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患者口腔健康相关生活质量、对牙列的满意度与个性特征之间的关系。

Relationship between patients' oral health-related quality of life, satisfaction with dentition, and personality profiles.

作者信息

Karasneh Jumana, Al-Omiri Mahmoud K, Al-Hamad Khaled Q, Al Quran Firas A M

机构信息

Department of Oral Surgery and Oral Medicine, Faculty of Dentistry, Jordan University of Science and Technology, Irbid, Jordan.

出版信息

J Contemp Dent Pract. 2009 Nov 1;10(6):E049-56.

Abstract

AIM

The aim of this study was to investigate the relationship between patients' oral health-related quality of life, satisfaction with their dentition, and their personality profiles.

METHODS AND MATERIALS

Eighty-four patients (30 males and 54 females; mean age 31.9+/-12.7 years) seeking routine dental treatment were recruited for this study. A "Dental Impact on Daily Living" (DIDL) questionnaire was used to assess dental satisfaction and impact on daily living. An "Oral Health Impact Profile" (OHIP) was used to measure self-reported discomfort, disability, and dysfunction caused by oral conditions. Oral health-related quality of life was assessed using the "United Kingdom Oral Health Related Quality of Life" measure (OHQoL-U.K). A "NEO Five Factor inventory" (NEO-FFI) was used to assess personality profiles.

RESULTS

The dentition has a measurable impact on daily living as well as with satisfaction with appearance, pain levels, oral comfort, general performance, and eating capability (p=0.000). Younger patients had more profound oral health impacts (p=0.045) and higher neuroticism scores (0.043). OHIP scores were significantly related to OHQoL-UK scores (p=0.000). DIDL scores had significant correlations with OHIP and OHQoL-UK scores (p<0.05). Significant correlations were established between neuroticism and satisfaction with oral comfort, extraversion and total satisfaction and satisfaction with general performance, and openness and satisfaction with appearance (p<0.05). OHIP and OHQoL-UK scores had no significant correlations with psychological profiles.

CONCLUSION

The status of the oral cavity can have a definitive impact on patients' daily living and quality of life regardless age, gender, and level of education. Patients' satisfaction with their dentition has definitive impacts on daily living, quality of life, and dental perceptions. Personality profiles (neuroticism; extraversion, and openness) may influence dental perceptions, play a significant role in shaping satisfaction with dentition, and help with the prediction of the dental impact on daily living.

CLINICAL SIGNIFICANCE

Since patients' satisfaction with their dentitions impacts their daily living and quality of life while affected by their psychological profiles, this should be considered when formulating a treatment plan for management for their dentition in order to obtain patient acceptance of the proposed treatment.

摘要

目的

本研究旨在调查患者口腔健康相关生活质量、对牙列的满意度与他们的个性特征之间的关系。

方法与材料

本研究招募了84名寻求常规牙科治疗的患者(30名男性和54名女性;平均年龄31.9±12.7岁)。使用“日常生活中的牙科影响”(DIDL)问卷来评估牙科满意度和对日常生活的影响。使用“口腔健康影响概况”(OHIP)来测量自我报告的由口腔状况引起的不适、残疾和功能障碍。使用“英国口腔健康相关生活质量”测量工具(OHQoL-U.K)来评估口腔健康相关生活质量。使用“大五人格问卷简式版”(NEO-FFI)来评估个性特征。

结果

牙列对日常生活以及对外表的满意度、疼痛程度、口腔舒适度、总体表现和进食能力有可测量的影响(p = 0.000)。年轻患者的口腔健康影响更显著(p = 0.045),神经质得分更高(p = 0.043)。OHIP得分与OHQoL-UK得分显著相关(p = 0.000)。DIDL得分与OHIP和OHQoL-UK得分有显著相关性(p < 0.05)。神经质与口腔舒适度满意度、外向性与总体满意度以及总体表现满意度、开放性与外表满意度之间建立了显著相关性(p < 0.05)。OHIP和OHQoL-UK得分与心理特征无显著相关性。

结论

无论年龄、性别和教育程度如何,口腔状况对患者的日常生活和生活质量都有决定性影响。患者对牙列的满意度对日常生活、生活质量和牙科认知有决定性影响。个性特征(神经质、外向性和开放性)可能会影响牙科认知,在塑造对牙列的满意度方面发挥重要作用,并有助于预测牙科对日常生活的影响。

临床意义

由于患者对牙列的满意度会影响他们的日常生活和生活质量,同时又受到其心理特征的影响,因此在制定牙列治疗管理计划时应考虑这一点,以便获得患者对所提议治疗的接受。

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