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Quintessence Int:牙科医生遇到患者爽约,不要只埋怨患者医生也要反思一下

2016-03-13 MedSci MedSci原创

Quintessence Int:牙科医生遇到患者爽约,不要只埋怨患者医生也要反思一下本研究旨在确定慢性牙周炎患者的依从性与牙周非手术治疗疗效之间的关系,并探讨影响慢性牙周炎患者依从性的因素,从而确定患者的预后并提高治疗的疗效。研究共纳入了400名慢性牙周炎患者,分为三组:完全依从组(S1),依从性一般组(S2),和完全不依从组(S3)。S1组患者按时接受牙周支持治疗(SPT):在不足2个月的治疗

本研究旨在确定慢性牙周炎患者的依从性与牙周非手术治疗疗效之间的关系,并探讨影响慢性牙周炎患者依从性的因素,从而确定患者的预后并提高治疗的疗效。

研究共纳入了400名慢性牙周炎患者,分为三组:完全依从组(S1),依从性一般组(S2),和完全不依从组(S3)。S1组患者按时接受牙周支持治疗(SPT):在不足2个月的治疗计划期内他们按约就诊;未按约就诊超过2个月以及一次或多次未按约就诊的患者安排在S2组;初次治疗后再也没有按约就诊的患者分配至S3组。所有患者完成了问卷调查,并进行了临床牙周检查。采用SPSS 13.0进行统计分析。

S2组49.4%的患者,S3组34.1%的患者以及S1组87%的患者了解牙周病常合并其他疾病,S1、S2与S3组差异明显。治疗期间重度疼痛的分析显示,S1组(22%)和S3组(39.9%)之间存在显著地差异。患者对慢性牙周炎的认知以及患者治疗过程中的舒适性是影响患者依从性的重要因素。患者居住地离医院的距离、工作时间、家庭成员的态度也会影响患者的依从性。

总而言之,医生应该对病人进行口腔健康教育,治疗过程中尽可能的考虑到患者的舒适度,从而提高患者的依从性,并达到更好的治疗效果。

原始出处:

Si W, Wang H, Li Q, Zhao X, Pan Y. Effects of different factors influencing clinical compliance of Chinese patients with chronic periodontitis. Quintessence Int. 2016 Mar 4. doi: 10.3290/j.qi.a35701.


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  1. [GetPortalCommentsPageByObjectIdResponse(id=124670, encodeId=d5961246e054, content=好文章,还会关注, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Tue Sep 13 11:00:00 CST 2016, time=2016-09-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=124417, encodeId=20df12441ec9, content=赞!好文章认真学习了。, beContent=null, objectType=article, channel=null, level=null, likeNumber=78, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7s7ZCKOmmbBTD6nE7gcd5OZpvyGEzkxBP3S275k5ZJVrsPkotZhBglRHM9rKvcj1OgkssqhcnoPw8zIaMZTF8c/0, createdBy=4c441942088, createdName=ylzr123, createdTime=Tue Sep 13 10:12:00 CST 2016, time=2016-09-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1797962, encodeId=b8ad1e9796236, content=<a href='/topic/show?id=91806e62400' target=_blank style='color:#2F92EE;'>#牙科医生#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67624, encryptionId=91806e62400, topicName=牙科医生)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c9df476, createdName=fyxzlh, createdTime=Wed Jun 15 15:43:00 CST 2016, time=2016-06-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1461310, encodeId=4ce0146131097, content=<a href='/topic/show?id=67356e62003' target=_blank style='color:#2F92EE;'>#牙科#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67620, encryptionId=67356e62003, topicName=牙科)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2d786418402, createdName=xzw115, createdTime=Tue Mar 15 13:43:00 CST 2016, time=2016-03-15, status=1, ipAttribution=)]
    2016-09-13 1e10c84am36(暂无匿称)

    好文章,还会关注

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  2. [GetPortalCommentsPageByObjectIdResponse(id=124670, encodeId=d5961246e054, content=好文章,还会关注, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Tue Sep 13 11:00:00 CST 2016, time=2016-09-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=124417, encodeId=20df12441ec9, content=赞!好文章认真学习了。, beContent=null, objectType=article, channel=null, level=null, likeNumber=78, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7s7ZCKOmmbBTD6nE7gcd5OZpvyGEzkxBP3S275k5ZJVrsPkotZhBglRHM9rKvcj1OgkssqhcnoPw8zIaMZTF8c/0, createdBy=4c441942088, createdName=ylzr123, createdTime=Tue Sep 13 10:12:00 CST 2016, time=2016-09-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1797962, encodeId=b8ad1e9796236, content=<a href='/topic/show?id=91806e62400' target=_blank style='color:#2F92EE;'>#牙科医生#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67624, encryptionId=91806e62400, topicName=牙科医生)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c9df476, createdName=fyxzlh, createdTime=Wed Jun 15 15:43:00 CST 2016, time=2016-06-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1461310, encodeId=4ce0146131097, content=<a href='/topic/show?id=67356e62003' target=_blank style='color:#2F92EE;'>#牙科#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67620, encryptionId=67356e62003, topicName=牙科)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2d786418402, createdName=xzw115, createdTime=Tue Mar 15 13:43:00 CST 2016, time=2016-03-15, status=1, ipAttribution=)]
    2016-09-13 ylzr123

    赞!好文章认真学习了。

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  4. [GetPortalCommentsPageByObjectIdResponse(id=124670, encodeId=d5961246e054, content=好文章,还会关注, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Tue Sep 13 11:00:00 CST 2016, time=2016-09-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=124417, encodeId=20df12441ec9, content=赞!好文章认真学习了。, beContent=null, objectType=article, channel=null, level=null, likeNumber=78, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7s7ZCKOmmbBTD6nE7gcd5OZpvyGEzkxBP3S275k5ZJVrsPkotZhBglRHM9rKvcj1OgkssqhcnoPw8zIaMZTF8c/0, createdBy=4c441942088, createdName=ylzr123, createdTime=Tue Sep 13 10:12:00 CST 2016, time=2016-09-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1797962, encodeId=b8ad1e9796236, content=<a href='/topic/show?id=91806e62400' target=_blank style='color:#2F92EE;'>#牙科医生#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67624, encryptionId=91806e62400, topicName=牙科医生)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c9df476, createdName=fyxzlh, createdTime=Wed Jun 15 15:43:00 CST 2016, time=2016-06-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1461310, encodeId=4ce0146131097, content=<a href='/topic/show?id=67356e62003' target=_blank style='color:#2F92EE;'>#牙科#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67620, encryptionId=67356e62003, topicName=牙科)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2d786418402, createdName=xzw115, createdTime=Tue Mar 15 13:43:00 CST 2016, time=2016-03-15, status=1, ipAttribution=)]
    2016-03-15 xzw115

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