Yao Jie, Li Ming, Tang Hua, Wang Peng-Lai, Zhao Yu-Xiao, McGrath Colman, Mattheos Nikos
Faculty of Dentistry, The University of Hong Kong, Hong Kong, China.
Department of Dental Implantology, Affiliated Stomatological Hospital of Nanjing Medical University, Nanjing Jiangsu Province, China.
Clin Oral Implants Res. 2017 Mar;28(3):261-271. doi: 10.1111/clr.12793. Epub 2016 Mar 23.
While research in terms of patient-centered care in implant therapy is growing, few studies have investigated patients' initial perceptions prior to consultation with the implant dentist. The aim of this cross-sectional study was to capture patients' initial information level, perceptions, as well as expectations from the implant therapy.
A 34-item questionnaire was developed to investigate patients' preoperative information, perceptions and expectations from treatment with Dental Implants. The study was conducted in three locations (Hong Kong, SiChuan and JiangSu) during 2014-2015 with 277 patients.
The main information source about implant therapy was the dentist or hygienist for less than half of the patients (n = 113, 42%). About 62.8% of participants considered that they were in general informed about implants, but only 17.7% felt confident with the information they had. More than 30% of the sample appeared to maintain dangerous misperceptions about Dental Implants: "Dental Implants require less care than natural teeth"; "Treatment with Dental Implants is appropriate for all patients with missing teeth"; "Dental Implants last longer than natural teeth"; and "Treatments with Dental Implants have no risks or complications." Patients were divided when asked whether "Dental Implants are as functional as natural teeth" (agreement frequency = 52.7%). Expectations from treatment outcome were commonly high, while there was a significant correlation between the overall mean of perception scores and outcome expectation scores (r = 0.32, P < 0.001). Overall, younger subjects (<45 years) and those with higher education level (bachelor and postgraduate) tended to present more realistic perceptions and lower outcome expectations.
The majority of patients in this study presented relatively realistic perceptions. However, an alarming portion of the sample presented with inaccurate perceptions and unrealistic expectations, which the dental team would need to diagnose and correct prior to initiating implant treatment.
虽然关于种植治疗中以患者为中心的护理研究日益增多，但很少有研究调查患者在咨询种植牙医之前的初始认知。这项横断面研究的目的是了解患者的初始信息水平、认知以及对种植治疗的期望。
设计了一份包含34个条目的问卷，以调查患者术前关于牙种植体治疗的信息、认知和期望。该研究于2014年至2015年在三个地点（香港、四川和江苏）对277名患者进行。
不到一半的患者（n = 113，42%）关于种植治疗的主要信息来源是牙医或口腔保健员。约62.8%的参与者认为他们总体上了解种植体，但只有17.7%的人对自己所掌握的信息感到自信。超过30%的样本似乎对牙种植体存在危险的错误认知：“牙种植体比天然牙需要的护理更少”；“牙种植体治疗适用于所有缺牙患者”；“牙种植体比天然牙使用寿命更长”；以及“牙种植体治疗没有风险或并发症”。当被问及“牙种植体与天然牙功能一样”时，患者存在分歧（赞同率 = 52.7%）。对治疗结果的期望通常较高，而认知得分的总体平均值与结果期望得分之间存在显著相关性（r = 0.32，P < 0.001）。总体而言，较年轻的受试者（<45岁）和受过高等教育（本科和研究生）的人往往表现出更现实的认知和更低的结果期望。
本研究中的大多数患者表现出相对现实的认知。然而，令人担忧的是，一部分样本存在不准确的认知和不切实际的期望，牙科团队在开始种植治疗前需要对此进行诊断和纠正。
