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心理指导对全口义齿佩戴者满意度影响的评估

Evaluation of psychological guidance impact on complete denture wearer's satisfaction.

作者信息

Zou Yun, Zhan Desong

机构信息

Department of Cadres Clinic, School of Stomatology, China Medical University, Shenyang, China; Department of Materials, School of Stomatology, China Medical University, Shenyang, China.

出版信息

J Oral Rehabil. 2014 Oct;41(10):744-53. doi: 10.1111/joor.12202. Epub 2014 Jun 11.

Abstract

The purpose of this study was to evaluate the impact of psychological intervention on edentulous patients' satisfaction with complete clinically satisfactory complete dentures. The survey was conducted in China Medical University involving 84 individuals receiving complete dentures at this institution from August 2013 to March 2014. Participants were randomly allocated to intervention and control groups consisting of 42 subjects, respectively. In the intervention group, individuals received oral health education and psychological intervention before and after the whole process. In the control group, 42 cases received doctor's regular advice after treatment. Satisfaction regarding aesthetic, speech, mastication, retention and comfort was rated in the first and third month after prosthesis treatment. Patients overall aesthetic, speech, mastication and retention were significantly improved in both intervention and control groups in 3 months later after prosthesis treatment when compared with the first month (P < 0·05). No significant difference existed for comfort in control group. Patient scores on aesthetic, speech, mastication and retention at both first and third month evaluations (P < 0·05) differed between the control and intervention groups. However, there was no difference for their scores related to comfort (P > 0·05) in first and third month. The study concludes that psychological intervention plays a significant role in improving patient satisfaction with complete dentures.

摘要

本研究的目的是评估心理干预对无牙颌患者对临床效果满意的全口义齿满意度的影响。该调查在中国医科大学进行,涉及2013年8月至2014年3月期间在该机构接受全口义齿修复的84名患者。参与者被随机分为干预组和对照组,每组各42名受试者。在干预组中,患者在整个过程前后接受口腔健康教育和心理干预。在对照组中,42例患者在治疗后接受医生的常规建议。在义齿修复后的第一个月和第三个月,对患者在美观、语音、咀嚼、固位和舒适度方面的满意度进行评分。与第一个月相比,义齿修复3个月后,干预组和对照组患者的整体美观、语音、咀嚼和固位情况均有显著改善(P<0.05)。对照组在舒适度方面无显著差异。对照组和干预组患者在第一个月和第三个月评估时在美观、语音、咀嚼和固位方面的得分存在差异(P<0.05)。然而,他们在第一个月和第三个月与舒适度相关的得分没有差异(P>0.05)。该研究得出结论,心理干预在提高患者对全口义齿的满意度方面起着重要作用。

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