一项针对日本老年人群中牙医解释和医患沟通的研究。
A study of dentists' explanations and patient-dentist communication among older adults in Japan.
机构信息
Department of Nutrition Faculty of Home Economics, Kyushu Women's University, 1-1 Jiyugaoka, Yahatanishi, Kitakyushu, Kitakyushu, Fukuoka, 807-8586, Fukuoka, Japan.
Department of Preventive Medicine and Epidemiology, National Cerebral and Cardiovascular Center, Suita, 564-8565, Osaka, Japan.
出版信息
BMC Oral Health. 2024 Sep 30;24(1):1163. doi: 10.1186/s12903-024-04910-6.
BACKGROUND
In recent years, the proportion of elderly people in the total patient population has been increasing owing to the rapid aging of Japanese society. However, little is known about the age-specific healthcare communication challenges within the field of dentistry. Therefore, this study aimed to examine the relationship between dentists' explanations and patient-dentist communication among elderly patients.
METHODS
The study included 146 dentist-elderly patient pairs from Fukuoka Prefecture, Japan. A questionnaire was administered to pairs of dentists and patients. The survey was conducted between June 2021 and April 2022. We examined the relationships among the survey items: dentist demographics, patient demographics and sufficiency of the dentist explanations, and patient-dentist communication. The logistic regression analysis was conducted to examine the patient's mode of visiting the dentist as the objective variable, sufficiency of the dentist explanations, patient-dentist communication, dentist, and patient factors as explanatory variables.
RESULTS
About 30% of patients felt that explanations of "Comparison with other treatment methods," "Treatment period," and "Treatment prognosis" were not sufficient. Among these items, a significantly higher percentage of respondents found the dentist's explanations sufficient when they were treated by more than one dentist. Many good communication factors were significantly associated with the dentist being younger and having a preventive practice. Multivariate analysis revealed a significant association between sufficiency of the dentist explanations and patients' regular dental visits.
CONCLUSION
Adequate explanations by dentists for elderly patients were significantly associated with the dentist factor. Improving the quantity and quality of the dentists' explanations of treatment may improve patient satisfaction and promote regular dental visits.
背景
近年来，由于日本社会的快速老龄化，老年患者在总患者人群中的比例不断增加。然而，在牙科领域，针对特定年龄段的医疗保健沟通挑战知之甚少。因此，本研究旨在探讨牙医解释与老年患者医患沟通之间的关系。
方法
本研究纳入了来自日本福冈县的 146 对牙医-老年患者。向牙医和患者对进行了问卷调查。调查于 2021 年 6 月至 2022 年 4 月进行。我们检查了以下调查项目之间的关系：牙医人口统计学、患者人口统计学、牙医解释的充分性以及患者-牙医沟通。逻辑回归分析用于检查患者看牙医的模式作为因变量，牙医解释的充分性、患者-牙医沟通、牙医和患者因素作为自变量。
结果
约 30%的患者认为“与其他治疗方法的比较”、“治疗期”和“治疗预后”的解释不充分。在这些项目中，当患者接受不止一位牙医治疗时，认为牙医解释充分的比例明显更高。许多良好的沟通因素与牙医更年轻和采用预防实践显著相关。多变量分析显示，牙医解释的充分性与患者定期看牙医之间存在显著关联。
结论
牙医对老年患者的充分解释与牙医因素显著相关。提高牙医对治疗的解释数量和质量可能会提高患者满意度并促进定期看牙医。
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