接纳与承诺疗法干预青少年正畸依从性的临床研究
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摘要
目的:观察青少年正畸患者焦虑、抑郁的临床表现,探讨接纳与承诺疗法干预青少年正畸患者正畸依从性的临床效果。方法:随机选取400例青少年正畸患者为研究对象,试验组200例,在进行常规正畸治疗的同时,用接纳与承诺疗法进行干预,并在矫治1周、矫治3个月对患者进行干预治疗;对照组200例,仅给予常规的正畸治疗。对两组患者治疗前后焦虑、抑郁的变化及其正畸诊疗依从性进行比较。结果:试验组和对照组患者在保持口腔卫生、准时复诊、矫治器附件完好无损率及按医生要求戴用辅助矫治器等良好依从性行为的比例比较,差异均有统计学意义(P<0.01)。结论:接纳与承诺疗法干预能够提高青少年正畸患者的依从性和治疗效率、缩短正畸治疗过程。
Objective:To observe the clinical manifestation of anxiety and depression on the adolescent orthodontic patients,to explore the clinical effects of compliance of adolescent orthodontic patients intervened with acceptance and commitment therapy.Method:A total of 400 adolescent patients were randomly divided into the study group and the control group,200 cases in each group,both group patients received orthodontic treatment,and the study group was intervened with acceptance and commitment therapy after treatment.The assessment was made at 1 week and 3 months after orthodontic treatment respectively.The changes of anxiety,depression and compliance of two groups were compared after the treatment.Result:Oral health,appliance safe,on time to see a doctor,braces and buccal tube in good condition without loss rate of the study group were better than thoses of the control group(P<0.01).Conclusion:Acceptance and commitment therapy intervention could enhance adolescent orthodontic patient compliance,improve the therapeutic effect of orthodontic treatment,shorten the course of treatment.
Objective:To observe the clinical manifestation of anxiety and depression on the adolescent orthodontic patients,to explore the clinical effects of compliance of adolescent orthodontic patients intervened with acceptance and commitment therapy.Method:A total of 400 adolescent patients were randomly divided into the study group and the control group,200 cases in each group,both group patients received orthodontic treatment,and the study group was intervened with acceptance and commitment therapy after treatment.The assessment was made at 1 week and 3 months after orthodontic treatment respectively.The changes of anxiety,depression and compliance of two groups were compared after the treatment.Result:Oral health,appliance safe,on time to see a doctor,braces and buccal tube in good condition without loss rate of the study group were better than thoses of the control group(P<0.01).Conclusion:Acceptance and commitment therapy intervention could enhance adolescent orthodontic patient compliance,improve the therapeutic effect of orthodontic treatment,shorten the course of treatment.
引文
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[16]谢博,陈思韩,范北方,等.儿童牙科诊疗行为应对量表的编制[J].中国医学创新,2015,12(12):93-96.
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[19]王俊环,陆平.骨性牙颌面畸形患者的治疗与焦虑障碍干预的临床研究[J].中国医学创新,2015,12(33):30-31.
[20]黄子弋,湛峻琳,李朝霞,等.高中生抑郁症病耻感调查[J].中国医学创新,2015,12(33):95-97.
[21]胡爱云,周伟颜.口腔卫生宣教在中年人牙周病治疗中的作用[J].中国医学创新,2013,10(3):5-7.
[22]谢博,陈思韩,范北方,等.儿童牙科诊疗行为应对量表的编制[J].中国医学创新,2015,12(12):93-96.
[23]王荣强.口腔正畸患者心理特征及护理干预[J].中国医学创新,2013,10(13):72-73.
[24]邓绍梅.护理干预对正畸患者托槽脱落率的临床研究[J].中国医学创新,2010,7(5):111-112.
[25]王晓静,朱华,吉萍,等.某高校大学生与正畸医生对错畸形的感知差异及其影响因素调查[J].中国医学创新,2015,12(3):74-77.
