摘要
目的:探讨基于Roy适应模式的口面肌功能训练(OMT)干预对颞下颌关节不可复性盘前移位(ADDwoR)患者的影响。方法:选取2019年1月1日~2022年1月31日110例ADDwoR患者随机分为对照组和Roy组各55例,对照组实施常规OMT干预,Roy组实施基于Roy适应模式的OMT干预;比较两组干预前及干预8周颞下颌功能[包括最大张口度(MMO)、功能障碍指数(DI)、肌肉压诊指数(PI)],负性情绪[采用中文版抑郁焦虑压力量表-21(DASS-21)],心理弹性[采用心理弹性量表(CD-RISC)],生活质量[采用口腔健康影响程度量表(OHIP-14)]。结果:两组干预8周颞下颌功能优于干预前(P<0.05),Roy组干预8周颞下颌功能优于对照组(P<0.05);两组干预8周DASS-21、OHIP-14评分低于干预前(P<0.05),Roy组干预8周DASS-21、OHIP-14评分低于对照组(P<0.05);两组干预8周CD-RISC评分高于干预前(P<0.05),Roy组干预8周CD-RISC评分高于对照组(P<0.05)。结论:基于Roy适应模式的OMT干预可改善ADDwoR患者颞下颌功能,缓解负性情绪,提高患者生活质量。
Objective: To explore the effect of Roy adaptation mode-based orofacial myofunctional training(OMT)intervention in patients with temporomandibular joint anterior disc displacement without reduction(ADDwoR).Methods: A total of 110 patients with ADDwoR admitted during January 1,2019 to January 31,2022 were selected and randomly divided into the control group(55 cases)and the Roy group(55 cases).The control group received conventional OMT intervention, while the Roy group was given OMT intervention based on Roy adaptation mode.The temporomandibular function by maximum mouth opening(MMO),dysfunction index(DI),muscle pressure index(PI),negative emotions by Chinese version of Depression and Anxiety Scale-21(DASS-21)],psychological resilience by Connor-DavidsonResilience Scale(CD-RISC)and quality of life by Oral Health Impact Profile(OHIP-14)were compared between the two groups before and after intervention.Results: After 8 weeks of intervention, the temporomandibular functions in both groups were higher than those before intervention(P<0.05),and those in the Roy group were higher than those in the control group(P<0.05).The scores, DASS-21 and OHIP-14 in both groups were lower than those before intervention(P<0.05),and those in the Roy group were lower than those in the control group(P<0.05).The scores of CD-RISC in both groups were higher than those before intervention(P<0.05),and those in the Roy group were higher than those in the control group(P<0.05).Conclusion: OMT intervention based on Roy adaptation mode can improve the temporomandibular function in patients with ADDwoR,relieve the negative emotions, so as to improve their quality of life.
作者
陈恒
刘一鹏
张炜
朱丽君
Chen Heng;Liu Yipeng;Zhang Wei(The First Affiliated Hospital of Zhengzhou University,Zhengzhou Henan 450000,China)
出处
《齐鲁护理杂志》
2023年第4期5-8,共4页
Journal of Qilu Nursing
基金
河南省医学科技攻关计划项目(编号:SB201902003)。
关键词
颞下颌关节不可复性盘前移位
ROY适应模式
口面肌功能训练
最大张口度
心理弹性
负性情绪
生活质量
Temporomandibularjoint anterior disc displacement without reduction
Roy adaptation mode
Orofacial myofunctional training
Maximum mouth opening
Psychological resilience
Negative emotions
Quality of life
