基于知信行理论多元健康教育对青少年活动矫治器患者口腔健康状况的影响
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安徽医科大学口腔医学院/附属口腔医院

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Effect of Health Education Based on the Knowledge-Attitude-Practice (KAP) Theory on Compliance and Oral Health in Adolescent Patients with Removable Orthodontic AppliancesShi Xiaozhao, Chen Yejun, Wang Hong
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    摘要:

    目的:探讨基于知信行(KAP)理论的多元化健康教育对佩戴活动矫治器的青少年患者治疗依从性及口腔健康状况的影响。方法:将30例患者随机分为对照组与实验组,对照组接受常规健康教育,实验组实施以知信行理论为框架的多元化健康教育,包括视频、手册、互动示教与电话随访。于干预前及矫治器佩戴疗程结束时,测量并比较两组患者的牙弓形态学参数(牙量、双尖牙区牙弓宽度、双尖牙区基骨弓宽度、牙弓长度)与口腔健康评估量表(OHAT)评分。结果:干预后,实验组在各项牙弓形态学参数上的改善均显著优于对照组(P<0.001)。同时,实验组OHAT评分显著低于对照组[(3.75±1.22)分 vs (8.25±1.08)分,P<0.05],表明其口腔健康状况更佳。结论:基于知信行理论的健康教育可系统提升青少年活动矫治器患者的治疗依从性,改善其口腔健康,具有临床推广价值。

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    Objective:To investigate the effect of diversified health education based on the Knowledge-Attitude-Practice (KAP) model on treatment compliance and oral health status in adolescent patients wearing removable orthodontic appliances.Methods:Thirty patients were randomly allocated to a control group and an experimental group. The control group received conventional health education, while the experimental group received diversified education based on the KAP framework, including videos, handbooks, interactive demonstrations, and telephone follow-ups. Dental arch morphological parameters and Oral Health Assessment Tool (OHAT) scores were measured before and after the intervention.Results:Post-intervention, the experimental group showed significantly greater improvement in all dental arch morphological parameters compared to the control group (P<0.001). Additionally, the experimental group had a significantly lower OHAT score than the control group [(3.75±1.22) vs (8.25±1.08), P<0.05], indicating better oral health.Conclusion:Health education grounded in the KAP theory can systematically enhance treatment compliance and improve oral health in adolescent patients with removable orthodontic appliances, demonstrating value for clinical dissemination.

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  • 收稿日期:2026-01-15
  • 最后修改日期:2026-02-04
  • 录用日期:2026-02-06
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