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体验式教育结合健康指导技术在老年牙种植患者延续护理中的应用及效果

Application and effectiveness of experiential education combined with health coaching techniques in extended care for elderly patients with dental implants.

作者信息

Huang Juan, Gong Fanghua, Chen Zhou, Chen Yali, Liu Yufei

机构信息

Department of Stomatology, Hunan Provincial People's Hospital and The First Affiliated Hospital of Hunan Normal University, Changsha, Hunan, China.

Department of Nursing, Hunan Provincial People's Hospital and The First Affiliated Hospital of Hunan Normal University, Changsha, Hunan, China.

出版信息

Front Oral Health. 2025 Jun 17;6:1538886. doi: 10.3389/froh.2025.1538886. eCollection 2025.

Abstract

OBJECTIVE

Experiential education (EE) and health coaching techniques (HCT) were proved to be effective in health management. This study investigated the effectiveness of EE combined with HCT in extended care for elderly patients with dental implants.

METHODS

A total of 90 elderly patients who received implant restoration were randomly divided into intervention group (IG) and control group (CG). CG received standard health education. IG received EE, HCT and standard health education. Periodontal conditions of peri-implants (plaque Index, PLI; sulcus bleeding index, SBI; gingival Index, GI) were assessed at 1-, 3-, and 6-months. Oral health self-efficacy and implant survival rates after 6 months were compared between two groups.

RESULTS

No significant differences in periodontal indices were observed between groups at 1 and 3 months post-intervention. After 6 months of intervention, the experimental group showed significantly superior PLI, mSBI, and GI scores relative to the control group ( < 0.05). IG also showed an improvement in oral health self-efficacy compared to the CG ( < 0.05). The implant survival rate in the IG was higher than in the CG after 6 months, but the difference was not significant.

CONCLUSION

EE combined with HCT improves oral health self-efficacy and periodontal health in elderly patients with dental implants.

摘要

目的

经验教育(EE)和健康指导技术(HCT)已被证明在健康管理中有效。本研究调查了EE联合HCT在老年牙种植患者延续性护理中的效果。

方法

将90例接受种植修复的老年患者随机分为干预组(IG)和对照组(CG)。CG接受标准健康教育。IG接受EE、HCT及标准健康教育。在1、3、6个月时评估种植体周围的牙周状况(菌斑指数,PLI;龈沟出血指数,SBI;牙龈指数,GI)。比较两组6个月后的口腔健康自我效能感及种植体存留率。

结果

干预后1个月和3个月时,两组牙周指数无显著差异。干预6个月后,实验组的PLI、改良SBI及GI评分显著优于对照组(<0.05)。与CG相比,IG的口腔健康自我效能感也有所改善(<0.05)。6个月后IG的种植体存留率高于CG,但差异不显著。

结论

EE联合HCT可提高老年牙种植患者的口腔健康自我效能感及牙周健康水平。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b57e/12209215/27c3bf12b20c/froh-06-1538886-g001.jpg

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