Department of Prosthodontics, Heidelberg University Hospital, Im Neuenheimer Feld 400, 69120, Heidelberg, Germany.
Clin Oral Investig. 2012 Feb;16(1):313-8. doi: 10.1007/s00784-010-0483-x. Epub 2010 Nov 3.
The objective was to evaluate the development of oral health-related quality of life (OHRQoL) in patients with complete dentures and the association between OHRQoL and patient satisfaction. Fifty-two patients (mean age, 66.3, 48.1% male) received dentures in at least one jaw. The analysis was conducted on participants with dentures in both jaws (CD-Both; n = 22) or in the upper jaw only (CD-Max; n = 28). Data were collected 4 weeks, 6 months, and 1 and 2 years after insertion. OHRQoL was measured by use of the OHIP-EDENT. Self-rated patient satisfaction was assessed on a scale of 0-10. To prove the hypothesis that patient satisfaction would be a meaningful predictor of OHRQoL, and not vice versa, multilevel analysis and cross-lagged correlation analysis were performed for both groups separately. OHRQoL improved from 22.9 (SD, 20.7) to 12.1 (SD, 14.5) for CD-Both and from 20.3 (SD, 17.2) to 14.7 (SD, 15.1) for CD-Max. Multilevel analysis revealed that patient satisfaction and OHRQoL were significantly associated (p < 0.0001) for both groups. Differences between the groups were found with regard to the effect of time after insertion and the interaction between time and satisfaction with OHRQoL which were significant only for the group CD-Both; however, no evidence was found for the causality of this association in the cross-lagged analysis for both groups (ZPF test, p > 0.016). Patient satisfaction and OHRQoL were associated for wearers of complete dentures. Within the limitations of the study, however, the causality that patient satisfaction predicts OHRQoL, and not vice versa, could not be proven.
目的是评估全口义齿患者口腔健康相关生活质量（OHRQoL）的发展情况，以及 OHRQoL 与患者满意度之间的关系。52 名患者（平均年龄 66.3 岁，48.1%为男性）至少在一个颌骨中接受了义齿。分析对象为上下颌均佩戴义齿的患者（CD-Both；n=22）或仅在上颌佩戴义齿的患者（CD-Max；n=28）。在义齿插入后 4 周、6 个月、1 年和 2 年收集数据。使用 OHIP-EDENT 量表测量 OHRQoL。患者满意度通过 0-10 分的量表进行评估。为了证明患者满意度将是 OHRQoL 的一个有意义的预测因素，而不是相反，对两组分别进行了多层次分析和交叉滞后相关分析。对于 CD-Both，OHRQoL 从插入后 22.9（SD，20.7）改善至 12.1（SD，14.5），对于 CD-Max，OHRQoL 从插入后 20.3（SD，17.2）改善至 14.7（SD，15.1）。多层次分析表明，两组患者的满意度和 OHRQoL 均呈显著相关（p<0.0001）。仅在 CD-Both 组中发现了插入后时间的影响和满意度与 OHRQoL 之间的相互作用的差异，而在两组的交叉滞后分析中均未发现这种关联的因果关系（ZPF 检验，p>0.016）。全口义齿佩戴者的满意度和 OHRQoL 相关。然而，在研究的限制范围内，无法证明患者满意度预测 OHRQoL，而不是相反。
