行为认知六步法应用于社区人群牙周病防治相关研究

doi:10.3877/cma.j.issn.1674-1366.2015.02.008

中华口腔医学研究杂志(电子版) ›› 2015, Vol. 09 ›› Issue (02) : 129 -133. doi: 10.3877/cma.j.issn.1674-1366.2015.02.008

所属专题：文献；

临床研究

行为认知六步法应用于社区人群牙周病防治相关研究

陈翠婷¹, 邹菡¹, 肖峰¹, 孙文娟¹, 吴坚¹^,^†(

)

^1. 510600　广州，中山大学附属第三医院口腔科

收稿日期:2015-02-18 出版日期:2015-04-01
通信作者: 吴坚

The related research about cognitive behavioral six-step method applied in periodontal disease prevention of community people

Cuiting Chen¹, Han Zou¹, Feng Xiao¹, Wenjuan Sun¹, Jian Wu¹^,^†()

^1. The Third Affiliated Hospital of Sun Yat-sen University, Department of Stomatology, Guangzhou 510630, China

Received:2015-02-18 Published:2015-04-01
Corresponding author: Jian Wu
About author:
Corresponding author: Wu Jian, Email: joycewu@yeah.net, Tel: 020-85253036

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目的

研究行为认知六步法（cognitive behavioral six-step method）是否更有利于促进社区人群口腔保健行为的改善，从而更有利于社区人群牙周病的防治。

方法

于2014年3月随机抽样获取广州天河石牌社区人群中社区牙周指数（CPI）符合3区段的50人，随机分配进入干预组和对照组，每组25人。干预组人群进行行为认知六步法干预，对照组人群只接受传统的口腔卫生宣教。干预组和对照组人群干预前、干预后1个月、干预3个月分别检查龈沟出血指数（SBI）、菌斑指数（PI）、牙周探诊深度（PD），并进行特定任务自我效检量表（SESS）评分。

结果

干预组人群接受行为认知六步法干预后1个月、干预后3个月的PI、SBI、刷牙自我效检均得到明显的改善，且与对照组相比，差异均具有统计学意义（PI：1个月，t = -8.73，P = 0.001；3个月，t = -7.88，P = 0.001；SBI：1个月，t = -7.71，P = 0.001；3个月，t = -5.00，P = 0.001；刷牙自我效检：1个月，t = 10.36，P = 0.001；3个月，t = 10.27，P = 0.001）。而PD改善不明显，差异无统计学意义（1个月，t = -1.87，P = 0.068；3个月，t = -1.26，P = 0.094）。

结论

与传统口腔卫生宣教相比，行为认知六步法能更好地改善社区人群的口腔保健行为，从而利于促进社区人群的牙周病防治。

关键词: 行为认知六步法, 自我效检, 牙周疾病

Objective

To explore the effect of cognitive behavioral six-step method on the improvement of the oral health behavior and the periodontal disease control of community people.

Methods

Fifty people selected form community population with CPI code 3 were randomly assigned into the intervention and control groups. People in the intervention group were received six-step behavioral cognitive intervention, while people in the control group were given traditional oral hygiene instruction. Periodontal changes including plaque index (PI) , sulcus bleeding index (SBI) and probing depth (PD) as well as the scores of task-specific self-efficacy scale for self-care (SESS) were evaluated respectively at three observation points (before intervention as the baseline, 1 month and 3 months after intervention) .

Results

The scores of PI, SBI and brushing self-efficacy at 1 month and 3 months were improved significantly after intervention for both groups, and the intervention group demonstrated significantly greater outcomes compared with the control group (PI: 1 month, t = -8.73, P = 0.001; 3 months, t = -7.88, P = 0.001; SBI: 1 month, t = -7.71, P = 0.001; 3 months, t = -5.00, P = 0.001; brushing self-efficacy: 1 month, t = 10.36, P = 0.001; 3 months, t = 10.27, P = 0.001) . However, no significant difference in PD was shown between intervention and control groups at all three observation points (1 month, t = -1.87, P = 0.068; 3 months, t = -1.26, P = 0.094) .

Conclusion

Comparing with the traditional oral hygiene education, cognitive behavioral six-step method demonstrates a superior promoting in the oral health behavior and periodontal disease prevention of community population.

Key words: Cognitive behavioral six-step method, Self-efficacy, Periodontal disease

图1 特定任务自我效检量表

表1 干预组干预前后各项检查项目结果比较（ ± s）

干预时间点	PI	SBI	PD(mm)	刷牙自我效检
干预前	1.46 ± 0.43	1.93 ± 0.57	1.95 ± 0.32	14.52 ± 2.55
干预后1个月	0.42 ± 0.24	0.66 ± 0.31	1.80 ± 0.17	21.60 ± 2.31
干预后3个月	0.53 ± 0.33	0.92 ± 0.58	1.83 ± 0.17	21.76 ± 1.88
F值	109.17	90.32	7.83	121.68
P值	0.001	0.001	0.01	0.001

表1 干预组干预前后各项检查项目结果比较（ ± s）

干预时间点	PI	SBI	PD(mm)	刷牙自我效检
干预前	1.46 ± 0.43	1.93 ± 0.57	1.95 ± 0.32	14.52 ± 2.55
干预后1个月	0.42 ± 0.24	0.66 ± 0.31	1.80 ± 0.17	21.60 ± 2.31
干预后3个月	0.53 ± 0.33	0.92 ± 0.58	1.83 ± 0.17	21.76 ± 1.88
F值	109.17	90.32	7.83	121.68
P值	0.001	0.001	0.01	0.001

