Moore Rod
Institute of Dentistry and Oral Health, Aarhus University, 8000 Aarhus, Denmark.
Dent J (Basel). 2022 Apr 7;10(4):66. doi: 10.3390/dj10040066.
This article aimed to set into perspective the unique aspects of trust within the dentist-patient relationship by exploring the literature as well as historical aspects of dentistry in the association between trust/distrust and patient anxiety. In order to characterise this uniqueness, the assumptions for trusting in dentistry are compared and contrasted with other professions using a conceptual analysis. The professions of medicine, sociology, psychology, nursing and dentistry were check listed according to the tenets of a concept analytical approach reported by Hupcey et al., in 2001. Recommendations for patient/person-centred care, as opposed to dentist-centred care, that would improve trust are specified according to the literature. These include empowering patients, practicing active listening, empathy and relationship building that might benefit dental patients in relation to the perceived risks of anxiety or induced pain. It was concluded that global distrust of dominating dentists must give way to person-centred professional strategies so that dentists and patients can tackle their dental anxiety-trust challenges, both in the public's image of the dental profession and in clinical relationships. Future directions would be to explore incentives for dentists to change to patient/person-centred care.
本文旨在通过探讨相关文献以及牙科的历史方面，来审视医患关系中信任的独特之处，特别是信任/不信任与患者焦虑之间的关联。为了描述这种独特性，采用概念分析的方法，将牙科中信任的假设与其他职业进行比较和对比。根据2001年Hupcey等人报告的概念分析方法的原则，对医学、社会学、心理学、护理和牙科等职业进行了核对清单分析。根据文献，明确了与以牙医为中心的护理相对的、以患者/人为中心的护理的建议，这些建议将有助于提高信任。其中包括赋予患者权力、积极倾听、共情以及建立关系，这些措施可能会使牙科患者在面对焦虑或诱发疼痛的感知风险时受益。得出的结论是，对主导型牙医的普遍不信任必须让位于以患者/人为中心的专业策略，以便牙医和患者能够应对他们在公众对牙科职业的印象以及临床关系中面临的牙科焦虑-信任挑战。未来的方向将是探索促使牙医转向以患者/人为中心护理的激励措施。
