Cole William A
Am J Orthod Dentofacial Orthop. 2002 Apr;121(4):419-23. doi: 10.1067/mod.2002.122369.
Orthodontists struggle daily with the issue of patient compliance. Often, we must rely on patient cooperation with headgear to correct Class II malocclusions. Because there is no way to objectively and accurately gauge headgear cooperation, we must look for clues in assessing compliance. One clue that we use is the patient's own reporting of headgear wear. This study was aimed at determining the accuracy of patient reporting. Twenty patients in a private orthodontic practice were supplied with electronic timing headgears that enabled the author to compare their reported hours of headgear use with electronically measured actual usage. In this sample, 69% of the patients reported their headgear use at an accuracy level of 84% or greater, while 31% reported their use at an accuracy level of 58% or less. If fully one third of our patients are significantly inaccurate in reporting headgear use, this has clear implications in patient education, expected treatment results, and informed consent. Some may consider the timing headgear a useful adjunct in promoting better patient compliance.
正畸医生每天都在为患者的依从性问题而苦恼。通常,我们必须依靠患者配合使用头帽来矫正II类错颌畸形。由于没有客观准确的方法来衡量患者对头帽的配合情况,我们必须在评估依从性时寻找线索。我们使用的一个线索是患者自己对头帽佩戴时间的报告。本研究旨在确定患者报告的准确性。一家私人正畸诊所的20名患者配备了电子计时头帽,这使作者能够将他们报告的头帽使用时间与电子测量的实际使用时间进行比较。在这个样本中,69%的患者报告的头帽使用时间准确率达到84%或更高,而31%的患者报告的准确率为58%或更低。如果整整三分之一的患者在报告头帽使用时间方面存在显著误差,这对患者教育、预期治疗效果和知情同意都有明显影响。有些人可能认为计时头帽是提高患者依从性的有用辅助工具。