Galazov A T, Drobyshev A Yu, Redko N A, Dibirov T M, Mikhailyukov V M, Miterev A A
Russian University of Medicine, Moscow, Russia.
Stomatologiia (Mosk). 2025;104(4):26-32. doi: 10.17116/stomat202510404126.
Evaluation of the effectiveness and impact of the shared decision-making method on patient satisfaction with the quality of preoperative preparation for combined (orthodontic and surgical) treatment.
The study included 97 patients with skeletal forms of distal and mesial occlusion, who were prepared for combined (orthodontic and surgical) treatment using the shared decision-making method. The effectiveness of the shared decision-making technique used in preparing patients for combined treatment was assessed by means of a questionnaire developed.
On the 2nd day after surgery, a patient survey revealed 25 different complaints related to the clinical manifestations of the effects of orthognathic surgery and rehabilitation features. The most frequently reported complaints were difficulty breathing (60.8%), swelling in the face (38.1%), difficulty eating (37.1%), bimaxillary splinting (21.7%), weakness/drowsiness (20.6%), numbness (19.6%), facial pain (15.5%). A survey conducted 6 months after orthognathic surgery showed that only 5.2% of patients were not satisfied with their preoperative consultation and considered the information provided to them about the postoperative consequences and rehabilitation features insufficiently comprehensive. 91.8% of patients noted that the information provided at the preoperative consultation stage helped them adapt to the specifics of the rehabilitation period, and only 1% would like to be unaware of the postoperative consequences.
The use of the shared decision-making method allows patients to successfully adapt to the consequences of orthognathic surgery and to the specifics of rehabilitation after it.
评估共同决策方法对患者接受正畸与外科联合治疗术前准备质量满意度的有效性及影响。
本研究纳入了97例患有远中及近中咬合骨骼形态的患者，他们采用共同决策方法为正畸与外科联合治疗做准备。通过所编制的问卷评估共同决策技术在患者联合治疗准备过程中的有效性。
术后第2天，患者调查显示有25种不同的与正颌手术效果及康复特点临床表现相关的主诉。最常报告的主诉为呼吸困难（60.8%）、面部肿胀（38.1%）、进食困难（37.1%）、双颌夹板固定（21.7%）、虚弱/嗜睡（20.6%）、麻木（19.6%）、面部疼痛（15.5%）。正颌手术后6个月进行的一项调查显示，只有5.2%的患者对术前咨询不满意，并认为提供给他们的关于术后后果及康复特点的信息不够全面。91.8%的患者指出，术前咨询阶段提供的信息帮助他们适应了康复期的特点，只有1%的患者希望对术后后果不知情。
采用共同决策方法可使患者成功适应正颌手术的后果及其后的康复特点。