表2 对照组宣教前后各项检查项目结果比较（ ± s）

宣教时间点	PI	SBI	PD(mm)	刷牙自我效检
宣教前	1.64 ± 0.29	2.06 ± 0.37	1.96 ± 0.14	13.12 ± 3.07
宣教后1个月	1.20 ± 0.38	1.58 ± 0.51	1.93 ± 0.14	14.60 ± 2.47
宣教后3个月	1.28 ± 0.34	1.65 ± 0.45	1.92 ± 0.14	15.16 ± 2.61
F值	40.20	20.60	2.91	11.32
P值	0.001	0.001	0.06	0.001

表2 对照组宣教前后各项检查项目结果比较（ ± s）

宣教时间点	PI	SBI	PD(mm)	刷牙自我效检
宣教前	1.64 ± 0.29	2.06 ± 0.37	1.96 ± 0.14	13.12 ± 3.07
宣教后1个月	1.20 ± 0.38	1.58 ± 0.51	1.93 ± 0.14	14.60 ± 2.47
宣教后3个月	1.28 ± 0.34	1.65 ± 0.45	1.92 ± 0.14	15.16 ± 2.61
F值	40.20	20.60	2.91	11.32
P值	0.001	0.001	0.06	0.001

表3 两组干预前后各项检查项目结果比较[（）]

两组间差值（干预组－对照组）	PI	SBI	PD(mm)	刷牙自我效检
△（1个月－干预前）	0.60(0.09)	0.79(0.18)	0.12(0.08)	5.60(1.05)
△（3个月－干预前）	0.57(0.09)	0.61(0.20)	0.07(0.08)	5.20(1.03)

表3 两组干预前后各项检查项目结果比较[（）]

两组间差值（干预组－对照组）	PI	SBI	PD(mm)	刷牙自我效检
△（1个月－干预前）	0.60(0.09)	0.79(0.18)	0.12(0.08)	5.60(1.05)
△（3个月－干预前）	0.57(0.09)	0.61(0.20)	0.07(0.08)	5.20(1.03)

[1]	第三次全国口腔健康流调技术组.第三次全国口腔健康流行病学抽样调查方案[M].北京: 人民卫生出版社, 2005.
[2]	Eke PI,Dye BA,Wei L, et al. Update on prevalence of periodontitis in adults in the United States: NHANES 2009-2012[J]. J Periodontol, Epub 2015 Feb 17.
[3]	Renz AN,Newton JT. Changing the behavior of patients with periodontitis[J]. Periodontol 2000, 2009(51): 252-268.
[4]	Engel GL. The clinical application of the biopsychosocial model[J]. Am J Psychiatry, 1980, 137(5): 535-544.
[5]	陈翠婷,王萍,肖峰, 等.广州市城郊社区中老年人牙周健康状况调查分析[J/CD].中华口腔医学研究杂志:电子版, 2014, 8(1): 45-49.
[6]	卞金有.口腔预防医学[M]. 3版.北京: 人民卫生出版社, 2001: 36-38.
[7]	Farquhar JW. The American way of life need not be hazardous to your health[M]. New York City: Da Capo Press, 1987: 35-54.
[8]	Albright CL,Farquhar JW. Principles of behavioral change. In：Greene HM, editor. Introduction to clinical medicine[M]. Philadelphia: BC Decker, Inc., 1992: 596-601.
[9]	Bandura A. Self-efficacy: toward a unifying theory of behavioral change[J]. Psychol Rev, 1977, 84(2): 191-215.
[10]	Kakudate N,Morita M,Sugai M, et al. Systematic cognitive behavioral approach for oral hygiene instruction: a short-term study[J]. Patient Educ Couns, 2009, 74(2): 191-196.
[11]	Kakudate N,Morita M,Fujisawa M, et al. Development of the self-efficacy scale for self-care(SESS)among periodontal disease patients(in Japanese)[J]. J Jpn Soc Periodontol, 2007(49): 285-295.
[12]	Renz A,Ide M,Newton T, et al. Psychological interventions to improve adherence to oral hygiene instructions in adults with periodontal diseases[J]. Cochrane Database Syst Rev, 2007, 18(2): CD005097.
[13]	Bandura A. Self-efficacy：the exercise of control[M]. New York City: W.H. Freeman and Company, 1997: 79-115.
[14]	Tsang SK,Hui EK. Self-efficacy as a positive youth development construct: conceptual bases and implications for curriculum development[J]. Int J Adolesc Med Health, 2006, 18(3): 441-449.
[15]	Kakudate N,Morita M,Fukuhara S, et al. Application of self-efficacy theory in dental clinical practice[J]. Oral Dis, 2010, 16(8): 747-752.
[16]	Stewart JE,Jacobs-Schoen M,Padilla MR, et al. The effect of a cognitive behavioral intervention on oral hygiene[J]. J Clin Periodontol, 1991, 18(4): 219-222.
[17]	Mlachkova AM,Popova CL. Efficiency of nonsurgical periodontal therapy in moderate chronic periodontitis[J]. Folia Med (Plovdiv), 2014, 56(2): 109-115.
[18]	Kakudate N,Morita M,Yamazaki S, et al. Association between self-efficacy and loss to follow-up in long-term periodontal treatment[J]. J Clin Periodontol, 2010, 37(3): 276-282.

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