关键词: 慢性牙周炎, 义齿, 口腔保健, 质性研究, 护理

Abstract:

Objective To explore the oral health management dilemmas of chronic periodontitis patients with implant dentures，so as to provide a reference for formulating scientific and effective oral nursing intervention programs. Methods Based on the information-motivation-behavioral skills model（IMB），the interview outline was formulated. Using the purposive sampling method，patients with chronic periodontitis who underwent implant restoration in a tertiary A stomatological hospital in Taiyuan City，Shanxi Province from April to June 2024 were selected for semi-structured interviews. The data were analyzed by means of directed content analysis. Results A total of 3 core themes were extracted，covering 10 sub-themes，namely knowledge deficiency and information dilemma（lack of oral health-related knowledge，cognitive misunderstanding and memory deviation，difficulty in identifying miscellaneous information），coexistence of emphasis and avoidance（perceived benefits of oral health management，positive feedback reinforcing internal motivation，avoidance induced by psychological burden，the duality of diverse social networks），behavioral skills transformation difficulties（difficulties in home maintenance practice，insufficient professional guidance and support，and uneven self-efficacy）. ConclusionThe oral health management behavior of chronic periodontitis patients with implant dentures is affected by many factors. We should aim to develop innovative oral health services based on Internet，bridge the cognitive misunderstanding and memory bias of patients，stimulate the internal driving machine of oral health behavior，strengthen the external support of multiple social networks，refine the teaching model of oral health management，and empower oral health self-management.

Key words: Chronic Periodontitis, Dental Prosthesis, Oral Health Care, Qualitative Research, Nursing Care