自我效能干预在口腔正畸治疗中的应用研究

发布时间：2018-06-30 00:42

本文选题：自我效能 + 心理干预　；参考：《青岛大学》2015年硕士论文

【摘要】：目的:探讨自我效能干预对口腔正畸治疗患者心理状态的作用效果,建立合理的临床心理干预模式,提高临床治疗效果。方法:选择136例患者按照就诊顺序编号,奇数号入干预组(自我效能心理行为干预组),偶数号入对照组(一般干预组)。两组均常规采用滑动直丝弓矫治。对照组进行常规一般正畸知识教育,干预组除接受常规一般知识教育外,增加自我效能干预。应用焦虑自评量表、抑郁自评量表、一般自我效能感量表、Wong-Baker面部表情疼痛量表,对两组患者进行评估,并分析其差异及相关性。结果:自我效能干预前,干预组和对照组焦虑自评量表、抑郁自评量表、一般自我效能感量表、Wong-Baker面部表情疼痛量表评分差异均无统计学意义(P0.05)。自我效能干预后1周及第二个月复诊更换矫治弓丝后1周,两组Wong-Baker面部表情疼痛量表评分差异有统计学意义P0.05)。自我效能干预1个月后,焦虑自评量表[干预组(48.75±8.92)分,对照组(53.53±10.33)分]、抑郁自评量表[干预组(47.65±8.91)分,对照组(51.24±8.03)分]、一般自我效能感量表[干预组(2.82±0.34)分,对照组(2.66±0.47)分]评分,干预组均低于对照组(均P0.05),差异有统计学意义;自我效能干预1年后,焦虑自评量表[干预组(45.56±8.93)分,对照组(49.16±11.04)分]、抑郁自评量表[干预组(44.63±8.93)分,对照组(48.32±9.03)分]、一般自我效能感量表[干预组(2.91±0.61)分,对照组(2.69±0.66)分]评分,干预组均低于对照组(均P0.05),差异有统计学意义;相关分析表明,正畸治疗依从性、正畸治疗满意度与自我效能得分呈正相关(P0.05)。结论:对正畸治疗患者进行自我效能干预,可以显著降低心理卫生问题发生,提高正畸的疗效,增强治疗依从性,减轻疼痛。
[Abstract]:Objective: to explore the effect of self-efficacy intervention on the mental state of orthodontic patients and to establish a reasonable clinical psychological intervention model to improve the clinical therapeutic effect. Methods: 136 patients were enrolled into intervention group (self-efficacy psychological behavior intervention group) and even number into control group (general intervention group). Both groups were treated with sliding straight wire. The control group received general orthodontic knowledge education, and the intervention group increased self-efficacy in addition to conventional general knowledge education. Self-rating anxiety scale, self-rating depression scale, general self-efficacy scale Wong-Baker facial expression pain scale were used to evaluate the two groups of patients, and analyze their differences and correlation. Results: before self-efficacy intervention, there was no significant difference in the scores of self-rating anxiety scale, self-rating depression scale and general self-efficacy scale Wong-Baker facial expression pain scale between the intervention group and the control group (P0.05). The scores of Wong-Baker facial expression pain scale were significantly different between the two groups 1 week after self-efficacy intervention and 1 week after revisiting and replacement of orthopedic wire (P0.05). After one month of self-efficacy intervention, the scores of self-rating anxiety scale [(48.75 卤8.92) in the intervention group and (53.53 卤10.33) in the control group], self-rating depression scale [(47.65 卤8.91) in the intervention group, (51.24 卤8.03) in the control group], general self-efficacy scale [(2.82 卤0.34) in the intervention group and (2.66 卤0.47) in the control group] were scored. After one year of self-efficacy intervention, the self-rating anxiety scale [(45.56 卤8.93) in the intervention group, (49.16 卤11.04) in the control group], the self-rating depression scale in the intervention group [(44.63 卤8.93)] were significantly lower than those in the control group (P0.05). The scores of control group (48.32 卤9.03), general self-efficacy scale [intervention group (2.91 卤0.61), control group (2.69 卤0.66)] were lower than that of control group (P0.05). There was a positive correlation between the satisfaction of orthodontic treatment and the score of self efficacy (P0.05). Conclusion: Self-efficacy intervention for orthodontic patients can significantly reduce the occurrence of mental health problems, improve the efficacy of orthodontic treatment, enhance therapeutic compliance and relieve pain.
【学位授予单位】：青岛大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R783.5

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