Private practice, Rochestre, Minn., USA.
Am J Orthod Dentofacial Orthop. 2010 Jan;137(1):26-34. doi: 10.1016/j.ajodo.2008.03.022.
We investigated how young patients' motivation for orthognathic surgery affected their satisfaction with treatment outcomes. The objective was to explore whether patients' "possible selves" (ie, their ideas of what they might become in the future) and their parents' proxy assessments of the patients' possible selves were significantly correlated with the patients' treatment satisfaction.
Questionnaire data were collected from 115 former patients (ages, 13-21 at time of surgery) and 117 parents (response rates, 41% and 42%, respectively), with responses from 95 patient-parent pairs. The patients' motivations before surgery were assessed by determining how energized they were by thoughts about themselves after the surgery, and how much they had focused on the outcomes. The parents completed a parallel measure of their children's motivation. Patient satisfaction was determined with the postsurgical patient satisfaction questionnaire.
The more emotionally energized the patients had been before the surgery, the more satisfied they were with the outcomes (Spearman rho = .54, P <0.001). Similarly, the more these patients had focused on esthetic changes and improved functioning, the more satisfied they were with the outcomes (Spearman rho = .46, P <0.001; rho = .41, P <0.001, respectively). Parents' recalls of their children's motivation before the surgery were consistent with the children's self-reports (all P <0.001) and correlated with the children's satisfaction (P <0.001 in the energized domain; P <0.01 for the esthetic changes domain).
Young patients' recalls of their possible self-based motivation for orthognathic surgery were highly correlated with their treatment satisfaction. Oral surgeons and orthodontists should discuss with young patients and their parents the patient's motivation during the consultation phase before treatment to assess how energized and focused they are on future treatment outcomes.
我们研究了年轻患者接受正颌手术的动机如何影响他们对治疗结果的满意度。目的是探讨患者的“可能自我”（即他们对未来可能成为什么样的人的想法）以及他们的父母对患者可能自我的代理评估是否与患者的治疗满意度显著相关。
从 115 名曾接受手术的患者（手术时年龄为 13-21 岁）和 117 名家长（响应率分别为 41%和 42%）中收集了问卷调查数据，其中有 95 对患者-家长做出了回应。通过确定患者在手术后对自己的想法有多么兴奋，以及对结果有多么关注，来评估患者在手术前的动机。家长们完成了一项与孩子动机平行的衡量标准。通过术后患者满意度问卷来确定患者的满意度。
患者在手术前越感到情绪激动，他们对结果就越满意（Spearman rho =.54，P <0.001）。同样，这些患者越关注美学变化和功能改善，他们对结果就越满意（Spearman rho =.46，P <0.001；rho =.41，P <0.001，分别）。家长对孩子在手术前的动机的回忆与孩子的自我报告一致（均 P <0.001），并与孩子的满意度相关（在兴奋域中，P <0.001；在美学变化域中，P <0.01）。
年轻患者对自己接受正颌手术的可能自我动机的回忆与他们的治疗满意度高度相关。口腔外科医生和正畸医生应该在治疗前的咨询阶段与年轻患者及其家长讨论患者的动机，以评估他们对未来治疗结果的兴奋度和关注程度。
