{"title":"基于家庭功能的依从性对支持牙周护理预后的影响:回顾性分析。","authors":"Fei Lu, Enhong Li, Feiruo Hong, Wen Fang, Dongni Shen, Xuefen Yu","doi":"10.1177/23779608251372322","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Adherence to supportive periodontal care (SPC) is essential for preventing disease recurrence and maintaining oral health. Psychological and emotional support from family members may play a vital role in sustaining long-term adherence, yet the influence of family function on SPC adherence and outcomes remains underexplored.</p><p><strong>Objective: </strong>To evaluate the impact of family function on adherence to SPC and its subsequent effect on periodontal prognosis.</p><p><strong>Methods: </strong>This retrospective study included 400 patients aged 20-73 years who received active periodontal therapy between January 2018 and January 2020 and entered SPC for at least one year. Family functioning was assessed using the Apgar score. Patient adherence was evaluated based on adherence to scheduled follow-up visits within a 3-month period. Clinical parameters, including probing depth and bleeding on probing, were recorded at baseline and follow-up visits. Multivariable logistic regression was used to assess the relationship between family functioning, patient adherence, and treatment outcomes.</p><p><strong>Results: </strong>The regular adherence group had an adherence rate of 38%, and their family care index was significantly higher than that of the irregular group (9.58 ± 0.58 vs. 9.00 ± 0.90, <i>p</i> < .01). Both groups showed improvements in periodontal prognosis following SPC (<i>p</i> < .01). Patients with a higher family care index exhibited better adherence, with a more pronounced improvement in prognosis (<i>p</i> < .01). Logistic regression analysis identified gender (odds ratio [OR] = 2.730, 95% CI [1.683, 4.430], <i>p</i> < .01), age (OR = 0.999, 95% CI [0.970, 1.02], <i>p</i> < .01), and orthodontic history (OR = 7.941, 95% CI [1.497, 42.116], <i>p</i> < .05) as significant factors influencing SPC adherence.</p><p><strong>Conclusion: </strong>Patients with higher family function scores demonstrate better adherence with SPC, resulting in more favorable treatment outcomes. The involvement of family members plays a critical role in enhancing patient adherence to treatment protocols, thereby improving both oral health and overall quality of life.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"11 ","pages":"23779608251372322"},"PeriodicalIF":2.5000,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12378306/pdf/","citationCount":"0","resultStr":"{\"title\":\"Effect of Family Function-Based Adherence on Supportive Periodontal Care Prognosis: A Retrospective Analysis.\",\"authors\":\"Fei Lu, Enhong Li, Feiruo Hong, Wen Fang, Dongni Shen, Xuefen Yu\",\"doi\":\"10.1177/23779608251372322\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Adherence to supportive periodontal care (SPC) is essential for preventing disease recurrence and maintaining oral health. Psychological and emotional support from family members may play a vital role in sustaining long-term adherence, yet the influence of family function on SPC adherence and outcomes remains underexplored.</p><p><strong>Objective: </strong>To evaluate the impact of family function on adherence to SPC and its subsequent effect on periodontal prognosis.</p><p><strong>Methods: </strong>This retrospective study included 400 patients aged 20-73 years who received active periodontal therapy between January 2018 and January 2020 and entered SPC for at least one year. Family functioning was assessed using the Apgar score. Patient adherence was evaluated based on adherence to scheduled follow-up visits within a 3-month period. Clinical parameters, including probing depth and bleeding on probing, were recorded at baseline and follow-up visits. Multivariable logistic regression was used to assess the relationship between family functioning, patient adherence, and treatment outcomes.