Effects of comprehensive nursing with cognitive behavioral therapy in orthodontic osteodilated arch treatment

作     者：Xin Yang Zeng-Xiang Wang Yu-Xing Tian Chao Peng Hui-Ning Yang Ying Wu 

作者机构：Department of NursingNanjing Stomatological HospitalThe Affiliated Hospital of Medical SchoolNanjing UniversityNanjing 210008Jiangsu ProvinceChina Department of OrthodonticsNanjing Stomatological HospitalNanjing 210008Jiangsu ProvinceChina 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2024年第12卷第22期

页      面：5051-5058页

学科分类：1011[医学-护理学（可授医学、理学学位）] 10[医学] 

基　　金：The research was reviewed and approved by the Review Committee of Hospital of Chengdu University of Traditional Chinese Medicine(Approval No.NSH-23-319) 

主　　题：Orthodontic osteodilated arch Cognitive behavior therapy Comprehensive nursing intervention mode Nursing effect Pain management Oral care 

摘      要：BACKGROUND This work explored the effects of cognitive behavior therapy(CBT)-based comprehensive nursing intervention(CNI)mode in arch expansion to treat patients with orthodontic osteodilated arch(OOA).AIM To explore the application effect of CBT-based CNI model in orthodontic expansion arch *** Using convenient sampling method,81 patients with OOA were selected and rolled into a control group(Ctrl group,40 cases)and an observation group(Obs group,41 cases).During the treatment,patients in the Ctrl group received routine nursing intervention mode,and the those in the Obs group received CBT mode on the basis of *** and after intervention,the incidence of oral mucositis,the mastery rate of correct arch expansion method,self-rating anxiety scale score,soft scale index,and plaque index were compared for patients in different *** addition,satisfaction and complications were comparatively *** Incidence of oral mucositis in the Obs group was lower(14.6%vs 38.5%),and the mastery rate of correct arch expansion method was obviously higher(90.2%vs 55.0%)was obviously higher(all P0.05).Meanwhile,the soft scale index and plaque index in the Obs group were much lower(P0.05).The compliance(90.24%)and satisfaction(95.12%)in the Obs group were greatly higher(P0.05).CONCLUSION The CBT-based CNI mode greatly improved the mastery rate of correct arch expansion method during arch expansion in treating patients with OOA and enhanced the therapeutic effect of arch expansion and the oral health of patients,improving the patient compliance.