基于KABP模式的系统化口腔健康教育在牙周病患者口腔种植术后护理中的效果分析

doi:10.12337/zgkqzzxzz.2025.06.010

摘要/Abstract

摘要： 目的探究基于知信行（KABP）模式的系统化口腔健康教育在牙周病患者口腔种植术后护理的效果分析。方法本研究为前瞻性研究,选取2022年1月至2022年6月在南京医科大学附属口腔医院（江苏省口腔医院）行口腔种植修复的患者为观察对象。将符合纳排标准的96例口腔种植修复患者采用随机数字表法分为对照组（n=48）和观察组（n=48）。对照组采用系统化口腔健康教育干预,观察组采用KABP模式的系统化口腔健康教育干预。观察2组患者干预前后的种植体周指标包括细胞因子[（白细胞介素-8（IL-8）、白细胞介素-1β（IL-1β）、肿瘤坏死因子-α（TNF-α）]水平,并比较2组干预前后的疾病知识认知度、口腔专业维护依从性、种植体周炎发生率及患者满意度。结果干预前,2组种植体周指标[出血指数（BI）、菌斑指数（PLI）、探诊深度（PD）]、细胞因子水平（IL-8、IL-1β、TNF-α）、疾病知识认知度对比,差异无统计学意义（P>0.05）;干预后,观察组种植体周指标、细胞因子水平低于对照组（P<0.05）,疾病知识认知度、口腔专业护理依从性均高于对照组（P<0.05）,观察组的种植体周黏膜炎和种植体周炎发生率均低于对照组（P<0.05）,观察组的修复满意度高于对照组（P<0.05）。结论基于KABP护理模式结合系统化口腔健康教育应用能有效改善种植体周指标、降低炎症因子水平,提高口腔种植后牙周病患者对疾病知识认知度、口腔专业维护依从性及满意度,降低种植体周黏膜炎和种植体周炎的发生率。

关键词: 知信行护理模式, 系统化口腔健康教育, 牙周病, 种植牙, 术后护理

Abstract: Objective To evaluate the effect of a KABP-based nursing model combined with systematic oral health education on postoperative care of dental implants in patients with periodontal disease. Methods A total of 96 patients who underwent oral implant restoration at the Affiliated Stomatological Hospital of Nanjing Medical University from January to June 2022 were enrolled in this prospective study. Patients were randomly assigned to a control group (n=48) and an intervention group (n=48) using a random number table. The control group received systematic oral health education, while the intervention group received a KABP-based educational intervention. Outcome measures included peri-implan indices, cytokine levels (IL-8, IL-1β, TNF-α), disease knowledge awareness, compliance with professional oral maintenance, incidence of peri-implant mucositis and peri-implantitis, and patient satisfaction. Results Before the intervention, there were no statistically significant differences in peri-implant indices (BI, PLI, PD), cytokine levels (IL-8, IL-1β, TNF-α), or disease knowledge awareness between the two groups (P>0.05). After the intervention, the peri-implant indices and cytokine levels were significantly lower in the intervention group compared to the control group (P<0.05), while disease knowledge awareness and compliance with professional oral maintenance were significantly higher (P<0.05). Additionally, the incidence of peri-implant mucositis and peri-implantitis in the intervention group was lower than in the control group (P<0.05), and patient satisfaction with the restoration was higher in the intervention group (P<0.05). Conclusion The application of a KABP-based nursing model combined with systematic oral health education can effectively improve peri-implant indices, reduce inflammatory cytokine levels, enhance disease knowledge awareness, improve compliance with professional oral maintenance, and increase patient satisfaction following dental implant therapy in patients with periodontal disease. Furthermore, it can decrease the incidence of peri-implant mucositis and peri-implantitis.

Key words: KABP nursing model, Systematic oral health education, Periodontal disease, Dental implants, Postoperative care

陈珊珊,王雪,袁苗. 基于KABP模式的系统化口腔健康教育在牙周病患者口腔种植术后护理中的效果分析[J]. 中国口腔种植学杂志, 2025, 30(3): 262-268. DOI: 10.12337/zgkqzzxzz.2025.06.010

Chen Shanshan, Wang Xue, Yuan Miao. Effect of a KABP-based systematic oral health education program on postoperative care of dental implants in patients with periodontal disease[J].Chinese Journal of Oral Implantology, 2025, 30(3): 262-268.DOI: 10.12337/zgkqzzxzz.2025.06.010.

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