Teach-back口腔健康教育对口腔种植患者口腔保健行为和牙周状况的影响

邵夏娃; 尹敏; 宣桂红; 周叶青; 戴瑛

doi:10.16766/j.cnki.issn.1674-4152.003682

Teach-back口腔健康教育对口腔种植患者口腔保健行为和牙周状况的影响

doi: 10.16766/j.cnki.issn.1674-4152.003682

绍兴市人民医院门诊口腔科，浙江绍兴 312000

基金项目:

浙江省医药卫生科技计划项目 2022KY403

详细信息

通讯作者:
邵夏娃，E-mail：Shaoyangxu2021@163.com

中图分类号: R781.42
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- 文章访问数: 18
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- 被引次数: 0
出版历程
- 收稿日期: 2023-12-15

Effect of Teach-back oral health education on oral health behavior and periodontal status of patients with oral implantation

Outpatient Stomatology, Shaoxing People's Hospital, Shaoxing, Zhejiang 312000, China

摘要

摘要: 目的基于Teach-back构建口腔健康教育方案，探讨其在口腔种植患者中的应用效果。方法选取2020年1月—2023年1月在绍兴市人民医院门诊口腔科进行种植修复治疗的慢性牙周炎患者104例，采用随机数字表法分为对照组(52例)和Teach-back组(52例)，对照组实施传统口腔健康教育，Teach-back组实施Teach-back口腔健康教育，持续干预6个月。比较2组口腔保健行为、牙周状况[改良龈沟出血指数(mSBI)、改良菌斑指数(mPLI)、探诊深度(PD)]、种植体周围炎发生率以及口腔健康生活质量表(OHIP-14)评分。结果 Teach-back组最终48例完成研究，对照组49例完成研究。Teach-back组种植后6个月“进食后及时漱口、使用牙线或冲洗器、定期清洁牙齿及使用巴氏刷牙法”行为评分高于对照组(P＜0.05)；mSBI、mPLI及PD分别为(0.82±0.14)分、(0.80±0.21)分和(2.01±0.66)mm，均低于对照组的(1.03±0.24)分、(0.91±0.23)分和(2.40±0.77)mm(P＜0.05)；种植体周围炎发生率为2.08%(1/48)，低于对照组的16.33%(8/49，P＜0.05)；OHIP-14评分低于对照组(P＜0.05)。结论给予口腔种植患者Teach-back口腔健康教育，对提高患者口腔保健行为、改善牙周健康状况和预防种植体周围炎的发生具有重要意义。
- 口腔种植术 /
- Teach-back口腔健康教育 /
- 口腔保健行为 /
- 菌斑指数 /
- 种植体周围炎
Abstract: Objective To construct an oral health education program based on Teach-back and explore its application effect in patients with oral implantation. Methods From January 2020 to January 2023, 104 patients with chronic periodontitis who underwent implant repair treatment in the stomatology department of the outpatient department of Shaoxing People's Hospital were divided into a control group (52 cases) and a Teach-back group (52 cases) by random number table method. The control group received traditional oral health education, and the Teach-back group implemented Teach-back oral health education and continued intervention for 6 months. The oral health behavior, periodontal status [modified sulcus bleeding index (mSBI), modified plaque index (mPLI), probing depth (PD)], the incidence of periimplantitis and the score of oral health impact profile-14 (OHIP-14) were compared between the two groups. Results In the Teach-back group, 48 patients completed the study, 49 cases completed the study in the cotrol group. In the Teach-back group, the behavioral score of "gargling after eating, using dental floss or flush device, regular tooth cleaning and pasteurized brushing method" was higher than that of the control group (P < 0.05); mSBI, mPLI and PD were (0.82±0.14) points, (0.80±0.21) points and (2.01±0.66) mm, respectively, which were lower than the control group (1.03±0.24) points, (0.91±0.23) points and (2.40±0.77) mm (P < 0.05). The incidence of peri-implant inflammation was 2.08% (1/48), which was lower than 16.33% (8/49) of the control group (P < 0.05). The score of OHIP-14 was lower than that of the control group (P < 0.05). Conclusion Teaching back oral health education has great significance for improving oral health behavior and periodontal health, and preventing peri-implant inflammation.
- Oral implantation /
- Teach-back Oral health education /
- Oral health behavior /
- Plaque index /
- Peri-implant inflammation
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表 1 2组慢性牙周炎患者一般资料比较

