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修复治疗患者的口腔健康相关生活质量、满意度和人格之间的关系。

Relationship between oral health-related quality of life, satisfaction, and personality in patients with prosthetic rehabilitations.

机构信息

Department of Prosthodontics, Faculty of Dentistry, The University of Jordan, Amman, Jordan.

出版信息

J Prosthodont. 2010 Jan;19(1):2-9. doi: 10.1111/j.1532-849X.2009.00518.x. Epub 2009 Sep 23.

Abstract

PURPOSE

This study investigated the relationship between oral health-related quality of life, satisfaction with dentition, and personality profiles among patients with fixed and/or removable prosthetic rehabilitations.

MATERIALS AND METHODS

Thirty-seven patients (13 males, 24 females; mean age 37.6 +/- 13.3 years) with fitted prosthetic rehabilitations and 37 controls who matched the patients by age and gender were recruited into the study. The Dental Impact on Daily Living (DIDL) questionnaire was used to assess dental impacts on daily living and satisfaction with the dentition. The Oral Health Impact Profile (OHIP) was used to measure self-reported discomfort, disability, and dysfunction caused by oral conditions. Oral health-related quality of life was assessed by the United Kingdom Oral Health-Related Quality of Life (OHQoL-UK) measure. Moreover, the NEO five-factor inventory was used to assess participants' personality profiles.

RESULTS

Prosthetic factors had no relationship to the DIDL, OHIP, and OHQoL-UK scores. Patients with the least oral health impacts had better oral health-related quality of life (p= 0.023, r =-0.37), higher levels of total satisfaction, and satisfaction with appearance, pain, oral comfort, general performance, and eating (p < 0.05, r =-0.79, -0.35, -0.59, -0.56, -0.58, and -0.50, respectively). Patients with better oral health-related quality of life (QoL) had higher total satisfaction, satisfaction with oral comfort, general performance, and eating (p < 0.05, r = 0.34, 0.39, 0.33, and 0.37, respectively). Patients with lower neuroticism scores had less oral health impact (p= 0.006, r = 0.44), better oral health-related QoL (p= 0.032, r =-0.35), higher total satisfaction, satisfaction with appearance, pain, oral comfort, and eating (p < 0.05, r =-0.58, -0.35, -0.33, -0.39, and -0.35, respectively).

CONCLUSION

Patients' satisfaction with their dentition and prosthetic rehabilitations has positive effects on oral health-related QoL and oral health impacts and improves patients' daily living and dental perceptions. Neuroticism might influence and predict patients' satisfaction with their dentition, oral health impacts, and oral health-related QoL. Satisfaction with the dentition might predict a patient's level of neuroticism.

摘要

目的

本研究旨在探讨固定和/或可摘义齿修复患者的口腔健康相关生活质量、义齿满意度与人格特征之间的关系。

材料与方法

招募了 37 名接受义齿修复的患者(男 13 例,女 24 例;平均年龄 37.6±13.3 岁)和 37 名年龄和性别与患者匹配的对照者。采用牙科生活影响量表(DIDL)评估对日常生活的口腔影响和对义齿的满意度。采用口腔健康影响量表(OHIP)评估由口腔状况引起的自我报告的不适、残疾和功能障碍。采用英国口腔健康相关生活质量量表(OHQoL-UK)评估口腔健康相关生活质量。此外,采用 NEO 五因素人格量表评估参与者的人格特征。

结果

修复体因素与 DIDL、OHIP 和 OHQoL-UK 评分无关。口腔影响最小的患者具有更好的口腔健康相关生活质量(p=0.023,r=-0.37),更高的总体满意度以及对外观、疼痛、口腔舒适度、一般表现和进食的满意度(p<0.05,r=-0.79、-0.35、-0.59、-0.56、-0.58 和-0.50)。具有更好口腔健康相关生活质量(QoL)的患者具有更高的总体满意度、对口腔舒适度、一般表现和进食的满意度(p<0.05,r=0.34、0.39、0.33 和 0.37)。神经质得分较低的患者口腔影响较小(p=0.006,r=0.44),口腔健康相关 QoL 更好(p=0.032,r=-0.35),总体满意度、对外观、疼痛、口腔舒适度和进食的满意度更高(p<0.05,r=-0.58、-0.35、-0.33、-0.39 和-0.35)。

结论

患者对义齿和义齿修复的满意度对口腔健康相关生活质量和口腔健康影响有积极影响,并改善了患者的日常生活和口腔认知。神经质可能影响和预测患者对义齿、口腔健康影响和口腔健康相关生活质量的满意度。对义齿的满意度可能预测患者的神经质水平。

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