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对精神分裂症患者治疗性教育口腔健康计划的有效性:一个集群随机对照试验和定性方法
Frederic Denis1,2, Corinne Rat3, Lucie Cros4
1Faculty of Dentistry, Tours University, 37000 Tours, France.
Healthcare (Basel, Switzerland)
|July 14, 2023
概括
该研究发现,口腔健康治疗教育计划 (TEPOH) 在精神分裂症患者中没有显著改善牙周健康. 需要进一步的研究来完善这个人群的口腔健康干预措施.
科学领域:
- 精神病学是一个精神病学.
- 口腔健康 口腔健康
- 公共卫生 公共卫生
背景情况:
- 精神分裂症患者 (PWS) 的口腔健康状况不佳,需要基于证据的口腔健康促进计划.
- 该研究旨在开发和评估PWS口腔健康 (TEPOH) 的多学科治疗教育计划.
研究的目的:
- 评估一种针对精神分裂症患者的口腔健康 (TEPOH) 新型多学科治疗教育计划的有效性.
- 将TEPOH干预与标准护理进行比较,以改善牙周健康结果.
主要方法:
- 一个多中心集群随机对照试验,将TEPOH与标准护理进行比较.
- 26个门诊精神病医疗中心参与了这项研究,诊断为精神分裂症的患者在2016-2020年期间被录取并被跟踪6个月.
- 主要结果是牙周病,根据6个月的社区牙周指数 (CPI) 评分≥3进行评估;定性组件探讨了护理人员的观点.
主要成果:
- 招募挑战导致试验提前终止,81名患者被录取 (计划250) 54名患者完成了研究.
- 在6个月后,CPI≥3的患者比例在TEPOH组为20%,在对照组为14.3%.
- 定性数据表明,TEPOH加强了护理人员的参与,但强调了资源限制和COVID-19大流行影响招聘和跟踪等结构性障碍.
结论:
- 在EBENE研究中实施的TEPOH计划在改善精神分裂症患者牙周健康方面没有表现出有效性.
- 建议对该计划的内容和实施策略进行修订.
- 为未来的评估,建议开发一个适应的主观测量尺度.
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