成人患者人格特征对正畸治疗初期满意度的影响研究

A clinical study: the influence of personality characteristics on adult patients' satisfaction after initial orthodontic treatment

目的:探讨成人患者人格特征对正畸治疗初期满意度的影响,为提高成人矫治服务质量提供参考。方法:在初诊和矫治前3个月时,采用正畸满意度问卷和评价人格特征的5因素问卷对85名成人正畸患者进行调查,其中男34名、女51名,年龄18～35(23.3±4.4)岁。满意度与人格特征之间关系采用对数似然比检验并分析。结果:本研究将成人正畸患者人格特征分为神经质、外倾性、直率性、温和易相处性和有责任感5型,发现神经质特质型成人患者治疗初期满意度相对较低(P<0.05),而性别、年龄、正畸前治疗需求与治疗初期满意度无统计学意义(P>0.05)。结论:成人患者的不同人格特征对矫治初期满意度存在一定的差异,其中神经质特质成人患者值得正畸医师关注,需要加强医患沟通和保证疗效。

Objective：To identify the influence of personality characteristics on adult patients＇ satisfaction after initial orthodontic treatment and offer references to rise quality of orthodontic treatment. Methods：85 patients （34 males and 51 females; average age 23.3years ± 4.4years who treated their teeth by fixed orthodontics were included in the study. Satisfaction questionnaire was used to assess the satisfaction with the dentition in the study sample.The NEO Five Factor inventory was used to assess personality profiles and traits in the study samples. Comparisons between groups were made by using Logarithm of likelihood ratio test. Results：This test provides a comprehensive assessment of personality according to the five major domains namely Neuroticism, Extroversion,Openness,Agreeableness and Conscientiousness. Satisfaction of higher neuroticism scores is relative low（P〈0.05）. Age,sex,and pretreatment orthodontic treatment needs had no relationship with the patients＇ satisfaction（P〉0.05）. Conclusion：Different personality traits were found to be correlated with adult patients＇ satisfaction with their dentition during initial orthodontic treatment. The orthodontists should pay more attention to higher neuroticism scores adult patients during treatment. In according to strengthen the communication between the orthodontists and outpatients,the therapeutic effect of adult orthodontic treatment could be increased.