Graziani Filippo, Minenna Luigi, Karapets Dimitra, Herrera David, Nisi Marco, Gennai Stefano, Gabriele Mario, Discepoli Nicola, Petrini Morena, Marhl Urška, Perić Marina, Adriaen Laurence, Alonso Bettina, Bouchard Philippe, Cardaropoli Daniele, Cavalcanti Raffaele, Chackartchi Tali, Franch-Chillida Fernando, Gianserra Rodolfo, Guerrero Adrian, Landi Luca, Masiero Silvia, Mensi Magda, Moratti Paolo, Oreglia Francesco, Rupe Antonio, Sanchez Ignazio, Sforza Nicola, Capri Diego, Zabalegui Ion, Sanz Mariano, Tonetti Maurizio, Tomasi Cristiano
Oral Health Prev Dent. 2020 Jul 4;18(2):363-371. doi: 10.3290/j.ohpd.a44444.
No information is available on the perception of the quality of care in patients treated for periodontitis. The purpose of this article was to assess how periodontitis-affected patients perceive the quality of periodontal treatment (PT) and to measure the factors which may influence it.
306 subjects who completed PT were invited to participate. Questionnaires and visual analogic scales (VAS) evaluating perception of quality of care, symptoms, and oral health related quality of life (OHRQoL) were handed out. Oral and periodontal indicators were collected before and after treatment. The impact of different factors on perception of quality was assessed with a regression model.
Quality evaluation was high yet unrelated for both patients and clinicians (p = 0.983). Quality was negatively influenced by the number of residual oral infections (p < 0.001), patient's age (p = 0.07) and presence of residual pain at completion of PT (p = 0.02). Professionalism, kindness of the staff and communication skills were the characteristics mostly appreciated. The OHRQoL was influenced by the number of residual teeth (p < 0.001), increasing age of patients (p = 0.08), number of residual infections (p < 0.01) and pain (p = 0.04).
Patients' quality perception appeared to be influenced by clinical and emotional aspects. Oral care providers should be aware of the impact of non-clinical factors in patients' appreciation of quality of treatment.
目前尚无关于牙周炎患者对治疗质量感知的相关信息。本文旨在评估受牙周炎影响的患者如何看待牙周治疗（PT）的质量，并衡量可能影响该质量的因素。
邀请306名完成牙周治疗的受试者参与。发放了评估护理质量感知、症状以及与口腔健康相关的生活质量（OHRQoL）的问卷和视觉模拟量表（VAS）。在治疗前后收集口腔和牙周指标。使用回归模型评估不同因素对质量感知的影响。
患者和临床医生对质量的评价都很高，但两者之间并无关联（p = 0.983）。质量受到残余口腔感染数量（p < 0.001）、患者年龄（p = 0.07）以及牙周治疗结束时残余疼痛的存在（p = 0.02）的负面影响。专业素养、工作人员的友善程度和沟通技巧是最受赞赏的特质。OHRQoL受到残余牙齿数量（p < 0.001）、患者年龄增长（p = 0.08）、残余感染数量（p < 0.01）和疼痛（p = 0.04）的影响。
患者的质量感知似乎受到临床和情感方面的影响。口腔护理提供者应意识到非临床因素对患者治疗质量评价的影响。
