摘要
目的探究自我效能在青少年正畸治疗人群自理行为与口腔健康间的中介作用,为建立合理防控措施,提高正畸人群口腔健康水平、促进青少年身心健康发展提供理论依据。方法选取2022年1—12月期间于兰州大学口腔医院正畸科接受正畸治疗的436例青少年作为研究对象,通过一般资料调查表、口腔健康相关自我效能量表(Self-Efficacy Scale for Oal Health,SEOH)、口腔自理行为调查问卷收集研究对象一般资料、口腔健康自我效能感及自理行为能力情况,并通过口腔就诊自我效能评估其口腔健康水平。采用Pearson相关性分析口腔健康自我效能、口腔自理行为与口腔健康水平相关性。AMOS结构方程模型假设验证正畸青少年口腔自理行为与口腔健康水平间的路径关系。结果436例青少年正畸患者SEOH总分为(85.63±9.35)分,口腔自理行为总分为(80.53±6.74)分,口腔健康总分为(3.37±0.86)分。Pearson相关分析显示,口腔健康自我效能评分与口腔自理行为评分呈正相关(r=0.515,P<0.05),口腔健康自我效能评分、口腔自理行为评分与口腔健康评分均呈负相关(r_(1)=-0.436,r_(2)=-0.462,P<0.05)。口腔自理行为对口腔健康有显著正向效应(β=0.430,P<0.05),且能通过口腔健康自我效能感的部分中介作用间接影响其口腔健康(β=0.227,P<0.05),中介效应占总效应的34.55%。结论口腔自理行为对青少年正畸患者口腔健康水平有直接预测作用,口腔健康自我效能感在口腔自理行为与口腔健康水平之间起部分中介作用。
Objective To explore the mediating effect of self-efficacy on self-care behavior and oral health of adolescent orthodontic patients so as to provide a theoretical basis for establishing reasonable prevention and control measures,improving the oral health level of orthodontic patients and promoting the physical and mental health development of adolescents.Methods Four hundred and thirty-six adolescents who received orthodontic treatment in Department of Orthodontics,Stomatological Hospital of Lanzhou University from January to December,2022 were selected as the study subjects.The general information questionnaire,Self-efficacy Scale for Oral Health(SEOH)and oral self-care behavior questionnaire were used to collect their general information,oral health self-efficacy and self-care behavior,and the oral health levels were assessed through oral health self-efficacy.Pearson’s correlation analysis was employed to verify the correlations of oral health self-efficacy and oral self-care behavior with oral health level.The AMOS structural equation model hypothesis was applied to verifying the pathway relationship between oral self-care behavior and oral health level in the orthodontic adolescents.Results The total scores of SEOH scale,oral self-care behavior questionnaire and oral health level in the 436 adolescent orthodontic patients were(85.63±9.35),(80.53±6.74)and(3.37±0.86)respectively.Pearson’s correlation analysis showed that the score of oral health self-efficacy was positively correlated with the score of oral self-care behavior(r=0.515,P<0.05),while the scores of oral health self-efficacy and oral self-care behavior were negatively correlated with the score of oral health(r_(1)=-0.436,r_(2)=-0.462,P<0.05).Oral self-care behavior had a significant positive effect on oral health(β=0.430,P<0.05),and could indirectly affect oral health through the partial mediating effect of oral health self-efficacy(β=0.227,P<0.05),with the mediating effect being 34.55%of the total effect.Conclusion Oral self-care behavior
作者
韦钰
WEI Yu(Stomatological Hospital of Lanzhou University,Lanzhou,Gansu 730000,China)
出处
《实用预防医学》
CAS
2023年第11期1343-1347,共5页
Practical Preventive Medicine
关键词
正畸
自我效能
口腔健康
自理行为
结构方程模型
中介作用
orthodontic
self-efficacy
oral health
self-care behavior
structural equation model
mediating effect
