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为患有严重精神疾病的成年人共同创建牙刷干预措施
Easter Joury1,2, Elizabeth Steed3, Ellie Heidari4
1Department of Psychiatry, University of Oxfordhttps://ror.org/052gg0110, UK.
BJPsych open
|November 25, 2025
概括
这项研究共同创建了针对严重精神疾病 (SMI) 患者的理论驱动的口腔卫生干预措施. 干预重点是每天两次刷牙,由医疗保健专业人员提供,以改善这个脆弱人群的口腔健康.
科学领域:
- 口腔健康研究 口腔健康研究
- 心理健康干预措施 心理健康干预
- 行为科学是一种行为科学.
背景情况:
- 患有严重精神疾病 (SMI) 的人患牙周病的比例很高.
- 糟糕的口腔卫生加剧了SMI人口中现有的心理和身体健康问题.
- 有效的口腔卫生对于管理SMI患者的整体健康至关重要.
研究的目的:
- 共同开发一种基于理论的口腔卫生干预措施,适合SMI患者.
- 为了解决SMI患者在保持口腔卫生方面所面临的特定需求和挑战.
- 将口腔健康促进纳入SMI现有的医疗保健框架.
主要方法:
- 采用行为变化轮框架的两阶段八步方法.
- 与利益相关者进行商和证据审查,以了解SMI.口腔卫生方面的挑战.
- 半结构面试 (n=20) 和与SMI患者,护理人员和专业人员共同设计的研讨会.
- 使用框架分析和对行为模型进行映射来分析采访数据 (COM-B,TDF).
主要成果:
- 该干预的目标是每天刷牙两次,考虑习惯形成,认知能力和支持需求.
- 建议包括将口腔卫生纳入SMI身体健康检查.
- 建议对初级保健和心理健康专业人员进行培训和报酬,以提供干预.
- 个性化护理方法和后续预约是持续参与的关键.
结论:
- 这项研究代表了对SMI患者进行理论驱动的牙刷干预的首次共同创作.
- 该干预旨在由初级保健和心理健康专业人员提供.
- 该倡议旨在改善SMI患者的口腔健康结果和整体福祉.
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