</p><p><strong>Results: </strong>The regular adherence group had an adherence rate of 38%, and their family care index was significantly higher than that of the irregular group (9.58 ± 0.58 vs. 9.00 ± 0.90, <i>p</i> < .01). Both groups showed improvements in periodontal prognosis following SPC (<i>p</i> < .01). Patients with a higher family care index exhibited better adherence, with a more pronounced improvement in prognosis (<i>p</i> < .01). Logistic regression analysis identified gender (odds ratio [OR] = 2.730, 95% CI [1.683, 4.430], <i>p</i> < .01), age (OR = 0.999, 95% CI [0.970, 1.02], <i>p</i> < .01), and orthodontic history (OR = 7.941, 95% CI [1.497, 42.116], <i>p</i> < .05) as significant factors influencing SPC adherence.</p><p><strong>Conclusion: </strong>Patients with higher family function scores demonstrate better adherence with SPC, resulting in more favorable treatment outcomes. The involvement of family members plays a critical role in enhancing patient adherence to treatment protocols, thereby improving both oral health and overall quality of life.</p>\",\"PeriodicalId\":43312,\"journal\":{\"name\":\"SAGE Open Nursing\",\"volume\":\"11 \",\"pages\":\"23779608251372322\"},\"PeriodicalIF\":2.5000,\"publicationDate\":\"2025-08-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12378306/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"SAGE Open Nursing\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1177/23779608251372322\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"SAGE Open Nursing","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/23779608251372322","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
摘要
简介:坚持支持牙周护理(SPC)是必不可少的预防疾病复发和维持口腔健康。来自家庭成员的心理和情感支持可能在维持长期依从性方面发挥重要作用,但家庭功能对SPC依从性和结果的影响仍未得到充分探讨。目的:探讨家庭功能对牙周治疗依从性的影响及其对牙周预后的影响。方法:本回顾性研究纳入了400例年龄在20-73岁之间的患者,这些患者在2018年1月至2020年1月期间接受了主动牙周治疗,并进入SPC至少一年。使用阿普加评分评估家庭功能。患者的依从性是根据3个月内随访的依从性来评估的。在基线和随访时记录临床参数,包括探针深度和探针出血。多变量逻辑回归用于评估家庭功能、患者依从性和治疗结果之间的关系。结果:常规依从组的依从率为38%,家庭护理指数显著高于不规则依从组(9.58±0.58 vs. 9.00±0.90,p p p p p p p)。结论:家庭功能评分越高的患者对SPC的依从性越好,治疗效果越好。家庭成员的参与在提高患者对治疗方案的依从性方面发挥着关键作用,从而改善口腔健康和整体生活质量。
Effect of Family Function-Based Adherence on Supportive Periodontal Care Prognosis: A Retrospective Analysis.
Introduction: Adherence to supportive periodontal care (SPC) is essential for preventing disease recurrence and maintaining oral health. Psychological and emotional support from family members may play a vital role in sustaining long-term adherence, yet the influence of family function on SPC adherence and outcomes remains underexplored.
Objective: To evaluate the impact of family function on adherence to SPC and its subsequent effect on periodontal prognosis.
Methods: This retrospective study included 400 patients aged 20-73 years who received active periodontal therapy between January 2018 and January 2020 and entered SPC for at least one year. Family functioning was assessed using the Apgar score. Patient adherence was evaluated based on adherence to scheduled follow-up visits within a 3-month period. Clinical parameters, including probing depth and bleeding on probing, were recorded at baseline and follow-up visits. Multivariable logistic regression was used to assess the relationship between family functioning, patient adherence, and treatment outcomes.
Results: The regular adherence group had an adherence rate of 38%, and their family care index was significantly higher than that of the irregular group (9.58 ± 0.58 vs. 9.00 ± 0.90, p < .01). Both groups showed improvements in periodontal prognosis following SPC (p < .01). Patients with a higher family care index exhibited better adherence, with a more pronounced improvement in prognosis (p < .01). Logistic regression analysis identified gender (odds ratio [OR] = 2.730, 95% CI [1.683, 4.430], p < .01), age (OR = 0.999, 95% CI [0.970, 1.02], p < .01), and orthodontic history (OR = 7.941, 95% CI [1.497, 42.116], p < .05) as significant factors influencing SPC adherence.
Conclusion: Patients with higher family function scores demonstrate better adherence with SPC, resulting in more favorable treatment outcomes. The involvement of family members plays a critical role in enhancing patient adherence to treatment protocols, thereby improving both oral health and overall quality of life.