成人正畸患者口腔健康素养现状及影响因素分析

doi:10.19439/j.sjos.2023.05.018

上海口腔医学 ›› 2023, Vol. 32 ›› Issue (5): 545-550.doi: 10.19439/j.sjos.2023.05.018

成人正畸患者口腔健康素养现状及影响因素分析

胡祥莹^1,*, 王璧霞^2,*, 袁卫军¹, 朱敏^2#, 肖燕^1#

1.上海交通大学医学院附属第九人民医院护理部,上海 200011;
2.上海交通大学医学院附属第九人民医院口腔颅颌面科,上海交通大学口腔医学院,国家口腔医学中心,国家口腔疾病临床医学研究中心,上海市口腔医学重点实验室,上海市口腔医学研究所,上海 200011

收稿日期:2022-07-09 修回日期:2022-08-30 出版日期:2023-10-25 发布日期:2023-11-03
通讯作者: 肖燕,E-mail: xiaoyan_1972@126.com;朱敏,E-mail: zminnie@126.com。^#共同通信作者
作者简介:胡祥莹（1988-）,女,硕士,主管护师,E-mail: 839427645@qq.com;王璧霞（1987-）,女,硕士,主管护师,E-mail: 185068634@qq.com。^*并列第一作者
基金资助:
上海交通大学医学院附属第九人民医院护理院级基金（JYHL2023MS04,JYHL2020MS09）; 上海交通大学医学院附属第九人民医院优秀护理人才计划（JYHRC22-P02）

Current status of oral health literacy and its influencing factors among adult orthodontic patients

HU Xiang-ying¹, WANG Bi-xia², YUAN Wei-jun¹, ZHU Min², XIAO Yan¹

1. Department of Nursing, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai 200011;
2. Department of Oral and Craniomaxillofacial Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Center for Stomatology; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology; Shanghai Research Institute of Stomatology. Shanghai 200011, China

Received:2022-07-09 Revised:2022-08-30 Online:2023-10-25 Published:2023-11-03

摘要/Abstract

摘要： 目的：调查成人正畸患者口腔健康素养现状并分析其影响因素。方法：采取便利抽样方法,选择2021年11月—2022年2月上海交通大学医学院附属第九人民医院163例门诊成人正畸患者为研究对象。采用一般资料调查表、中文版口腔健康素养量表、中文版口腔保健自我效能量表及社会支持量表进行问卷调查。采用SPSS 21.0软件包对数据进行统计学分析。结果：成人正畸患者口腔健康素养得分为（48.74±5.54）分,得分最低的2个条目属于关注（6.80±1.19）和支持（6.40±1.59）维度。多元逐步回归分析显示,成人正畸患者就诊自我效能、社会支持利用度、亲友正畸史和客观支持是口腔健康素养的影响因素。结论：成人正畸患者口腔健康素养处于中上水平,但关注和支持素养有待提高。加强就诊自我效能、客观支持和对社会支持的利用度,可提高成人正畸患者口腔健康素养。对无亲友正畸史的患者应重点关注。

关键词: 成人正畸, 健康素养, 自我效能, 社会支持

Abstract: PURPOSE: To investigate the current status of oral health literacy among adult orthodontic patients and analyze its influencing factors. METHODS: Totally 163 adult orthodontic patients were recruited by convenience sampling method from November 2021 to February 2022 at the Department of Oral and Craniomaxillofacial Surgery, Center of Craniofacial Orthodontics in Shanghai Ninth People's Hospital. General information questionnaire, Chinese version of Health Literacy in Dentistry (HeLD-14), Chinese version of Self-Efficacy Scale for Self-care (SESS) and Social Support Rating Scale (SSRS) were applied. SPSS 21.0 software package was used for data analysis. RESULTS: The mean score of oral health literacy in adult orthodontic patients was (48.74±5.54), and the lowest score were obtained in concern (6.80±1.19) and support (6.40±1.59) dimensions. Multiple stepwise regression analysis showed that adult orthodontic patients' consultation self-efficacy, social support utilization, family or friends' orthodontic history and objective support were the influencing factors of oral health literacy. CONCLUSIONS: The oral health literacy in adult orthodontic patients is at a middle to high level, but concern and support literacy need to be improved. Strengthening consultation self-efficacy, objective support and utilization of social support can improve adult orthodontic patients' oral health literacy. Attention should be paid to patients who have no relatives or friends with history of orthodontic treatment.

Key words: Adult Orthodontics, Health Literacy, Self- Efficacy, Social Support

中图分类号:

R783.5

胡祥莹, 王璧霞, 袁卫军, 朱敏, 肖燕. 成人正畸患者口腔健康素养现状及影响因素分析[J]. 上海口腔医学, 2023, 32(5): 545-550.

HU Xiang-ying, WANG Bi-xia, YUAN Wei-jun, ZHU Min, XIAO Yan. Current status of oral health literacy and its influencing factors among adult orthodontic patients[J]. Shanghai Journal of Stomatology, 2023, 32(5): 545-550.

