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目的探讨正畸保持期患者采用认知干预措施的临床疗效及对自我护理能力的影响。方法 106例正畸保持期患者,按照硬币法分为参照组(采用常规护理)和试验组(采用认知干预),每组53例。比较两组患者的干预效果。结果试验组保持器损坏次数、放弃治疗、矫治时间≤15个月、口腔卫生良好、按时复诊等配合情况(37.7%、1.9%、84.9%、94.3%、98.1%)均优于参照组(84.9%、15.1%、60.4%、71.7%、75.5%),差异均具有统计学意义(P<0.05)。护理后试验组卡氏评分(KPS)(77.18±10.42)分和生活质量评分(QOL)(45.63±7.38)分均显著优于参照组(71.78±9.37)、(40.69±6.95)分,差异均具有统计学意义(P<0.05)。结论正畸保持期患者采用认知干预措施可显著提高其自我护理能力和临床疗效,进一步改善其生活质量,具有积极的临床选择和推广意义。
Objective To investigate the clinical efficacy of cognitive intervention in patients with orthodontic maintenance and its impact on self-care ability. Methods One hundred and six patients with orthodontic maintenance were divided into reference group (using routine nursing) and experimental group (using cognitive intervention) according to the coin method, with 53 cases in each group. The intervention effects of two groups were compared. Results The number of cage damage, the abandonment of treatment, the correction of time less than 15 months, the good oral hygiene and timely follow-up (37.7%, 1.9%, 84.9%, 94.3%, 98.1%) were all better than the reference group %, 15.1%, 60.4%, 71.7% and 75.5%, respectively). The differences were statistically significant (P <0.05). The scores of Karnofsky score (77.18 ± 10.42) and quality of life (QOL) in the experimental group after treatment were significantly better than those in the reference group (71.78 ± 9.37) and (40.69 ± 6.95), respectively Statistically significant (P <0.05). Conclusion Patients with orthodontic retention can improve their self-care ability and clinical curative effect by using cognitive intervention to further improve their quality of life, which has positive clinical choice and promotion significance.