CAJ | 학술논문

目的：探讨讲‐示‐做（Tell‐Show‐Do）法对乳牙正畸患儿治疗依从性的影响。方法选取2014年6～12月重庆医科大学附属口腔医院正畸科和儿童牙病中心就诊的乳牙正畸患儿，采用 Venham 临床焦虑及合作行为级别评定量表，筛选出120例患儿参加试验，随机分为观察组和对照组。观察组每次就诊时均采用 Tell‐Show‐Do法，对照组采用常规法进行正畸诊治。首次就诊后分别记录观察组、对照组患儿 Frankl 治疗依从性评分和 Houpt行为治疗效果评分；开始治疗后1、2、4周复诊时评价患者矫治器的佩戴、口腔卫生维护等治疗依从性。结果观察组和对照组 Frankl 治疗依从性评分和 Houpt 行为治疗效果评分：观察组依从性（1～2分）和行为治疗效果较差（1～3分）例数均低于对照组，观察组依从性评分良好（4分）和行为治疗效果良好（6分）例数均高于对照组；开始治疗后1、2、4周时佩戴矫治器平均时间均长于对照组，开始治疗后1、2、4周时口腔卫生维护评分均高于对照组，差异有统计学意义（P＜0．05）。结论 Tell‐Show‐Do 法可有效提高乳牙正畸患儿首诊时治疗依从性和复诊后治疗依从性。 Tell‐Show‐Do 法在儿童正畸治疗中具有临床应用价值，值得推广。
목적：탐토강‐시‐주（Tell‐Show‐Do）법대유아정기환인치료의종성적영향。방법선취2014년6～12월중경의과대학부속구강의원정기과화인동아병중심취진적유아정기환인，채용 Venham 림상초필급합작행위급별평정량표，사선출120례환인삼가시험，수궤분위관찰조화대조조。관찰조매차취진시균채용 Tell‐Show‐Do법，대조조채용상규법진행정기진치。수차취진후분별기록관찰조、대조조환인 Frankl 치료의종성평분화 Houpt행위치료효과평분；개시치료후1、2、4주복진시평개환자교치기적패대、구강위생유호등치료의종성。결과관찰조화대조조 Frankl 치료의종성평분화 Houpt 행위치료효과평분：관찰조의종성（1～2분）화행위치료효과교차（1～3분）례수균저우대조조，관찰조의종성평분량호（4분）화행위치료효과량호（6분）례수균고우대조조；개시치료후1、2、4주시패대교치기평균시간균장우대조조，개시치료후1、2、4주시구강위생유호평분균고우대조조，차이유통계학의의（P＜0．05）。결론 Tell‐Show‐Do 법가유효제고유아정기환인수진시치료의종성화복진후치료의종성。 Tell‐Show‐Do 법재인동정기치료중구유림상응용개치，치득추엄。
Objective To evaluate the influence of Tell‐Show‐Do method on the treatment compliance in the children patients with primary orthodontic movement .Methods Among 120 preschool children patients with primary tooth orthodontic movement in the Orthodontic Department and the Children Dental Center of the Stomatological Hospital of Chongqing Medical University from June to December 2014 ,120 children patients were screened out for participating in the experiment by adopting the Venham clinical levels of anxiety and cooperative behavior rating scale .They were randomly divided into the observation group and the control group .The observation group adopted the Tell‐Show‐Do method at each visiting ,while the control group adopted the conventional orthodontic method .The Frankl compliance score and Houpt score after the first visiting were recorded in the observation and control groups respectively .The treatment compliance of appliance wearing and oral hygiene maintenance were evaluated on 1 ,2 ,4 weeks of treatment .Results The cases number of the Frankl score(1 - 2 points) and the Frankl scores(1 - 3 points) in the observation group was lower than that in the control group ,the cases number of good Frankl scores(4 points) and good Houpt scores(6 points) in the observation group was higher than that in the control group ;the average time of appliance wearing at 1 ,2 ,4 weeks of treatment in the observation group was longer than that in the control group , the oral hygiene maintenance sores at 1 ,2 ,4 weeks of treatment in the observation group were higher than those in the control group ,the differences were statistically significant(P< 0 .05) .Conclusion The Tell‐Show‐Do method can effectively increase the orthodontic compliance at first visiting and subsequent visiting in the children patients with primary orthodontic movement ,then has clinical application value and is worth popularization .