参考文献

[1] Antezack A, Monnet-Corti V.Oral and periodontal hygiene in orthodontic patients[J]. Orthod Fr, 2018, 89(2): 181-190.
[2] National Institute of Dental and Craniofacial Research, National Institute of Health, U.S. Public Health Service, Department of Health and Human Services. The invisible barrier: literacy and its relationship with oral health. a report of a workgroup sponsored by the National Institute of Dental and Craniofacial Research, National Institute of Health, U.S. Public Health Service, Department of Health and Human Services[J]. J Public Health Dent, 2005, 65(3): 174-182.
[3] Baskaradoss JK.Relationship between oral health literacy and oral health status[J]. BMC Oral Health, 2018,18(1):172-178.
[4] McQuistan MR. Poor oral health literacy may lead to missed dental appointments[J]. J Evid Based Dent Pract, 2017, 17(4): 422-424.
[5] Taoufik K, Divaris K, Kavvadia K, et al.Development of a Greek oral health literacy measurement instrument: GROHL[J]. BMC Oral Health, 2020,20(1):14-25.
[6] Spivakovsky SE, Katz RV.Development of the knowledge related to oral health literacy for spanish speakers scale[J]. Hisp Health Care Int, 2020,18(4):198-204.
[7] 姜晓蕾,黄绪友,燕贵军,等. 口腔正畸患儿口腔保健知识及不良行为习惯调查[J]. 中国公共卫生, 2020, 36(12): 1800-1804.
[8] 毛亚歌, 齐慧君. 青少年固定正畸患者口腔健康自我管理现状的影响因素及预防护理措施[J]. 护理实践与研究, 2019, 16(19): 118-119.
[9] Gironda M, Der-Martirosian C, Messadi D, et al.A brief 20-item dental/medical health literacy screen (REALMD-20)[J]. J Public Health Dent, 2013, 73(1): 50-55.
[10] Jones K, Brennan D, Parker E, et al.Development of a short-form Health Literacy Dental Scale (HeLD-14)[J]. Community Dent Oral Epidemiol, 2015, 43(2): 143-151.
[11] 向圣晓, 田苗, 王姝, 等. 脑卒中住院病人口腔健康素养量表的编制及信效度检验[J]. 护理研究, 2022,36(8): 1337-1345.
[12] 田志强, 陆姣, 丁玲, 等. 口腔健康素养测量工具的构建及验证[J]. 上海口腔医学, 2021, 30(6): 624-628.
[13] 颜文,Xiangqun Ju, Lisa Jamieson, 等.简约版口腔健康素养量表的汉化及信效度研究[J].护理研究, 2021, 35(20): 3612-3616.
[14] Moghadam MG, Omidkhoda M, Kazemi H.Oral health literacy and COVID-19 pandemic anxiety and concerns among iranian orthodontic patients[J]. Turk J Orthod, 2021, 34(2): 93-101.
[15] 张冠凝,刘艺,李雯玥,等.成人骨性错𬌗畸形患者社会心理及人格特征与治疗方案选择的相关性研究[J].华西口腔医学杂志, 2020, 38(3): 312-317.
[16] Kakudate N, Morita M, Fujisawa M, et al.Development of the Self-Efficacy Scale for Self-care (SESS) among periodontal disease patients[J]. J Jpn Soc Periodontol, 2007, 49(4): 285-295.
[17] 吴迪, 张燕, 梁会, 等.牙周炎患者口腔保健自我效能量表的汉化及信效度评价[J].中华护理杂志, 2015, 50(6): 758-762.
[18] 肖水源. 《社会支持评定量表》的理论基础与研究应用[J]. 临床精神医学杂志, 1994, 4(2): 98-100.
[19] 倪平, 陈京立, 刘娜. 护理研究中量性研究的样本量估计[J]. 中华护理杂志, 2010, 45(4): 378-380.
[20] Mialhe FL, Santos BL, Bado FMR, et al.Association between oral health literacy and dental outcomes among users of primary healthcare services[J]. Braz Oral Res, 2022,36: e004.
[21] 曲梦, 王玲芳, 郭伟伟, 等. 牙周炎患者口腔健康素养与疾病严重程度的相关性分析[J]. 中华现代护理杂志, 2019, 25(6): 770-773.
[22] 范德增, 单志鑫. 我国口腔医疗行业市场现状与趋势分析[J].新材料产业, 2019, (8): 31-38.
[23] 李雪琦, 陈思韩, 余红兵, 等. 深圳市南山区儿童家长口腔健康素养促进的干预效果评估[J]. 口腔疾病防治, 2016, 24(2): 105-107.
[24] 郑衍亮, 张作记, 陈杰. 自我效能干预在口腔正畸治疗中的应用[J]. 国际口腔医学杂志, 2017, 44(2): 161-164.

成人正畸患者口腔健康素养现状及影响因素分析

Current status of oral health literacy and its influencing factors among adult orthodontic patients

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