中华行为医学与脑科学杂志
中華行為醫學與腦科學雜誌
중화행위의학여뇌과학잡지
CHINESE JOURNAL OF BEHAVIORAL MEDICINE AND BRAIN SCIENCE
2014年
9期
797-800
,共4页
夏春鹏%李克义%林燕辉%张彬
夏春鵬%李剋義%林燕輝%張彬
하춘붕%리극의%림연휘%장빈
认知行为干预%成人正畸%焦虑%口腔健康相关生活质量
認知行為榦預%成人正畸%焦慮%口腔健康相關生活質量
인지행위간예%성인정기%초필%구강건강상관생활질량
Cognitive-behavioral intervention%Adult orthodontic patients%Anxiety%Oral health-related quality of life
目的 探讨认知行为干预对成人正畸患者焦虑状态及口腔健康相关生活质量的影响.方法 将成人正畸焦虑患者152例采用分段随机分组的方法分为干预组与对照组,两组各76例.干预组采用直丝弓矫治技术治疗并合并认知行为综合干预,对照组仅用直丝弓矫治技术治疗,采用状态-特质焦虑量表(STAI)与口腔健康相关生活质量影响程度量表(OHRQoL-UK)对患者进行评定并对两组治疗前后STAI、OHRQoL-UK评分进行统计学分析.结果 1.认知行为干预前对照组S-AI[(58.74± 11.05)分、T-AI(53.06±11.77)分]与干预组S-AI[(59.52±12.28)分、T-AI(52.45± 10.32)分]差异无统计学意义(P＞0.05),认知行为干预3个月及6个月后干预组S-AI[(50.37±9.18)分,(35.65±8.92)分]低于对照组[(56.62±10.52)分,(54.13±10.03)分](P＜0.01);干预6个月后干预组T-AI[(47.92±6.82)分]低于对照组[(51.52±7.41)分](P＜0.05);2.OHRQoL-UK总分正畸治疗前两组差异无统计学意义,正畸治疗完成后干预组(58.27±13.43)高于对照组[(51.99± 11.69)分](P＜0.01);3.正畸治疗后OHRQoL-UK评分与S-AI、T-AI评分呈负相关(r=-0.192～-0.459,P＜0.05).结论 认知行为综合干预能有效缓解成人正畸患者的焦虑状态并可以提高正畸治疗后的口腔健康相关生活质量.
目的 探討認知行為榦預對成人正畸患者焦慮狀態及口腔健康相關生活質量的影響.方法 將成人正畸焦慮患者152例採用分段隨機分組的方法分為榦預組與對照組,兩組各76例.榦預組採用直絲弓矯治技術治療併閤併認知行為綜閤榦預,對照組僅用直絲弓矯治技術治療,採用狀態-特質焦慮量錶(STAI)與口腔健康相關生活質量影響程度量錶(OHRQoL-UK)對患者進行評定併對兩組治療前後STAI、OHRQoL-UK評分進行統計學分析.結果 1.認知行為榦預前對照組S-AI[(58.74± 11.05)分、T-AI(53.06±11.77)分]與榦預組S-AI[(59.52±12.28)分、T-AI(52.45± 10.32)分]差異無統計學意義(P＞0.05),認知行為榦預3箇月及6箇月後榦預組S-AI[(50.37±9.18)分,(35.65±8.92)分]低于對照組[(56.62±10.52)分,(54.13±10.03)分](P＜0.01);榦預6箇月後榦預組T-AI[(47.92±6.82)分]低于對照組[(51.52±7.41)分](P＜0.05);2.OHRQoL-UK總分正畸治療前兩組差異無統計學意義,正畸治療完成後榦預組(58.27±13.43)高于對照組[(51.99± 11.69)分](P＜0.01);3.正畸治療後OHRQoL-UK評分與S-AI、T-AI評分呈負相關(r=-0.192～-0.459,P＜0.05).結論 認知行為綜閤榦預能有效緩解成人正畸患者的焦慮狀態併可以提高正畸治療後的口腔健康相關生活質量.
목적 탐토인지행위간예대성인정기환자초필상태급구강건강상관생활질량적영향.방법 장성인정기초필환자152례채용분단수궤분조적방법분위간예조여대조조,량조각76례.간예조채용직사궁교치기술치료병합병인지행위종합간예,대조조부용직사궁교치기술치료,채용상태-특질초필량표(STAI)여구강건강상관생활질량영향정도량표(OHRQoL-UK)대환자진행평정병대량조치료전후STAI、OHRQoL-UK평분진행통계학분석.결과 1.인지행위간예전대조조S-AI[(58.74± 11.05)분、T-AI(53.06±11.77)분]여간예조S-AI[(59.52±12.28)분、T-AI(52.45± 10.32)분]차이무통계학의의(P＞0.05),인지행위간예3개월급6개월후간예조S-AI[(50.37±9.18)분,(35.65±8.92)분]저우대조조[(56.62±10.52)분,(54.13±10.03)분](P＜0.01);간예6개월후간예조T-AI[(47.92±6.82)분]저우대조조[(51.52±7.41)분](P＜0.05);2.OHRQoL-UK총분정기치료전량조차이무통계학의의,정기치료완성후간예조(58.27±13.43)고우대조조[(51.99± 11.69)분](P＜0.01);3.정기치료후OHRQoL-UK평분여S-AI、T-AI평분정부상관(r=-0.192～-0.459,P＜0.05).결론 인지행위종합간예능유효완해성인정기환자적초필상태병가이제고정기치료후적구강건강상관생활질량.
Objective To explore the influence of cognitive-behavioral intervention on the anxiety and oral health-related quality of life in adult orthodontic patients.Methods 152 adult orthodontic patients whose MDAS scores were greater than 11 were divided into the intervention group and the control group according Multistage Grouping Process.The former were treated with MBT appliance combined with cognitive-behavioral intervention,and the latter were treated with MBT appliance only.The State-Trait Anxiety Inventory(STAI) was adopted to evaluate anxiety in all patients during orthodontic treatment,and the UK oral health-related quality of life questionnaire(OHRQoL-UK) was adopted to evaluate the oral health-related quality of life in all patients before and after orthodontic treatment,respectively.Results 1.After 3 and 6 months cognitive-behavioral intervention,the scores of SAI in the intervention group(50.37±9.18,35.65±8.92) were significantly reduced compared to the control group(56.62± 10.52,54.13± 10.03) (P＜0.01).After 6 months cognitive-behavioral intervention,the scores of TAI in the intervention group(47.92±6.82) were significantly reduced compared to the control group(51.52±7.41) (P ＜0.05).2.After the orthodontic treatment,the scores of OHRQoL-UK in the intervention group(58.27±13.43) were significantly improved compared to the control group (51.99± 11.69) (P＜ 0.01).3.The oral health-related quality of life after the orthodontic treatment were significantly related to post-treatment anxiety of adult orthodontic patients(r=-0.192 ～-0.459,P＜ 0.05).Conclusion Cognitive-behavioral intervention can effectively reduce anxiety and improve the oral health-related life quality in the adult orthodontic patients.
