青年人"颜面管理"与口腔健康的关系及对心理健康的影响
Relationship between "maxillofacial management" and oral health and its influence on mental health of young people
目的:探索青年人颜面管理与口腔健康的关系及对心理健康的影响。方法:采用口腔健康影响程度量表 (OHIP-14)、患者健康问卷抑郁症状量表(PHQ-9)、自尊量表(SES)和焦虑自评量表(SAS),对371名青年男女进行问卷调查,共采集有效问卷333份,A组(进行颜面管理)113份,B组(未进行颜面管理)215份。女生256名(76.90%),男生77名(23.10%),对比统计分析颜面管理与口腔健康的关系及对心理健康的影响。结果:OHIP-14中文版平均分:A组(14.46±8.46)分,B组(11.71±9.32)分;PHQ-9中抑郁者:A组44名(55.00%),B组84名(60.00%);SAS中焦虑者:A组7名(8.75%),B组23名(16.43%);根据非参数检验得到:OHIP-14、PHQ-9及SAS在A、B两组间均存在显著性差异(P<0.05)。根据相关性分析得到:OHIP-14与PHQ-9,SAS得分呈正相关,与SES得分呈负相关(P<0.05)。结论:进行颜面管理会对青年人的口腔及心理健康产生影响,且口腔健康与心理健康具有相关性。另外,对颜面管理患者设计个性化方案、术后护理及心理支持,可能会减少患者的心理问题,有利于提高颜面管理的满意度。
Objective: To explore the relationship between maxillofacial management and oral health and its influence on mental health of young people. Methods: 371 young men and women were investigated with oral health impact scale, depression module of PHQ, self-esteem scale (SES) and self-rating anxiety scale (SAS). A total of 333 valid questionnaires were collected, including 113 questionnaires in group A (with maxillofacial management) and 215 questionnaires in group B (without maxillofacial management). There were 256 girls (76.90%) and 77 boys (23.10%). The relationship between maxillofacial management and oral health and its influence on mental health were analyzed statistically. Results: The average score of OHIP-14 was (14.46 ± 8.46) in Group A and (11.71 ± 9.32) in Group B. Among PHQ-9 patients, 44 (55.00%) were depressed in Group A and 84 (60.00%) were depressed in Group B. There were 7 patients (8.75%) in Group A and 23 patients (16.43%) in Group B with anxiety in SAS. According to nonparametric test, there were significant differences in OHIP-14, PHQ-9, SES and SAS between Group A and Group B (P < 0.05). According to correlation analysis, OHIP-14 was positively correlated with PHQ-9 and SAS scores, but negatively correlated with SES scores (P < 0.05). Conclusion Maxillofacial management will affect the oral and mental health of young people, and there is a correlation between oral health and mental health. In addition, designing personalized programs, postoperative nursing and psychological support for patients with maxillofacial management may reduce their psychological problems and improve their satisfaction with maxillofacial management.
周建业、马彬、马文茜
口腔科学神经病学、精神病学医学研究方法
口腔颌面外科学颜面管理青年人口腔健康心理健康
oral and maxillofacial surgerymaxillofacial managementyoung peopleoral healthmental health
周建业,马彬,马文茜.青年人"颜面管理"与口腔健康的关系及对心理健康的影响[EB/OL].(2024-03-18)[2025-08-03].http://www.paper.edu.cn/releasepaper/content/202403-235.点此复制
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