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

doi:10.12998/wjcc.v12.i22.5051

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World Journal of Clinical Cases

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2307-8960

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Randomized Clinical Trial

World J Clin Cases. Aug 6, 2024; 12(22): 5051-5058
Published online Aug 6, 2024. doi: 10.12998/wjcc.v12.i22.5051

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

Xin Yang, Zeng-Xiang Wang, Yu-Xing Tian, Chao Peng, Hui-Ning Yang, Ying Wu

Xin Yang, Zeng-Xiang Wang, Yu-Xing Tian, Chao Peng, Ying Wu, Department of Nursing, Nanjing Stomatological Hospital, The Affiliated Hospital of Medical School, Nanjing University, Nanjing 210008, Jiangsu Province, China

Yu-Xing Tian, Chao Peng, Hui-Ning Yang, Department of Orthodontics, Nanjing Stomatological Hospital, Nanjing 210008, Jiangsu Province, China

Author contributions: Yang X performed the majority of experiments and wrote the manuscript; Wang ZX designed the study and corrected the manuscript; Tian YX is involved in analytical tools; Peng C and Yang HN participated to the collection of the human material; Wu Y served as scientific advisor; Wang ZX and Wu Y is the guarantor; All authors have read and approved the final manuscript.

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

Clinical trial registration statement: This study has not yet been registered with clinical trials.

Informed consent statement: All research participants or their legal guardians provided written informed consent prior to study registration.

Conflict-of-interest statement: No conflict of interest is associated with this work.

Data sharing statement: No other data available.

CONSORT 2010 statement: I have read the CONSORT 2010 statement and the manuscript has been written and revised based on the CONSORT 2010 statement.

Corresponding author: Ying Wu, MAMS, Doctor, Department of Nursing, Nanjing Stomatological Hospital, The Affiliated Hospital of Medical School, Nanjing University, No. 30 Zhongyang Road, Nanjing 210008, Jiangsu Province, China. yangx002x@126.com

Received: April 1, 2024
Revised: May 30, 2024
Accepted: June 20, 2024
Published online: August 6, 2024
Processing time: 91 Days and 19.2 Hours

Abstract

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 treatment.

METHODS

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 this. Before 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 groups. In addition, satisfaction and complications were comparatively analyzed.

RESULTS

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 P < 0.05). Meanwhile, the soft scale index and plaque index in the Obs group were much lower (P < 0.05). The compliance (90.24%) and satisfaction (95.12%) in the Obs group were greatly higher (P < 0.05).

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.

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

Core Tip: This article investigated the effectiveness of a comprehensive nursing intervention model based on cognitive behavior therapy (CBT) in the treatment of patients with orthodontic osteodilated arch, which significantly reduced the occurrence of oral mucosal inflammation, improved mastery of appropriate expansion techniques, and improved treatment outcomes compared with the traditional care model. Patient compliance and satisfaction were high, highlighting the potential of CBT-based interventions in orthodontic care.