Nicodemo Denise, Ferreira Lydia Masako
Faculdade de Odontologia, Universidade Estadual Julio Mesquita Filho, São José dos Campos, SP, Brasil.
Arq Bras Oftalmol. 2006 Jul-Aug;69(4):463-70. doi: 10.1590/s0004-27492006000400002.
The patient with anophthalmia may present feelings of inferiority and rejection. Knowing his/her needs and expectations contribute to a better technical intervention.
To elaborate a questionnaire of the psychosocial profile of the patient with anophthalmia with indication of ocular prosthesis.
An exploratory research was used to elaborate the questionnaire, by means of a guided interview followed by writing down what was said by the interviewees, who were adult patients of the Bucco-Maxillo-Facial Prosthesis Center of FOSJC - UNESP. The guided interview was made up of 14 items directly related to the future outline of the profile. Each item of the interview resulted in questions of the questionnaire, which was pretested twice before reaching its final version.
The patients reported, in the exploratory research, unpleasant feelings with the loss of the eye; relationship shyness; expectations regarding surgery and prosthesis use; a wish to receive explanations and to hold their opinion about the treatment. The questionnaire of the psychosocial profile of the patient with anophthalmia with indication of ocular prosthesis is, therefore, made of 43 questions divided into 5 blocks in order to aid the comprehension of the inquired aspects and to facilitate both the computation of data and discussion, and also to improve the selection of questions according to the objective of the researcher or professional.
It was concluded that the questionnaire was viable, can be used in full or by selecting blocks and provide a panorama of the patient's history related to the problem he/she faces, from the loss of the ocular globe to the confection of the prosthesis.
无眼症患者可能会出现自卑和被排斥的感觉。了解其需求和期望有助于更好地进行技术干预。
编制一份针对有眼部假体植入指征的无眼症患者心理社会状况的问卷。
采用探索性研究来编制问卷,通过引导式访谈,随后记录受访者所说的内容,受访者为圣保罗州立大学牙科学院口腔颌面修复中心的成年患者。引导式访谈由14个与未来概况直接相关的项目组成。访谈的每个项目都产生了问卷中的问题,该问卷在最终版本确定之前进行了两次预测试。
在探索性研究中,患者报告了因失去眼睛而产生的不愉快感觉;社交羞怯;对手术和使用假体的期望;希望得到解释并对治疗发表意见。因此,有眼部假体植入指征的无眼症患者心理社会状况问卷由43个问题组成,分为5个板块,以帮助理解所询问的方面,便于数据计算和讨论,也有助于根据研究者或专业人员的目标改进问题的选择。
得出的结论是,该问卷可行,可全部使用或选择板块使用,能提供患者从眼球缺失到假体制作所面临问题的病史全貌。