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不确定性容忍度对灼口综合征患者症状严重程度与口腔状态满意度相关性的影响。

The influence of intolerance of uncertainty on the correlation between the severity of symptoms and satisfaction with oral state in patients with burning mouth syndrome.

机构信息

Division of Oral Medicine and Pathology, Department of Human Biology and Pathophysiology, School of Dentistry, Health Sciences University of Hokkaido, 1757 Kanazawa, Ishikari-Tobetsu, Hokkaido, 061-0293, Japan.

Division of Disease Control and Molecular Epidemiology, Department of Oral Growth and Development, School of Dentistry, Health Sciences University of Hokkaido, 1757 Kanazawa, Ishikari-Tobetsu, Hokkaido, 061-0293, Japan.

出版信息

Clin Oral Investig. 2022 Nov;26(11):6563-6568. doi: 10.1007/s00784-022-04606-7. Epub 2022 Jul 6.

DOI:10.1007/s00784-022-04606-7
PMID:35790598
Abstract

OBJECTIVE

Intolerance of uncertainty (IU) is thought to be involved with the psychological factors that influence the symptoms in patients with burning mouth syndrome (BMS) and affect their limited satisfaction with the treatments provided. However, the influence of IU on satisfaction has not been explored in detail. Therefore, the purpose of this study was to investigate whether IU can affect the satisfaction of patients with BMS.

METHODS

A total of 34 patients with BMS and 100 patients without the disease who visited the general dental clinic were included in the study. They were required to complete a questionnaire measuring the subjective severity of their symptoms and satisfaction with their oral state, and a short IU scale. The BMS patients were separated from the control patients based on the IU score. The coefficients between the severity of symptoms and satisfaction were calculated to examine the influence of IU on the relationship between the two variables.

RESULTS

The relationship between satisfaction and severity of symptoms was significant in BMS patients with high IU, but not in control patients with low IU.

CONCLUSION

This study demonstrated that IU in BMS patients influences the relationship between the severity of symptoms and the satisfaction, thus indicating that the dissatisfaction in BMS patients with high IU might be prevented by decreasing the IU.

CLINICAL RELEVANCE

Limited satisfaction experienced by BMS patients can influence the patient-doctor relationship. This study provides suggestions for building a good patient-doctor relationship.

摘要

目的

不确定性容忍度(IU)被认为与影响灼口综合征(BMS)患者症状的心理因素有关,并影响他们对所提供治疗的有限满意度。然而,IU 对满意度的影响尚未得到详细探讨。因此,本研究旨在探讨 IU 是否会影响 BMS 患者的满意度。

方法

本研究共纳入 34 名 BMS 患者和 100 名无该病的普通牙科诊所就诊患者。他们需要完成一份问卷,测量其症状的主观严重程度和对口腔状况的满意度,以及一份短的 IU 量表。根据 IU 评分,将 BMS 患者与对照患者分开。计算症状严重程度和满意度之间的系数,以检验 IU 对两者之间关系的影响。

结果

在 IU 较高的 BMS 患者中,满意度与症状严重程度之间存在显著关系,但在 IU 较低的对照组患者中则不存在。

结论

本研究表明,BMS 患者的 IU 会影响症状严重程度与满意度之间的关系,因此,降低 IU 可能会预防高 IU 的 BMS 患者的不满。

临床意义

BMS 患者的满意度有限会影响医患关系。本研究为建立良好的医患关系提供了建议。

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Current management strategies for the pain of elderly patients with burning mouth syndrome: a critical review.老年灼口综合征患者疼痛的当前管理策略:一项批判性综述。
Biopsychosoc Med. 2019 Jan 31;13:1. doi: 10.1186/s13030-019-0142-7. eCollection 2019.
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Patient satisfaction with primary healthcare services: are there any links with patients' symptoms of anxiety and depression?患者对基层医疗服务的满意度:与患者的焦虑和抑郁症状有何关联?
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Pain anxiety differentially mediates the association of pain intensity with function depending on level of intolerance of uncertainty.疼痛焦虑根据不确定性容忍度的不同,不同程度地调节疼痛强度与功能之间的关系。
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