West K P, DuRant R H, Pendergrast R
Department of Oral Health Practice, College of Dentistry, University of Kentucky, Lexington.
J Adolesc Health. 1993 Jul;14(5):384-9. doi: 10.1016/s1054-139x(08)80012-2.
This study assessed factors associated with adolescents' compliance with dental appointments. Patients (n = 162) attending an adolescent clinic were administered a pretest questionnaire assessing health locus of control, self-esteem, and beliefs and attitudes about dental health from the Health Belief Model. Adolescents needing dental care were randomly assigned to groups for whom their dental appointment was made by a health professional or one in which the patient made his or her own appointment and to groups receiving an appointment reminder card versus not receiving a reminder card. Dental records were then reviewed to examine previous experiences with dental treatment. Neither the method used for making the appointment nor the use of reminder cards had a significant effect on compliance with the dental appointments. Also, compliance was not associated with health locus of control, self-esteem, or variables from the Health Belief Model. Older patients were more noncompliant than younger patients (tau = 0.14). Noncompliance was negatively correlated with the number of previous dental visits and previous dental procedures, oral hygiene instruction, and x-rays. Number of previous x-rays and previous broken appointments explained 5.1% of the variation in noncompliance. The Health Belief Model was not successful in predicting compliance behavior in this sample of adolescents.
本研究评估了与青少年遵守牙科预约相关的因素。在一家青少年诊所就诊的患者（n = 162）接受了一项预测试问卷，该问卷评估了健康控制点、自尊以及来自健康信念模型的关于牙齿健康的信念和态度。需要牙科护理的青少年被随机分配到由健康专业人员为其安排牙科预约的组或患者自行预约的组，以及接受预约提醒卡与不接受提醒卡的组。然后查阅牙科记录以检查以往的牙科治疗经历。预约方式和提醒卡的使用对遵守牙科预约均无显著影响。此外，遵守情况与健康控制点、自尊或健康信念模型中的变量无关。年龄较大的患者比年龄较小的患者更不遵守预约（tau = 0.14）。不遵守与以往看牙次数、以往牙科治疗程序、口腔卫生指导和X光检查呈负相关。以往X光检查次数和以往爽约次数解释了不遵守情况中5.1%的变异。健康信念模型未能成功预测该青少年样本中的遵守行为。
