正畸治疗青少年患者的心理状况、认知、需求调查与配合度的相关性

Investigation of psychological status,cognition and demand and analysis of relationship with coordination in adolescent patients with orthodontic treatment

目的:调查青少年正畸治疗患者心理状况、认知、需求水平,并分析与患者配合度相关性。方法:选取2016年10月-2018年10月于本院口腔科接受正畸治疗的110例青少年为调查对象,采用青少年心理健康量表(MHS-CA)评价患者心理状况,青少年错[牙合]畸形认知调查问卷评价认知水平,正畸治疗需求指数(IOTN问卷)[牙齿健康部分(DHC)、美观部分(AC)]评价需求水平,正畸治疗合作行为问卷评价配合度,并对调查结果进行统计分析。结果:①青少年正畸治疗患者MHS-CA量表中情绪、个性、意志及总分均显著低于常模(t=-6.482,-2.180,5.311,-5.157;P<0.05);②患者错[牙合]畸形认知调查问卷平均得分(18.26±3.29)分,平均知晓率为55.34%;③患者IOTN问卷中主观自评的DHC等级、AC等级均显著低于医师客观评价(t=-9.633,-8.541;P<0.05);④患者治疗依从性总得分平均(76.21±7.75)分;⑤心理状况总分与配合度中自律性得分成正相关(r=0.230,P<0.05),认知问卷总分与配合度中自律性及总分呈正相关(r=0.326,0.262;P<0.05),DHC等级与配合度中自律性及总分呈正相关(r=0.577,0.279;P<0.05),AC等级与配合度中自律性、消极反抗及总分均呈正相关(r=0.716,0.191,0.346;P<0.05)。结论:青少年正畸治疗患者整体心理状况较差,认知水平及主观正畸治疗需求水平偏低,且上述因素与患者配合度均有一定相关性,临床有必要针对性予以干预,以保障青少年错[牙合]畸形患者正畸治疗顺利进行。

Objective:To investigate the psychological status,cognition and demand level of adolescent patients with orthodontic treatment,and analyze the correlation with coordination of patients.Methods:We selected 110 adolescents who received orthodontic treatment in the department of stomatology of the hospital from October 2016 to October2018 as investigation subjects.The Mental Health Scale-Adolescent(MHS-CA)was used to evaluate the psychological status of the patients.Adolescent malocclusion cognitive questionnaire was used to evaluate the cognition level,and Index of Orthodontic Treatment Need(IOTN questionnaire)[Dental Health Component(DHC),Aesthetic Component(AC)]was used to evaluate demand level,and the orthodontic treatment cooperation behavior questionnaire was used to evaluate the coordination,and make statistical analysis on the survey results.Results:(1)The scores of mood,personality,will and total score of MHS-CA scale in adolescent patients with orthodontic treatment were significantly lower than the norm(t=-6.482,-2.180,5.311,-5.157;P<0.05).(2)The average score of malocclusion cognitive questionnaire was(18.26±3.29)points,and the average awareness rate was 55.34%.(3)The DHC grade and AC grade of subjective self-evaluation in IOTN questionnaire were significantly lower than those of physician objective evaluation(t=-9.633,-8.541;P<0.05).(4)The total score of treatment compliance was(76.21±7.75)points.(5)The total score of psychological status was positively correlated with self-discipline score of coordination(r=0.230,P<0.05),and total score of cognition questionnaire was positively correlated with self-discipline score and total score of coordination(r=0.326,0.262;P<0.05),and DHC grade was positively correlated with self-discipline score and total score of coordination(r=0.577,0.279;P<0.05),and AC grade was positively correlated with self-discipline score,negative resistance score and total score of coordination(r=0.716,0.191,0.346;P<0.05).Conclusion:Adolescent patients with orthodontic treatment has poor overall psychological status,low cognition level and low demand level of subjective orthodontic treatment,and the above factors has certain correlation with patient coordination.It was necessary to intervene in a targeted manner to ensure the smooth proceeding of orthodontic treatment for adolescent patients with malocclusion in clinical practice.