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种植体植入术前压力和焦虑与患者满意度的关系。

The relation of preoperative stress and anxiety on patients' satisfaction after implant placement.

作者信息

Khorshidi Houman, Lavaee Fatemeh, Ghapanchi Janan, Golkari Ali, Kholousi Sara

机构信息

Department of Periodontology, Shiraz University of Medical Sciences, Shiraz, Iran.

Oral and Dental Disease Research Center and Oral and Maxillofacial Medicine Department, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Dent Res J (Isfahan). 2017 Sep-Oct;14(5):351-355. doi: 10.4103/1735-3327.215968.

Abstract

BACKGROUND

There are some factors which can affect preoperative patient anxiety such as the necessity of procedure, postoperative pain, and patient's conception of his body image. The aim of this study was to assess the relation of patients' preoperative anxiety and postoperative patients' satisfaction in dental implant surgery.

MATERIALS AND METHODS

Dental implants were placed in 40 patients (19 male and 21 female) who were referred to Dental Implant Surgery Department in Imam Reza clinic, during March-December of 2014 in Shiraz. The procedures were performed with or without bone regeneration. Preoperative anxiety was evaluated using Corah Dental Anxiety Scale, and postoperative satisfaction was determined on the basis of pain intensity, bleeding tendency, inability to eating, and overall satisfaction by filling a questionnaire in the 2 or 3 week after surgery. Data were collected and analyzed using Mann-Whitney test.

RESULTS

Preoperative anxiety was detected as high in 10%, mild in 85%, and moderate in 5% of patients. Anxiety and depression score did not differ in both genders. There was no statistical difference between neither level of anxiety nor depression in both high and low educated patients. Postoperative bleeding, difficulty in eating, and overall satisfaction was nearly the same in both genders. Statistical analysis demonstrated a lower pain level and higher pain threshold in men than women ( = 0.007). Patients' age was not related to anxiety, depression, amount of bleeding, pain, and difficulty in eating. Overall dental care satisfaction was similar in both men and women.

CONCLUSION

The results of the study indicated that while anxiety does play a role in the perception of pain by patients undergoing implant surgery, overall patient satisfaction and post surgical outcomes did not significantly differ.

摘要

背景

有一些因素会影响患者术前焦虑,如手术必要性、术后疼痛以及患者对自身身体形象的认知。本研究旨在评估牙种植手术中患者术前焦虑与术后满意度之间的关系。

材料与方法

2014年3月至12月期间,在设拉子伊玛目礼萨诊所的牙种植外科,为40例患者(19例男性和21例女性)植入牙种植体。手术进行了骨再生或未进行骨再生。术前焦虑采用科拉牙科焦虑量表进行评估,术后满意度通过在术后2或3周填写问卷,根据疼痛强度、出血倾向、进食困难程度和总体满意度来确定。数据收集后使用曼-惠特尼检验进行分析。

结果

检测发现10%的患者术前焦虑程度高,85%为轻度,5%为中度。焦虑和抑郁评分在两性之间无差异。高学历和低学历患者的焦虑和抑郁水平均无统计学差异。术后出血、进食困难程度和总体满意度在两性之间几乎相同。统计分析表明,男性的疼痛水平低于女性,疼痛阈值高于女性(P = 0.007)。患者年龄与焦虑、抑郁、出血量、疼痛和进食困难无关。男性和女性对整体牙科护理的满意度相似。

结论

研究结果表明,虽然焦虑在接受种植手术的患者对疼痛的感知中确实起作用,但患者的总体满意度和术后结果并无显著差异。

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