Bennett M E, Phillips C L
Department of Orthodontics, University of North Carolina, Chapel Hill 27599-7450, USA.
Int J Adult Orthodon Orthognath Surg. 1999;14(1):65-75.
Health-related quality of life (HRQOL) assessments made by patients provide a view of dentofacial disharmony and surgical outcome that can inform clinicians in important ways. In this paper, HRQOL as it pertains to patients with dentofacial disharmony and orthognathic surgery is discussed from three perspectives. First, arguments regarding the necessity of studying HRQOL in orthognathic patients are presented. Second, a variety of ways of defining HRQOL are reviewed, and implications for applications to orthognathic surgery are discussed. Finally, various measurement techniques are presented for assessing HRQOL in orthognathic patients. Use of dental HRQOL measures, as well as multi-item, multimeasure techniques, are discussed. For more reliable and comprehensive HRQOL measurement in patients with dentofacial disharmony, multi-item, multimeasurement techniques should be employed. While such techniques place greater demands on patients who are completing paper-and-pencil measures, the resultant low measurement error and comprehensive HRQOL assessment outweighs the risk of subject fatigue.
患者进行的与健康相关的生活质量（HRQOL）评估提供了一种牙颌面不协调及手术结果的视角，能在重要方面为临床医生提供参考。本文从三个角度讨论了与牙颌面不协调患者及正颌外科手术相关的HRQOL。首先，阐述了研究正颌患者HRQOL必要性的相关论点。其次，回顾了定义HRQOL的多种方式，并讨论了其在正颌外科手术应用中的意义。最后，介绍了评估正颌患者HRQOL的各种测量技术。讨论了牙科HRQOL测量方法以及多项目、多测量技术。为了更可靠、全面地测量牙颌面不协调患者的HRQOL，应采用多项目、多测量技术。虽然这些技术对填写纸笔问卷的患者要求更高，但由此产生的低测量误差和全面的HRQOL评估超过了受试者疲劳的风险。
