对照组采用宣教方法，观察组采用三阶段心理干预联合宣教方法。比较两组心理弹性、应对策略、牙科畏惧、健康行为习惯及污名化情况。
结果
干预组心理弹性量表（Connor-Davidson弹性量表）评分显著提高（<0.05）；干预后积极和消极应对评分也有所改善（<0.05）；观察组与对照组在中文版斯陶哈德牙科畏惧量表（牙科焦虑量表）、社会影响量表及健康行为评分方面存在显著差异（<0.05）。
结论
三阶段心理干预联合回授法能有效降低牙髓病患者的牙科畏惧及污名化。还能提高心理弹性、应对策略及健康行为习惯，效果显著。
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