Flett Andrew Mark Cursiter, Hall Mel, McCarthy Caroline, Marshman Zoe, Benson Philip E
University of Sheffield, Sheffield, UK.
J Orthod. 2014 Jun;41(2):88-97. doi: 10.1179/1465313313Y.0000000080. Epub 2014 Feb 12.
To explore the views of potential orthognathic patients regarding the influence of the BOS Orthognathic DVD in their decision making process.
Qualitative, cross-sectional study.
A UK dental teaching hospital.
Patients considering orthognathic treatment.
New patients were recruited from orthognathic clinics following an initial consultation. After an appropriate time to view the DVD, in-depth interviews were conducted with 10 patients (aged 16-48 years) in their homes. Interviews explored the attitudes and perceptions that influenced decisions about surgery, with a focus on the role of the DVD in this process. The interviews were transcribed and a framework analysis was undertaken.
The main themes identified were participant perceptions on the patient stories, use of images, the nature of the DVD itself and its usefulness in the decision making process. Participants reported they were heavily influenced by the patient stories. Virtual animations of surgery were seen as useful; whereas the before and after images of surgery were found to be disorientating. The design of the menu resulted in confusion or information being missed. The DVD was seen as a trusted resource, whereas the Internet was seen as biased, general and sensationalistic.
The DVD gives trusted information that patients cannot obtain or process from professional sources or the Internet. If used properly it can have a role in the decision making process, but should be seen within the context of other influences on the patient. This research has highlighted some aspects of the DVD that could be improved upon.
探讨正颌手术潜在患者对《BOS正颌手术DVD》在其决策过程中所产生影响的看法。
定性横断面研究。
英国一家牙科教学医院。
考虑接受正颌治疗的患者。
在初次咨询后，从正颌门诊招募新患者。在给予适当时间观看DVD后，对10名年龄在16至48岁之间的患者进行了家访深度访谈。访谈探讨了影响手术决策的态度和看法，重点关注DVD在此过程中的作用。访谈内容进行了转录，并开展了框架分析。
确定的主要主题包括参与者对患者故事的看法、图像的使用、DVD本身的性质及其在决策过程中的有用性。参与者报告称，他们深受患者故事的影响。手术虚拟动画被认为很有用；而手术前后的图像则让人感到困惑。菜单的设计导致信息混淆或遗漏。DVD被视为可靠的资源，而互联网则被认为存在偏见、内容笼统且耸人听闻。
DVD提供了患者无法从专业渠道或互联网获取或处理的可靠信息。如果使用得当，它可以在决策过程中发挥作用，但应结合对患者的其他影响因素来看待。本研究突出了DVD可改进的一些方面。
