摘要
目的 分析心理弹性在牙列缺损种植修复患者病耻感与口腔健康相关生活质量间的中介作用。方法 选取2020年8月—2021年12月医院收治的116例牙列缺损种植修复患者为调查对象,牙列缺损种植修复后3个月均接受病耻感量表、口腔健康影响程度量表-14(OHIP-14)、心理弹性量表(CDRISC)调查,通过Pearson相关分析法分析病耻感量表评分与OHIP-14、CD-RISC评分的相关性,采用多重线性回归分析心理弹性的中介作用,并通过Bootstrap法对中介作用进行检验。结果 116例患者病耻感量表、OHIP-14、CD-RISC评分分别为2.08±0.63分、12.87±2.96分和71.13±13.46分。Pearson相关分析结果显示,病耻感量表评分与CD-RISC、OHIP-14评分均呈负相关性(r=-0.301和r=-0.364,P<0.05),CD-RISC评分与OHIP-14评分均呈正相关性(r=0.349,P<0.05)。多重线性回归分析结果显示,病耻感对心理弹性、口腔健康相关生活质量均具有相关性(P<0.05)。Bootstrap法检验结果显示,心理弹性在病耻感与口腔健康相关生活质量间具有部分中介作用,中介效应占总效应的28.71%(-0.091/-0.317)。结论 牙列缺损种植修复患者心理弹性及病耻感水平能够预测口腔健康相关生活质量水平,较高水平病耻感能够降低生活质量,较高心理弹性水平可间接提高其生活质量,临床医护人员应当提升牙列缺损种植修复患者的心理弹性水平,减轻病耻感,进而改善生活质量。
Objective To analyze the mediating role of psychoelasticity between the stigma and oral health-related quality of life in patients with dental defect implant repair. Methods To select 116 patients with dentition defects treated in the hospital from August 2020 to December 2021 as the subjects of investigation. Three months after implant restoration of dentition defects, all patients were investigated by the stigma scale, oral health impact profile(OHIP-14) and Connor-Davidson resilience scale(CD-RISC). The correlation between the stigma scale score and OHIP-14 and CD-RISC scores was analyzed by Pearson correlation analysis, and the mediating effect of psychological elasticity was analyzed by multiple linear regression, and the mediating effect was tested by Bootstrap method. Results The scores of the 116 patients were 2.08±0.63 points, 12.87±2.96 points and 71.13±13.46 points on the scale of the sense of shame, OHIP-14 and CD-RISC, respectively. Pearson correlation analysis showed that there was a negative correlation between the stigma scale score of the scale and the scores of CD-RISC and OHIP-14(r=-0.301 and r=-0.364, P<0.05), and a positive correlation between the scores of CDRISC and OHIP-14(r=0.349, P<0.05). Multiple linear regression analysis showed that the stigma was related to psychological resilience and oral health-related quality of life(P<0.05). The results of Bootstrap test showed that psychological resilience had a partial mediating effect between the stigma and oral health-related quality of life,and the mediating effect accounted for 28.71%(-0.091/-0.317)of the total effect. Conclusion The level of resilience and stigma of patients with dentition defect implantation can predict the quality of life related to oral health.A higher level of stigma can reduce the quality of life, and a higher level of resilience can indirectly improve the quality of life. Clinical medical staff should improve the level of resilience of patients with dentition defect implantation, reduce the stigma, and improve the quality of life.
作者
仇敏
李砚君
QIU Min;LI Yanjun(Jiangsu Stomatology Hospital,Nanjing,210029,China)
出处
《护理实践与研究》
2023年第4期503-507,共5页
Nursing Practice and Research
关键词
牙列缺损
义齿种植修复
病耻感
口腔健康相关生活质量
心理弹性
中介作用
Dental defect
Denture implant repair
Stigma
Quality of life related to oral health
Psychological resilience
Mediating role
