Pei Dandan, Liang Beilei, Du Wenzhi, Wang Peng, Liu Jie, He Min, Lu Yi
Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, Xi'an, China; Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, College of Stomatology, Xi'an Jiaotong University, Xi'an, China; Dept. of Prosthodontics, Stomatology Hospital of Xi'an Jiaotong University College of Medicine, Xi'an, China.
Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, Xi'an, China; Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, College of Stomatology, Xi'an Jiaotong University, Xi'an, China.
Int J Med Inform. 2017 Jun;102:150-155. doi: 10.1016/j.ijmedinf.2017.03.016. Epub 2017 Mar 27.
Proper cooperation between patient and dentist is of great help to make a good oral impression. However, patients are frequently confused when information is given through traditional verbal description. The present study compared the effectiveness of the multimedia information delivery ways with the traditional verbal manner on patients' understanding level in oral impression taking.
The recruited 191 participating patients were randomly assigned to the control group (the verbal group) and two intervention groups (the video group and the picture group) according to the information delivery manner. After intervention, the patients' understanding degree was measured by questionnaire and performance evaluation of behavior feedback on the provided information quantitatively. Also, patients' self-assessment of satisfaction was interviewed by telephone. All data was analyzed by SPSS 14.0 software, and p≤0.05 was set as significant difference in advance.
One-Way ANOVA and Chi-square showed there were no statistically significant differences in the mean age, gender composition, and educational level among the three groups (P>0.05). In both questionnaire assessment and performance evaluation, One-Way ANOVA followed by LSD indicate that the video group gained a higher score than the verbal group or the picture group (P<0.05). The questionnaire score in the picture group is significantly higher than in the control group (P<0.05), but no significant difference was shown between these two groups in patients' performance evaluation (P>0.05). Higher percentage of satisfaction was reported by patients in the two multimedia groups than that in the control group.
Oral impression taking is a consecutive process that requires action cooperation between dentists and patients simultaneously. This particularity makes it more suitable for multimedia delivery. The delivery of tailored information using multimedia in this study was favored by most patients and could improve the degree of patient understanding of the oral impression taking procedures.
患者与牙医之间的良好合作对于获得良好的口腔印模非常有帮助。然而，当通过传统的口头描述提供信息时，患者常常感到困惑。本研究比较了多媒体信息传递方式与传统口头方式对患者在口腔印模制取过程中理解程度的影响。
根据信息传递方式，将招募的191名参与患者随机分为对照组（口头组）和两个干预组（视频组和图片组）。干预后，通过问卷调查和对所提供信息的行为反馈进行定量绩效评估来测量患者的理解程度。此外，通过电话访谈患者的满意度自评。所有数据均使用SPSS 14.0软件进行分析，预先设定p≤0.05为显著差异。
单因素方差分析和卡方检验显示，三组患者的平均年龄、性别构成和教育水平无统计学显著差异（P>0.05）。在问卷调查评估和绩效评估中，单因素方差分析及随后的LSD检验表明，视频组的得分高于口头组或图片组（P<0.05）。图片组的问卷调查得分显著高于对照组（P<0.05），但在患者绩效评估中，这两组之间无显著差异（P>0.05）。两个多媒体组患者的满意度百分比高于对照组。
口腔印模制取是一个连续的过程，需要牙医和患者同时进行动作配合。这种特殊性使其更适合多媒体传递。本研究中使用多媒体传递量身定制的信息受到大多数患者的青睐，并且可以提高患者对口腔印模制取程序的理解程度。
