Goodey R D, Brickley M R, Armstrong R A, Shepherd J P
Department of Oral Surgery, Medicine and Pathology, University of Wales College of Medicine, Heath Park, Cardiff, United Kingdom.
J Oral Maxillofac Surg. 2000 Oct;58(10):1096-101; discussion 1102-3. doi: 10.1053/joms.2000.8198.
The purpose of this study was to produce a clinically useful, patient-derived, minor oral surgery outcome scale.
Seventy-seven consecutive patients scheduled for minor oral surgery were interviewed using semistructured interview techniques to identify those areas of life (domains) that patients believed will be affected by minor oral surgery. These interviews were analyzed by a multidisciplinary panel and a scale based on 5 domains, each with 4 outcome statements was constructed. The domains and outcome statements were weighted in terms of importance by a further consecutive sample of 100 patients using resource allocation and visual analog tasks. An additive mathematical formula was applied to the mean weights for each domain and outcome states to produce the final weighted scale.
Five domains were identified from the interviews and weighted according to their order of importance (0 to 100 scale; 0 = least important). These were general health and well-being (24.6); impact on home/social life (20.8); health and comfort of the mouth, teeth, and gums (20.0); appearance (18.8); and impact on job/studies (15.8).
A clinically applicable, multi-attribute outcome scale has been produced that takes into account all determinants of health outcome as perceived by the patient in the context of minor oral surgery. It is completed by selecting a weighted statement from each domain, the sum of which constitutes the patient's health state utility score. The scale has potentially extensive application to both clinical care and research.
本研究旨在制定一个具有临床实用性、源自患者的小型口腔外科手术结果量表。
采用半结构化访谈技术对77例计划接受小型口腔外科手术的连续患者进行访谈，以确定患者认为会受到小型口腔外科手术影响的生活领域（维度）。这些访谈由一个多学科小组进行分析，并构建了一个基于5个维度的量表，每个维度有4条结果陈述。通过让另外100例连续患者样本使用资源分配和视觉模拟任务，根据重要性对这些维度和结果陈述进行加权。应用加法数学公式计算每个维度和结果状态的平均权重，以得出最终的加权量表。
从访谈中确定了5个维度，并根据其重要性顺序进行加权（0至100分制；0表示最不重要）。这些维度分别是总体健康和幸福感（24.6）；对家庭/社会生活的影响（20.8）；口腔、牙齿和牙龈的健康与舒适度（20.0）；外貌（18.8）；以及对工作/学习的影响（15.8）。
已制定出一个临床适用的多属性结果量表，该量表考虑了患者在小型口腔外科手术背景下所感知的健康结果的所有决定因素。通过从每个维度中选择一条加权陈述来完成该量表，这些陈述的总和构成患者的健康状态效用得分。该量表在临床护理和研究中可能具有广泛的应用。
