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评估部分无牙和全口无牙患者对义齿修复治疗预期潜在结果的看法。

Assessing perceived potential outcomes of prosthodontic treatment in partial and fully edentulous patients.

作者信息

Leles C R, Morandini W J, da Silva E T, de F Nunes M, Freire M C M

机构信息

Department of Prevention and Oral Rehabilitation, School of Dentistry, Federal University of Goiâs, Goiânia, Goiâs, Brazil.

出版信息

J Oral Rehabil. 2008 Sep;35(9):682-9. doi: 10.1111/j.1365-2842.2007.01839.x.

Abstract

The aim was to develop an instrument to measure and to explore the perception of potential outcomes of prosthodontic treatment in partial and fully edentulous patients, including benefits, risks and consequences of non replacement of missing teeth. It was also aimed to assess the influence of clinical and socio-demographic variables on the perception of potential outcomes. Using a two-phase data collection (open-ended and closed-form), a scale was developed containing 41 statements to measure subject's perception scores in a 5-point Likert-type scale (1, strongly disagree; 2, disagree; 3, neutral; 4, agree; 5, strongly agree). In the second phase 126 partially or fully edentulous subjects were interviewed. Influence of age, gender and clinical variables on perceived outcomes were tested using one-way anova, independent t-test and two-way anova (general linear model). Respondents' mean age was 51.8 years (s.d.=12.3), and 74% were female. Cronbach's alpha coefficient of the scale and subscales ranged from 0.70 to 0.90. Patients' mean scores ranged from 2.37 to 4.88 (mean=4.25; s.d.=0.65), indicating that subjects tended to agree with the proposed affirmatives (scores 4 and 5). Perception scores were influenced by age, gender, edentulous spaces and use of prosthodontics. Older subjects, female, those with higher number of missing teeth and who have been previously treated had greater perception of benefits and risks of prosthodontic treatment. It was concluded that the proposed instrument was suitable for measuring subjects' perception of potential outcomes of prosthodontic treatment.

摘要

目的是开发一种工具,用于测量和探索部分无牙和全口无牙患者对义齿修复治疗潜在结果的认知,包括义齿修复的益处、风险以及不修复缺失牙的后果。研究还旨在评估临床和社会人口统计学变量对潜在结果认知的影响。通过两阶段数据收集(开放式和封闭式),开发了一个包含41条陈述的量表,以5点李克特量表(1,强烈不同意;2,不同意;3,中立;4,同意;5,强烈同意)来测量受试者的认知得分。在第二阶段,对126名部分或全口无牙的受试者进行了访谈。使用单因素方差分析、独立样本t检验和双因素方差分析(一般线性模型)来测试年龄、性别和临床变量对感知结果的影响。受访者的平均年龄为51.8岁(标准差=12.3),74%为女性。该量表及其子量表的克朗巴哈α系数在0.70至0.90之间。患者的平均得分在2.37至4.88之间(平均值=4.25;标准差=0.65),表明受试者倾向于同意所提出的肯定陈述(得分4和5)。认知得分受年龄、性别、无牙间隙和义齿修复使用情况的影响。年龄较大的受试者、女性、缺失牙数量较多且曾接受过治疗的受试者对义齿修复治疗的益处和风险有更高的认知。研究得出结论,所提出的工具适用于测量受试者对义齿修复治疗潜在结果的认知。

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