[2]Wicksel R K,Olsson G L,Hayes S C.Mediators of change in Acceptance and Commitment Therapy for pediatric chronic pain[J].Pain,2011,152(12):2792-2801.
[3]Montgomery K L,Kim J S,Franklin C.Acceptance and commitment therapy for psychological and physiological illnesses:asystematic review for social workers[J].Health Soc Work,2011,36(3):169-181.
[4]贾守梅,汪玲,谭晖,等.学龄前儿童攻击性行为与健康状况的关系[J].中国学校卫生,2014,35(1):14-16.
[5]陈天娇,季成叶,李晓娟,等.男性儿童青少年血清Apelin遗传度及影响因素双生子研究[J].中国学校卫生,2014,35(1):5-7.
[6]蔡继云,杨绍清,刘玉海.体育运动对儿童感觉统合能力干预效果评价[J].中国学校卫生,2014,35(1):62-64.
[7]太加斌,徐校成,任萍萍,等.心理干预与原发性肝癌患者焦虑抑郁相关性研究[J].中华中医药学刊,2011,29(9):2112-2114.
[8]张婍,王淑娟,祝卓宏.接纳与承诺疗法的心理病理模型和治疗模式[J].中国心理卫生杂志,2012,26(5):377-381.
[9]曾祥龙,刘翔平,于是.接纳与承诺疗法的理论背景,实证研究与未来发展[J].心理科学进展,2011,19(7):1020-1026.
[10]李玉霞.青少年抑郁、焦虑情绪与其相关因素[J].中国健康心理学杂志,2013,19(3):415-417.
[11]祝卓宏.接纳与承诺疗法在残疾人心理康复中的作用分析[J].残疾人研究,2013,3(4):24-28.
[12]黄丽,汤水琴.心理行为干预与癌症患者的生活质量[J].中国肿瘤,2002,11(12):711-713.
[13]汪芬,黄宇霞.正念的心理和脑机制[J].心理科学进展,2011,19(11):1635-1644.
[14]Yovel I,Mor N,Shakarov H.Examination of the core cognitive components of cognitive behavioral therapy and acceptance and commitment therapy:an analogue investigation[J].Behav Ther,2014,45(4):482-494.
[15]Vowles K E,Sowden G,Ashworth J A.Comprehensive examination of the model underlying acceptance and commitment therapy for chronic pain[J].Behav Ther,2014,45(3):390-401.
[16]谢博,陈思韩,范北方,等.儿童牙科诊疗行为应对量表的编制[J].中国医学创新,2015,12(12):93-96.
[17]周军,吕达,王峥,等.椅旁宣教对牙周炎患者口腔健康知晓度的作用[J].中国医学创新,2015,12(25):86-89.
[18]曾德兰,邓琳琳,陆靖.艾森克人格问卷在围手术期儿童个性化心理护理中的应用分析[J].中国医学创新,2015,12(29):87-89.
[19]王俊环,陆平.骨性牙颌面畸形患者的治疗与焦虑障碍干预的临床研究[J].中国医学创新,2015,12(33):30-31.
[20]黄子弋,湛峻琳,李朝霞,等.高中生抑郁症病耻感调查[J].中国医学创新,2015,12(33):95-97.
[21]胡爱云,周伟颜.口腔卫生宣教在中年人牙周病治疗中的作用[J].中国医学创新,2013,10(3):5-7.
[22]谢博,陈思韩,范北方,等.儿童牙科诊疗行为应对量表的编制[J].中国医学创新,2015,12(12):93-96.
[23]王荣强.口腔正畸患者心理特征及护理干预[J].中国医学创新,2013,10(13):72-73.
[24]邓绍梅.护理干预对正畸患者托槽脱落率的临床研究[J].中国医学创新,2010,7(5):111-112.
[25]王晓静,朱华,吉萍,等.某高校大学生与正畸医生对错畸形的感知差异及其影响因素调查[J].中国医学创新,2015,12(3):74-77.