舌肌功能训练联合心理疏导对错𬌗畸形早期矫治患儿自我效能感的影响

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摘要目的探讨舌肌功能训练联合心理疏导对错pagenumber_ebook=139,pagenumber_book=133畸形早期矫治患儿的临床效果及自我效能感的影响。方法选取2018年8月～2019年12月于大连市口腔医院儿童口腔科收治的136例错pagenumber_ebook=139,pagenumber_book=133畸形患儿作为研究对象。按照随机数字表分为观察组（68例）与对照组（68例）。两组早期矫治时均进行心理疏导，观察组在此基础上给予舌肌功能训练，干预周期为8周。评估两组矫正效果，并记录治疗前后前牙覆盖深度、上切牙唇倾度、下前牙唇倾度、自我效能感变化及护理满意度。结果观察组总有效率高于对照组，差异有统计学意义（P＜0.05）；干预前，两组前牙覆盖深度、上切牙唇倾度及下前牙唇倾度比较，差异无统计学意义（P＞0.05）；干预后，两组前牙覆盖及上切牙唇倾度均低于干预前，下前牙唇倾度均高于干预前，差异有统计学意义（P＜0.05）；干预后，观察组前牙覆盖及上切牙唇倾度均低于对照组，下前牙唇倾度高于对照组，差异有统计学意义（P＜0.05）；干预前，两组自我效能感评分的比较，差异无统计学意义（P＞0.05）；干预后，两组自我效能感评分高于干预前，差异有统计学意义（P＜0.05）；干预后，观察组自我效能感评分高于对照组，差异有统计学意义（P＜0.05）；观察组护理总满意度高于对照组，差异有统计学意义（P＜0.05）。结论舌肌功能训练应用于错pagenumber_ebook=139,pagenumber_book=133畸形早期矫治患儿的心理护理中，效果良好，能改善前牙覆盖深度、上切牙唇倾度及下前牙唇倾度，提高患儿自我效能感，同时还能促进护患关系和谐发展。

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关键词 ：舌肌功能训练, 心理疏导, 错pagenumber_ebook=139, pagenumber_book=133畸形, 早期矫治, 自我效能感

Abstract：Objective To explore effect of tongue muscle functional training combined with psychological counseling on self-efficacy of children undergoing early treatment for malocclusion.Methods A total of 136 cases with malocclusion who were admitted to the Department of Pediatric Dentistry, Dalian Stomatological Hospital from August 2018 to December 2019 were selected.They were divided into an observation group (68 cases) and a control group (68 cases) according to the random number table method.Both groups were given psychological counseling during early treatment,and the observation group was additionally given 8 weeks of tongue muscle functional training.Correction effects of the two groups were evaluated, and the anterior teeth coverage depth, upper incisor inclination, lower anterior teeth inclination, self-efficacy changes and nursing satisfaction were recorded before and after treatment.Results The total effective rate of the observation group was higher than that of the control group, and the difference was statistically significant(P＜0.05).Before intervention, there were no statistically significant differences in anterior teeth coverage depth, upper incisor inclination and lower anterior teeth inclination between the two groups (P＞0.05).After intervention, the anterior tooth coverage and upper incisor inclination of both groups were smaller than those before intervention, while the lower anterior teeth inclination was larger than that before intervention, and the differences were statistically significant (P＜0.05).After intervention, the anterior tooth coverage and upper incisor inclination in the observation group was lower than that in the control group, and the lower anterior teeth inclination was higher than that in the control group, and the differences were statistically significant (P＜0.05).Before intervention, there was no significant difference in self-efficacy score between the two groups (P＜0.05).After intervention, the self-efficacy scores of the two groups were higher than those before intervention, and the difference was statistically significant (P＜0.05).After intervention, that self-efficacy score of the observation group was higher than that of the control group, and the difference was statistically significant (P＜0.05).The total satisfaction degree of nursing care in the observation group was higher than that in the control group, and the difference was statistically significant (P＜0.05).Conclusion Applying tongue muscle functional training in psychological nursing of patients undergoing early treatment for malocclusion can improve the anterior teeth coverage depth, upper incisor inclination and lower anterior teeth inclination as well as the patient′s self-efficacy.It can also promote the development of harmonious nurse-patient relationship.

Key words： Tongue muscle functional training Psychological counseling Malocclusion Early treatment Self-efficacy

引用本文:

赫佳. 舌肌功能训练联合心理疏导对错𬌗畸形早期矫治患儿自我效能感的影响[J]. 中国当代医药, 2021, 28(8): 133-136.
HE Jia. Effect of tongue muscle functional training combined with psychological counseling on self-efficacy of children undergoing early treatment for malocclusion. 中国当代医药, 2021, 28(8): 133-136.

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