Earl P
Department of Oral and Maxillofacial Surgery, Blackburn Royal Infirmary, Lancashire.
Br J Oral Maxillofac Surg. 1994 Oct;32(5):293-7. doi: 10.1016/0266-4356(94)90049-3.
There has been little study of patients' anxieties about third molar surgery despite its widespread practice. 105 patients were invited to complete questionnaires preoperatively to assess anxieties about the procedure and to assess how well it was explained. They were also asked post operatively to assess differences from expectations, accuracy of the preoperative explanation and which aspect would worry them most should the procedure be repeated. Patients generally found their worries as expected or even better. Few found events worse with only pain (12%) and paraesthesia (13%) of note. Although 88% of patients assessed pain as better than or as expected, 43% would fear it most if the procedure was repeated. Pain is the single most feared factor despite evidence that it is usually no worse than originally feared. Reassurance and adequate pain control are the most important factors to patients in third molar surgery, and this reassurance should start at operation booking rather than on admission.
尽管第三磨牙手术广泛开展，但对患者在此类手术中的焦虑情况却鲜有研究。邀请了105名患者在术前完成问卷，以评估他们对手术的焦虑程度以及对手术解释的理解程度。术后还询问他们评估实际情况与预期的差异、术前解释的准确性，以及如果再次进行该手术，哪个方面会让他们最担心。患者普遍发现他们的担忧与预期相符甚至更好。只有少数人（12%）觉得情况变差，仅有疼痛和感觉异常（13%）值得注意。虽然88%的患者认为疼痛比预期的要好或与预期相符，但如果再次进行手术，43%的患者最担心疼痛。尽管有证据表明疼痛通常并不比最初担心的更严重，但它仍是最令人恐惧的单一因素。在第三磨牙手术中，安抚和充分的疼痛控制对患者来说是最重要的因素，这种安抚应该在预约手术时就开始，而不是在入院时。
