Mehra T, Nanda R S, Sinha P K
Department of Orthodontics, University of Oklahoma, Oklahoma City 73190, USA.
Angle Orthod. 1998 Apr;68(2):115-22. doi: 10.1043/0003-3219(1998)068<0115:OAAMOP>2.3.CO;2.
This study was designed to evaluate the use of predictors and methods of improving patient compliance. A survey of 118 items was developed by searching the literature for items that other researchers have found to be significant. The new questionnaire contained six sections. Sections 1 and 2 pertained to predictors of patient compliance; sections 3 and 4 related to methods of improving compliance. In section 5, the respondents were asked to evaluate patient personality traits that might be important in evaluating compliance, and in the last section, demographic background information on the respondents was collected. Questionnaires were mailed to 1,262 practicing orthodontists in the United States, and 429 responses were received. Patient-related items, such as desire for treatment and relationship with parents, were ranked as important factors motivating patients to comply. Verbal praise and communication were rated as important methods for improving compliance. Personality traits that orthodontists found to be predictive of patient compliance were: high self-esteem; obedient; accommodating; and self-confident. Patients' perceptions of their malocclusions, combined with their desire for orthodontic treatment, may be good indicators of compliance. Doctor-patient rapport and verbal praise may be useful ways to improve compliance.
本研究旨在评估预测因素的使用情况以及提高患者依从性的方法。通过检索文献中其他研究人员发现具有重要意义的项目，编制了一份包含118个条目的调查问卷。新问卷包含六个部分。第1和第2部分涉及患者依从性的预测因素；第3和第4部分与提高依从性的方法相关。在第5部分，要求受访者评估在评估依从性方面可能重要的患者个性特征，在最后一部分，收集受访者的人口统计学背景信息。问卷被邮寄给美国1262名正畸医生，共收到429份回复。与患者相关的项目，如治疗意愿和与父母的关系，被列为促使患者依从的重要因素。口头表扬和沟通被评为提高依从性的重要方法。正畸医生发现可预测患者依从性的个性特征为：自尊心强；顺从；随和；自信。患者对自身错颌畸形的认知，再加上他们对正畸治疗的意愿，可能是依从性的良好指标。医患关系和口头表扬可能是提高依从性的有效方式。
