Mediating Role of Oral Health Self-management Ability in the Relationship Between Self-efficacy and Oral Health-related Quality of Life in Adolescents Undergoing Fixed Orthodontics
Objective To investigate current self-efficacy,oral health self-management ability and oral health-related quality of life and the relationship between related variables in adolescents undergoing fixed orthodontics.Methods A total of 230 adolescents were selected by convenience sampling who underwent fixed orthodontics in 2 public stomatological hospitals in Shanghai from August to December 2022.They were investigated using the General Information Questionnaire,General Self-Efficacy Scale(GSES)and Oral Health Self-management Ability Questionnaire for Adolescents Undergoing Fixed Orthodontics.Their oral health-related quality of life was evaluated using the Oral Health Impact Profile-14(OHIP-14).Results For the 230 adolescents undergoing fixed orthodontics,the total score of oral health-related quality of life was 16.0(11.0,22.0)points;their GSES scores were positively correlated with OHIP-14 scores;self-efficacy had a direct effect on oral health-related quality of life(direct effect-0.840,accounting for 86.07%of the total effect)and an indirect effect on oral health-related quality of life through the intermediary of oral health self-management ability(indirect effect-0.136,accounting for 13.93%of the total effect).Conclusion The oral health-related quality of life of adolescents undergoing fixed orthodontics needs improvement.Healthcare providers can develop intervention plans based on the acting path of self-efficacy.By offering targeted oral health guidance and other measures,they can improve the quality of life of these adolescents to achieve better treatment outcomes.
AdolescentFixed orthodonticsOral health self-managementSelf-efficacyOral health-related quality of life