本文選題：自我效能 + 心理干預(yù)��； 參考：《青島大學(xué)》2015年碩士論文

【摘要】：目的:探討自我效能干預(yù)對(duì)口腔正畸治療患者心理狀態(tài)的作用效果,建立合理的臨床心理干預(yù)模式,提高臨床治療效果。方法:選擇136例患者按照就診順序編號(hào),奇數(shù)號(hào)入干預(yù)組(自我效能心理行為干預(yù)組),偶數(shù)號(hào)入對(duì)照組(一般干預(yù)組)。兩組均常規(guī)采用滑動(dòng)直絲弓矯治。對(duì)照組進(jìn)行常規(guī)一般正畸知識(shí)教育,干預(yù)組除接受常規(guī)一般知識(shí)教育外,增加自我效能干預(yù)。應(yīng)用焦慮自評(píng)量表、抑郁自評(píng)量表、一般自我效能感量表、Wong-Baker面部表情疼痛量表,對(duì)兩組患者進(jìn)行評(píng)估,并分析其差異及相關(guān)性。結(jié)果:自我效能干預(yù)前,干預(yù)組和對(duì)照組焦慮自評(píng)量表、抑郁自評(píng)量表、一般自我效能感量表、Wong-Baker面部表情疼痛量表評(píng)分差異均無統(tǒng)計(jì)學(xué)意義(P0.05)。自我效能干預(yù)后1周及第二個(gè)月復(fù)診更換矯治弓絲后1周,兩組Wong-Baker面部表情疼痛量表評(píng)分差異有統(tǒng)計(jì)學(xué)意義P0.05)。自我效能干預(yù)1個(gè)月后,焦慮自評(píng)量表[干預(yù)組(48.75±8.92)分,對(duì)照組(53.53±10.33)分]、抑郁自評(píng)量表[干預(yù)組(47.65±8.91)分,對(duì)照組(51.24±8.03)分]、一般自我效能感量表[干預(yù)組(2.82±0.34)分,對(duì)照組(2.66±0.47)分]評(píng)分,干預(yù)組均低于對(duì)照組(均P0.05),差異有統(tǒng)計(jì)學(xué)意義;自我效能干預(yù)1年后,焦慮自評(píng)量表[干預(yù)組(45.56±8.93)分,對(duì)照組(49.16±11.04)分]、抑郁自評(píng)量表[干預(yù)組(44.63±8.93)分,對(duì)照組(48.32±9.03)分]、一般自我效能感量表[干預(yù)組(2.91±0.61)分,對(duì)照組(2.69±0.66)分]評(píng)分,干預(yù)組均低于對(duì)照組(均P0.05),差異有統(tǒng)計(jì)學(xué)意義;相關(guān)分析表明,正畸治療依從性、正畸治療滿意度與自我效能得分呈正相關(guān)(P0.05)。結(jié)論:對(duì)正畸治療患者進(jìn)行自我效能干預(yù),可以顯著降低心理衛(wèi)生問題發(fā)生,提高正畸的療效,增強(qiáng)治療依從性,減輕疼痛。
[Abstract]:Objective: to explore the effect of self-efficacy intervention on the mental state of orthodontic patients and to establish a reasonable clinical psychological intervention model to improve the clinical therapeutic effect. Methods: 136 patients were enrolled into intervention group (self-efficacy psychological behavior intervention group) and even number into control group (general intervention group). Both groups were treated with sliding straight wire. The control group received general orthodontic knowledge education, and the intervention group increased self-efficacy in addition to conventional general knowledge education. Self-rating anxiety scale, self-rating depression scale, general self-efficacy scale Wong-Baker facial expression pain scale were used to evaluate the two groups of patients, and analyze their differences and correlation. Results: before self-efficacy intervention, there was no significant difference in the scores of self-rating anxiety scale, self-rating depression scale and general self-efficacy scale Wong-Baker facial expression pain scale between the intervention group and the control group (P0.05). The scores of Wong-Baker facial expression pain scale were significantly different between the two groups 1 week after self-efficacy intervention and 1 week after revisiting and replacement of orthopedic wire (P0.05). After one month of self-efficacy intervention, the scores of self-rating anxiety scale [(48.75 鹵8.92) in the intervention group and (53.53 鹵10.33) in the control group], self-rating depression scale [(47.65 鹵8.91) in the intervention group, (51.24 鹵8.03) in the control group], general self-efficacy scale [(2.82 鹵0.34) in the intervention group and (2.66 鹵0.47) in the control group] were scored. After one year of self-efficacy intervention, the self-rating anxiety scale [(45.56 鹵8.93) in the intervention group, (49.16 鹵11.04) in the control group], the self-rating depression scale in the intervention group [(44.63 鹵8.93)] were significantly lower than those in the control group (P0.05). The scores of control group (48.32 鹵9.03), general self-efficacy scale [intervention group (2.91 鹵0.61), control group (2.69 鹵0.66)] were lower than that of control group (P0.05). There was a positive correlation between the satisfaction of orthodontic treatment and the score of self efficacy (P0.05). Conclusion: Self-efficacy intervention for orthodontic patients can significantly reduce the occurrence of mental health problems, improve the efficacy of orthodontic treatment, enhance therapeutic compliance and relieve pain.
【學(xué)位授予單位】：青島大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R783.5

【參考文獻(xiàn)】

相關(guān)期刊論文 前1條

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本文編號(hào)：2084091