上海口腔医学

上海口腔医学 ›› 2026, Vol. 35 ›› Issue (2): 220-224.doi: 10.19439/j.sjos.2026.02.018

• 论著 • 上一篇    

基于达标理论的干预措施对颌骨骨折患者康复治疗的效果分析

张言昕1, 刘莹2   

  1. 1.内蒙古医科大学,内蒙古 呼和浩特 010050;
    2.内蒙古医科大学附属医院 麻醉科,内蒙古 呼和浩特 010050
  • 收稿日期:2025-09-19 修回日期:2025-11-19 出版日期:2026-04-25 发布日期:2026-04-27
  • 通讯作者: 刘莹,E-mail:liuying1972526@sohu.com
  • 作者简介:张言昕（1996—）,女,硕士,E-mail:1808534460@qq.com

Analysis of the effectiveness of goal attainment theory-based interventions in improving rehabilitation outcomes for patients with jaw fractures

Zhang Yanxin1, Liu Ying2   

  1. 1. Inner Mongolia Medical University. Hohhot 010050;
    2. Department of Anesthesiology, The Affiliated Hospital of Inner Mongolia Medical University. Hohhot 010050, Inner Mongolia Autonomous Region, China
  • Received:2025-09-19 Revised:2025-11-19 Online:2026-04-25 Published:2026-04-27

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摘要： 目的:探讨基于达标理论的干预措施在颌骨骨折患者康复治疗中的应用效果,为优化临床康复方案提供依据。方法:选取内蒙古医科大学附属医院2023年1月—2023年12月收治的颌骨骨折患者30例为对照组,2024年1月—2024年12月收治的30例患者为干预组,两组均行切开复位钛板坚固内固定术。对照组行常规康复治疗,干预组引入达标理论指导康复治疗。比较两组患者手术指标、咀嚼能力、牙咬合力、生活质量和心理健康等方面的差异。结果:干预组住院时间和骨折愈合时间显著短于对照组（P<0.01）,术中出血量、手术时间两组无显著差异（P>0.05）;术后3个月,干预组咀嚼功能、牙咬合力及SF-36生活质量评分均显著高于对照组（P<0.01）,术后6个月两组上述指标无显著差异（P>0.05）。术后6个月,干预组汉密尔顿焦虑量表（Hamilton Anxiety Scale,HAMA）及汉密尔顿抑郁量表（Hamilton Depression Scale,HAMD）评分、菌斑指数（plaque index,PI）、软垢指数（debris index,DI）、牙龈指数（gingival index,GI）、龈沟出血指数（sulcus bleeding index,SBI）均显著低于对照组（P<0.05）;干预组并发症总发生率为3.33%,对照组为10.00%。结论:以达标理论指导的康复干预可缩短颌骨骨折患者康复周期,早期改善咀嚼功能与生活质量,缓解负面情绪,优化口腔卫生状况,降低并发症风险。

关键词: 颌骨骨折, 达标理论, 康复治疗, 咀嚼功能, 生活质量, 心理健康

Abstract: PURPOSE: To explore the application effect of goal attainment theory-based interventions in improving rehabilitation outcomes for patients with jaw fractures, and to provide a basis for optimizing clinical rehabilitation protofiles. METHODS: A total of 30 patients with jaw fractures admitted to the Affiliated Hospital of Inner Mongolia Medical University from January 2023 to December 2023 were selected as the control group, and 30 patients admitted from January 2024 to December 2024 as the intervention group. Both groups underwent open reduction and rigid internal fixation with titanium plates. The control group received routine rehabilitation treatment, while the intervention group received rehabilitation treatment guided by the goal attainment theory. Differences in surgical indicators, masticatory ability, tooth bite force, quality of life, and mental health were compared between the two groups. Results: The length of hospital stay and fracture healing time in the intervention group were significantly shorter than those in the control group (P<0.01), while there were no significant differences in intraoperative blood loss or operation time between the two groups (P>0.05). At 3 months postoperatively, the masticatory function, tooth bite force, and SF-36 quality of life scores in the intervention group were significantly higher than those in the control group (P<0.01), but no significant differences were observed in these indicators between the two groups at 6 months postoperatively(P>0.05). At 6 months postoperatively, the scores of the Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale(HAMD), plaque index(PI), debris index(DI), gingival index(GI), and sulcus bleeding index(SBI) in the intervention group were significantly lower than those in the control group (P<0.01). The total incidence of complications in the intervention group(3.33%) was significantly lower than that in the control group(10.00%). CONCLUSIONS: Rehabilitation intervention guided by the goal attainment theory can shorten the rehabilitation cycle of patients with jaw fractures, improve masticatory function and quality of life in the early stage, alleviate negative emotions, optimize oral hygiene status and reduce the risk of complications.

Key words: Jaw fracture, Goal attainment theory, Rehabilitation treatment, Masticatory function, Quality of life, Mental health

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