Milosavljevic Aleksandar, Wolf Eva, Englander Magnus, Stavropoulos Andreas, Götrick Bengt
Department of Periodontology, Faculty of Odontology, Malmö University, SE-205 06, Malmö, Sweden.
Department of Endodontics, Faculty of Odontology, Malmö University, SE-205 06, Malmö, Sweden.
BDJ Open. 2021 Jan 28;7(1):7. doi: 10.1038/s41405-021-00059-4.
To describe what characterises the lived experience of performing a periodontal treatment in the context of general dentistry.
Three dental hygienists from general dentistry in Sweden, were purposively selected as participants and interviewed. The participants described a situation in which they had performed a periodontal treatment. The descriptions were analysed using the descriptive phenomenological psychological method.
The general meaning structure of the lived experience of performing a periodontal treatment comprised five constituents, (a) an established treatment routine, (b) importance of oral hygiene, (c) self-awareness and motivation of the patient, (d) support and doubt, and (e) mechanical infection control. The periodontal treatment is perceived as being set prior to its commencement and as following established routines, in which the patients' oral hygiene is experienced as a crucial part. The patients' self-awareness and a supportive clinician are seen as important factors in motivating the patient towards positive behavioural change, although there is a presence of doubt in patients' ability to maintain this positive change. Mechanical infection control is perceived as successful but sometimes difficult to perform.
Important, patient-related, factors are constituting the phenomenon of performing a periodontal treatment but an experience that the pre-existing standardised workflow influences patient management was also present.
描述在普通牙科背景下进行牙周治疗的实际体验的特征。
从瑞典普通牙科领域有目的地选取了三名牙科保健员作为参与者并进行访谈。参与者描述了他们进行牙周治疗的一个情境。使用描述性现象学心理学方法对这些描述进行分析。
进行牙周治疗的实际体验的总体意义结构包括五个要素:(a)既定的治疗流程,(b)口腔卫生的重要性,(c)患者的自我意识和动机,(d)支持与疑虑,以及(e)机械性感染控制。牙周治疗在开始前就被视为既定的,并遵循既定流程,其中患者的口腔卫生被视为关键部分。患者的自我意识和支持性的临床医生被视为促使患者朝着积极行为改变的重要因素,尽管患者维持这种积极改变的能力存在疑虑。机械性感染控制被认为是成功的,但有时难以实施。
重要的、与患者相关的因素构成了进行牙周治疗这一现象,但同时也存在一种体验,即预先存在的标准化工作流程会影响患者管理。