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患者生成方面在口腔修复决策中的作用 I. 传统问诊与个体化系统访谈方法的比较。

Patient-generated aspects in oral rehabilitation decision making I. Comparison of traditional history taking and an individual systematic interview method.

机构信息

Department of Oral Rehabilitation, Faculty of Health Science, Institute of Odontology, University of Copenhagen, 2200 Copenhagen, Denmark.

出版信息

J Oral Rehabil. 2009 Oct;36(10):726-36. doi: 10.1111/j.1365-2842.2009.01983.x. Epub 2009 Aug 2.

Abstract

Decision making in oral rehabilitation is often based on diagnoses related to impairment of different oral functions. In making the decision when to treat, the dentist must work in cooperation with the patient. By incorporating patient-generated aspects into the decision making process, the dentist finds it easier to decide if and why treatment should be undertaken and what treatment modality to use. The purpose of this study was to describe the potential of an interview method, the 'Schedule for the Evaluation of Individual Quality of Life-Direct Weighting' (SEIQoL-DW), and compare it with a traditional history taking, in generating information to be used in decision making in oral rehabilitation. Fifty-seven participants in need of oral rehabilitation were enrolled in the study. The participants underwent a traditional history taking and were interviewed using the SEIQoL-DW method. The SEIQoL-DW generated a high number of cues for all participants. Significantly more cues and additional information were generated by the SEIQoL-DW than by the traditional history taking. The additional information concerned consultation and dentist issues, psychological aspects and treatment preferences. A high percentage of the participants were positive towards the use of the SEIQoL-DW method in their treatment planning. The SEIQoL-DW was considered to be a viable tool for decision making in oral rehabilitation.

摘要

口腔修复的决策通常基于与口腔功能障碍相关的诊断。在决定何时进行治疗时,牙医必须与患者合作。通过将患者生成的方面纳入决策过程,牙医发现更容易决定是否以及为什么进行治疗以及使用哪种治疗方式。本研究的目的是描述一种访谈方法“个体生活质量评估时间表-直接加权法”(SEIQoL-DW)的潜力,并将其与传统的病史采集进行比较,以生成用于口腔修复决策的信息。57 名需要口腔修复的参与者被纳入本研究。参与者接受了传统的病史采集,并使用 SEIQoL-DW 方法进行了访谈。SEIQoL-DW 为所有参与者生成了大量线索。SEIQoL-DW 比传统的病史采集生成了更多的线索和额外的信息。额外的信息涉及咨询和牙医问题、心理方面和治疗偏好。大多数参与者对在治疗计划中使用 SEIQoL-DW 方法持积极态度。SEIQoL-DW 被认为是口腔修复决策的一种可行工具。

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