Table 1. Comparison of general data between two groups of patients with chronic periodontitis

组别	例数	性别(男/女，例)	年龄(x±s, 岁)	受教育时间(x±s, 年)	病程(x±s, 年)	刷牙≥2次/d(例)	吸烟(例)	牙周炎家族史(例)
对照组	49	29/20	48.29±6.10	10.12±2.11	2.11±0.51	20	21	7
Teach-back组	48	25/23	48.55±8.11	9.78±1.44	2.28±0.67	22	17	9
统计量		0.495^a	0.179^b	0.925^b	1.408^b	0.249^a	0.563^a	0.351^a
P值		0.482	0.859	0.357	0.162	0.618	0.453	0.554
注：^a为χ²值，^b为t值。

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表 2 2组慢性牙周炎患者种植前后口腔保健行为比较(x±s，分)

Table 2. Comparison of oral health care behavior between two groups of patients with chronic periodontitis(x±s, points)

组别	例数	早晚刷牙各1次		每次刷牙时间3~5 min		进食后及时漱口		使用牙线或冲洗器
组别	例数	种植前	种植后6个月	种植前	种植后6个月	种植前	种植后6个月	种植前	种植后6个月
对照组	49	0.56±0.11	1.08±0.21^b	0.51±0.17	1.09±0.24^b	0.57±0.14	1.11±0.23^b	0.60±0.13	1.12±0.31^b
Teach-back组	48	0.60±0.14	1.10±0.22^b	0.49±0.07	1.11±0.17^b	0.53±0.11	1.56±0.31^b	0.55±0.14	1.66±0.31^b
统计量		1.566^a	0.901^c	0.755^a	0.913^c	1.563^a	20.091^c	1.823^a	23.451^c
P值		0.123	0.671	0.452	0.670	0.123	＜0.001	0.071	＜0.001

组别	例数	定期清洁牙齿		每1~2个月更换1次牙刷				使用巴氏刷牙法
组别	例数	种植前	种植后6个月	种植前		种植后6个月		种植前	种植后6个月
对照组	49	0.48±0.11	1.04±0.34^b	0.66±0.17		1.23±0.34^b		0.69±0.15	1.11±0.32^b
Teach-back组	48	0.50±0.12	1.68±0.23^b	0.62±0.11		1.30±0.25^b		0.70±0.12	1.68±0.30^b
统计量		0.856^a	19.781^c	1.372^a		1.211^c		0.362^a	21.341^c
P值		0.394	＜0.001	0.173		0.411		0.718	＜0.001
注：^a为t值，^c为F值；与同组种植前比较，^bP＜0.05。

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表 3 2组慢性牙周炎患者种植后牙周健康状况比较(x±s)

Table 3. Comparison of periodontal health before and after implantation between two groups of patients with chronic periodontitis (x±s)

组别	例数	mSBI(分)		mPLI(分)		PD(mm)
组别	例数	种植后1个月	种植后6个月	种植后1个月	种植后6个月	种植后1个月	种植后6个月
对照组	49	0.80±0.17	1.03±0.24^b	0.77±0.17	0.91±0.23^b	1.80±0.47	2.40±0.77^b
Teach-back组	48	0.77±0.16	0.82±0.14	0.79±0.19	0.80±0.21	1.82±0.44	2.01±0.66
统计量		0.895^a	10.890^c	0.547^a	8.812^c	0.216^a	9.235^c
P值		0.373	＜0.001	0.589	＜0.001	0.829	＜0.001
注：^a为t值，^c为F值；与同组种植后1个月比较，^bP＜0.05。

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表 4 2组慢性牙周炎患者种植前后OHIP-14评分比较(x±s，分)

Table 4. Comparison of OHIP-14 scores before and after implantation between two groups of patients with chronic periodontitis (x±s, points)

组别	例数	种植前	种植后6个月
对照组	49	31.23±5.21	16.79±4.05^b
Teach-back组	48	31.77±6.09	12.33±3.12^b
统计量		0.470^a	9.453^c
P值		0.640	＜0.001
注：^a为t值，^c为F值；与同组种植前比较，^bP＜0.05。

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