College of Dentistry, University of Iowa, Iowa City, IA.
Dows Institute for Dental Research, University of Iowa College of Dentistry, Iowa City, IA.
J Prosthodont. 2019 Mar;28(3):264-270. doi: 10.1111/jopr.12983. Epub 2018 Oct 29.
To investigate the relationships between gender, age, patients' perceptions about the dentists' conduct, number of adjustments, treatment type, and expectation prior to prosthetic treatment and patient satisfaction with their treatments.
Data were integrated from four studies that measured patient expectations before treatment and satisfaction after treatment using a visual analog scale (VAS) from 0 to 10. These scores were given for each of four aspects of the therapeutic outcomes: chewing, esthetics, phonetics, and comfort. Patients' perceptions about the dentists' conduct was also assessed using a Likert-scale questionnaire. The total sample size, after combining the data from all four studies, was 223 subjects. Bivariate and multivariable analyses were performed. The covariates entertained were gender, age, treatment type, patients' perceptions about the dentists' conduct, number of adjustments, and expectation prior to denture fabrication.
In the entire sample, 115 (51.57%) patients were females and 108 (48.43%) were males. They ranged in age from 28 to 81 years old; the mean age was 53.2 years (SD = 11.5). Combining four treatments together, there was no significant difference between patients' expectation and satisfaction scores for all four items. There were no significant differences between expectation and satisfaction for different genders. Multivariable analysis showed that patient expectation, satisfaction and the difference (satisfaction score-expectation score) scores for all four aspects were associated with treatment type (implant treatments were favored), and expectation prior to prosthetic treatment (the higher the expectation, the higher the satisfaction) was associated with satisfaction and difference scores. Satisfaction and difference scores for chewing were associated with number of adjustments and satisfaction, and satisfaction and difference scores for phonetics and comfort were associated with how well the dentist explained the intended treatment before performing it.
Patient satisfaction was associated with treatment type (implant treatments were favored), expectations prior to prosthetic treatment (the higher the expectation, the higher the satisfaction), and how well the dentist explained the intended treatment before performing it.
研究性别、年龄、患者对牙医行为的看法、调整次数、治疗类型以及修复治疗前的期望与患者对治疗的满意度之间的关系。
整合了四项研究的数据，这些研究使用视觉模拟评分（VAS）从 0 到 10 对治疗前的患者期望和治疗后的患者满意度进行了测量。这些分数分别针对治疗结果的四个方面进行了评估：咀嚼、美观、发音和舒适度。患者对牙医行为的看法也使用李克特量表问卷进行了评估。将四项研究的数据合并后，总样本量为 223 名患者。进行了单变量和多变量分析。考虑的协变量为性别、年龄、治疗类型、患者对牙医行为的看法、调整次数以及修复治疗前的期望。
在整个样本中，115 名（51.57%）患者为女性，108 名（48.43%）为男性。年龄从 28 岁到 81 岁不等，平均年龄为 53.2 岁（标准差=11.5）。将四种治疗方法结合在一起，所有四个项目的患者期望和满意度评分之间没有显著差异。不同性别之间的期望和满意度也没有显著差异。多变量分析显示，所有四个方面的患者期望、满意度和差异（满意度评分-期望评分）评分都与治疗类型（种植体治疗更受欢迎）以及修复治疗前的期望相关，而期望越高，满意度越高）与满意度和差异评分相关。咀嚼方面的满意度和差异评分与调整次数有关，而发音和舒适度方面的满意度和差异评分与牙医在进行治疗前解释预期治疗效果的好坏有关。
患者满意度与治疗类型（种植体治疗更受欢迎）、修复治疗前的期望（期望越高，满意度越高）以及牙医在进行治疗前解释预期治疗效果的好坏有关。
