Corah N L, O'Shea R M, Bissell G D, Thines T J, Mendola P
School of Dental Medicine, State University of New York, Buffalo 14214.
J Am Dent Assoc. 1988 Jan;116(1):73-6. doi: 10.14219/jada.archive.1988.0162.
This study relates perceived dentist behaviors to anxiety reduction in patients during treatment, and to satisfaction with the dental visit. The sample consisted of 250 adult patients, 110 men and 140 women, at two outpatient hospital dental clinics. Immediately after treatment, patients were asked to respond to a list of 25 dentist behaviors thought to be associated with positive dentist-patient interaction. Criterion measures obtained by patients were self-ratings of anxiety during treatment and satisfaction measures from the DVSS. Ten behaviors were significantly associated with anxiety reduction. A stepwise multiple regression analysis with anxiety reduction as the dependent variable indicated that to the patient, the dentist's explicit dedication to prevent pain was the most important dentist behavior, with friendliness, working quickly, being calm, and giving moral support, being important auxiliary behaviors. Most of the 25 dentist behaviors studied were associated with patient satisfaction. A stepwise multiple regression analysis indicated that the dentist's empathy and communicativeness were among important correlates of patient satisfaction. An experimental approach to causal analysis of anxiety reducing behaviors needs to be studied.
本研究探讨了患者在治疗过程中所感知到的牙医行为与焦虑减轻以及对就诊满意度之间的关系。样本包括两家门诊医院牙科诊所的250名成年患者，其中男性110名，女性140名。治疗结束后，患者立即被要求对被认为与积极医患互动相关的25项牙医行为清单做出回应。患者获得的标准测量指标是治疗期间的焦虑自评以及DVSS的满意度测量。有10项行为与焦虑减轻显著相关。以焦虑减轻为因变量的逐步多元回归分析表明，对患者而言，牙医明确致力于预防疼痛是最重要的牙医行为，友好、工作迅速、冷静以及给予精神支持是重要的辅助行为。所研究的25项牙医行为中的大多数与患者满意度相关。逐步多元回归分析表明，牙医的同理心和沟通能力是患者满意度的重要相关因素。需要研究一种对焦虑减轻行为进行因果分析的实验方法。
