Oketade I O, Osiro O, Ibiyemi S T, Ibiyemi O
Department of Peridontology and Community Dentistry, Faculty of Dentistry, University of Ibadan, Ibadan, Nigeria.
Niger J Clin Pract. 2013 Oct-Dec;16(4):478-82. doi: 10.4103/1119-3077.116893.
Criteria for a good dental practice as expressed by patients have influence on their behavior in terms of compliance with clinical advice, less pain and anxiety and more utilization of dental care.
To assess the opinion of patients attending the dental clinic of a tertiary hospital Southwestern, Nigeria about their perception of a good dental practice.
A 16 item semi-structured bi-lingual interviewer-administered questionnaire comprising socio-demographic characteristics and 24 criteria of a good dental practice generated by clinicians and patients was administered to 156 patients who were blinded from knowing which criteria were clinicians' or patients' criteria. Patients were then asked to pick 12 criteria out of the 24 criteria that they considered of greater priority. Frequency of the most picked criteria in a descending order was determined. Student's t-test was used to compare mean scores at P < 0.05.
The mean age of study participants was 36.7 ± 13.8 years. The majority 139 (89.1%) of the study participants ranked ''clinician's procedure should be as painless as possible'' as the most important clinician determined criteria of a good dental practice while 31 (19.9%) of them ranked hotlines available for emergencies as the least. The majority 133 (85.2%) of the study participants ranked ''sterile procedure and proper handling of equipment'' as the most important patient determined criteria of a good dental practice while 30 (19.2%) of them ranked patients being attended by just one clinician as the least. There was a statistically significant difference between mean scores of clinicians' criteria and patients' criteria ( P = 0.00001), participants ranked more patients' criteria than clinicians' criteria.
In determining the criteria for a good dental practice, clinicians' perspective as well as patients' perspective should be considered.
患者所表达的良好牙科诊疗标准会影响他们在遵循临床建议、减少疼痛和焦虑以及更多利用牙科护理方面的行为。
评估尼日利亚西南部一家三级医院牙科诊所的患者对良好牙科诊疗的看法。
对156名患者进行了一项由双语访谈员管理的16项半结构化问卷，该问卷包括社会人口学特征以及临床医生和患者提出的24条良好牙科诊疗标准，这些患者不知道哪些标准是临床医生的或患者的标准。然后要求患者从24条标准中选出12条他们认为更重要的标准。确定所选标准中出现频率最高的标准并按降序排列。使用学生t检验在P < 0.05时比较平均得分。
研究参与者的平均年龄为36.7 ± 13.8岁。大多数139名（89.1%）研究参与者将“临床医生的操作应尽可能无痛”列为临床医生确定的良好牙科诊疗最重要的标准，而其中31名（19.9%）将紧急情况热线列为最不重要的标准。大多数133名（85.2%）研究参与者将“无菌操作和正确处理设备”列为患者确定的良好牙科诊疗最重要的标准，而其中30名（19.2%）将仅由一名临床医生接待患者列为最不重要的标准。临床医生标准和患者标准的平均得分之间存在统计学显著差异（P = 0.00001），参与者对患者标准的排名多于临床医生标准。
在确定良好牙科诊疗的标准时，应考虑临床医生的观点以及患者的观点。
