患者对 COVID-19 期间正畸治疗体验的看法：一项横断面研究。
Patients' perceptions of orthodontic treatment experiences during COVID-19: a cross-sectional study.
机构信息
Division of Orthodontics, University of Connecticut Health, 263 Farmington Ave, Farmington, CT, 06032, USA.
Connecticut Convergence Institute for Translation in Regenerative Engineering, University of Connecticut Health, Farmington, CT, USA.
出版信息
Prog Orthod. 2021 Jun 8;22(1):17. doi: 10.1186/s40510-021-00363-7.
BACKGROUND
COVID-19 has impacted the care of patients undergoing orthodontic treatment. We aimed to provide an overall view of patients' perspectives, concerns, and expectations towards their treatment throughout the clinic lockdown during the pandemic; and to assess patients' levels of mental distress and its association with their confidence in resuming care.
METHODS
An anonymous, validated, in-person paper questionnaire was distributed to adult orthodontic patients' post-lockdown at an academic institution. The survey focused on the clinical aspects and patients' perspectives regarding orthodontic treatment during the pandemic. The Kessler Mental Distress Scale (K10) was used to evaluate their psychological status. Survey responses were descriptively summarized and confidence in resuming care was compared between normal patients and patients with mental distress using Mann-Whitney tests.
RESULTS
One hundred fifty-four patients were surveyed from July to October 2020. Mean age of the participants was 29.30 (SD = 12.01) years and 62% were females. Emergencies during the closure (21%, 32/154) involved primarily irritation with protruding wires. Patients were neutral regarding tele-dentistry and preferred their current fixed appliances over clear aligners. Upon resuming care, 80.51% were extremely pleased with the restrictive protocols and with high level of confidence in resuming treatment. The average level of anxiety was low, and a modest association was found between mental distress and reduced confidence in resuming treatment.
CONCLUSIONS
Few numbers of minor emergencies occurred during the clinic closure. Despite the rising interest in tele-dentistry, patients were neutral on considering this option to monitor treatment and were content with fixed appliances. Patients had high confidence levels to resume their care based on the protocols established upon reopening. The association of mental distress and confidence in resuming care is suggestive and needs further investigation.
背景
COVID-19 疫情对正在接受正畸治疗的患者的护理产生了影响。我们旨在提供患者对整个治疗过程的看法、担忧和期望的总体概述，评估患者的精神困扰水平及其与恢复治疗信心的关联。
方法
在疫情封锁期间，我们在一家学术机构对成年正畸患者进行了一项匿名、经验证的现场纸质问卷调查。该调查主要集中在正畸治疗的临床方面和患者的观点。使用 Kessler 精神困扰量表（K10）评估他们的心理状况。对调查结果进行描述性总结，并使用 Mann-Whitney 检验比较正常患者和有精神困扰患者对恢复治疗的信心。
结果
2020 年 7 月至 10 月期间，共对 154 名患者进行了调查。参与者的平均年龄为 29.30 岁（标准差=12.01），62%为女性。关闭期间的紧急情况（21%，32/154）主要涉及刺激突出的金属丝。患者对远程牙科治疗持中立态度，更喜欢他们现有的固定矫正器而不是透明矫正器。恢复治疗后，80.51%的患者对限制协议非常满意，对恢复治疗的信心很高。平均焦虑水平较低，精神困扰与恢复治疗信心降低之间存在适度关联。
结论
在诊所关闭期间，少数紧急情况发生。尽管远程牙科治疗的兴趣日益增加，但患者对考虑这种选择来监测治疗持中立态度，对固定矫正器感到满意。患者对根据重新开放制定的协议恢复治疗有很高的信心水平。精神困扰与恢复治疗信心的关联具有提示性，需要进一步调查。
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