患者个性因素与固定义齿修复后满意度的关系探讨

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目的:研究98例固定义齿修复患者的个性因素及其与修复后满意度的关系。方法:在控制固定义齿质量的前提下,采用卡特尔16种个性因素问卷(16PF)与固定义齿满意度问卷,分析98例固定义齿修复患者的个性因素及其与修复后总体满意度及各单项满意度的关系。采用SPSS17.0软件包对数据进行统计学分析。结果:固定义齿患者的个性因素与中国常模比较,B(聪慧性)、C(稳定性)、E(持强性)、F(兴奋性)、H(敢为性)、I(敏感性)、L(怀疑性)、N(世故性)、O(忧虑性)、Q1(实验性)和Q2(独立性)11种因素有显著差异。患者16PF与满意度之间的相关性分析显示:16PF中的Q4(紧张性)、G(有恒性)、L(怀疑性)、Q3(自律性)、Q1(实验性)、N(世故性)、A(乐群性)和M(幻想性)8种因素与总体满意度相关(F=20.566,P=0.000,R2=0.649),其中Q4、L、Q3、N和M因素与患者总体满意度呈负相关,G、Q1和A因素与总体满意度呈正相关。除稳固感及避免食物嵌塞外,L、C、Q4和Q3因素与患者美观满意度呈负相关,A、G、I和E因素与美观满意度呈正相关。L、Q4、N和Q3因素与患者咀嚼满意度呈负相关,G和Q1因素与患者咀嚼满意度呈正相关。O和Q4因素与患者舒适满意度呈负相关,C因素与舒适满意度呈正相关。结论:口腔固定义齿修复患者的个性因素与中国常模比较有显著差异。固定义齿患者的个性因素与满意度显著相关,固定义齿患者对修复体的总体满意度及单项满意度与不同的个性因素相关,临床上应从心理学角度重视患者的个性因素。 OBJECTIVE: To study the relationship between personality factors and post-repair satisfaction in 98 patients with prosthesis restoration. Methods: Under the premise of controlling the quality of fixed denture, 16 personality factors questionnaire (16PF) and satisfaction degree questionnaire of fixed denture were used to analyze the individual factors of 98 patients with fixed denture and their satisfaction with the overall satisfaction after repair Satisfaction relationship. SPSS17.0 software package for statistical analysis of the data. Results: Compared with Chinese norm, the personality factors of patients with fixed denture were significantly higher than those of normal norm, B (intelligence), C (stability), E (hold), F (excitability), H ), L (doubtful), N (emergent), O (anxiety), Q1 (experimental) and Q2 (independence) were significantly different. A correlation analysis of 16PF in patients with satisfaction showed that Q4 (stress), G (constant), L (doubtful), Q3 (self-discipline), Q1 (experimental), N (F = 20.566, P = 0.000, R2 = 0.649). The factors Q4, L, Q3, N and M were positively correlated with overall patient satisfaction Satisfaction was negatively correlated, and factors of G, Q1 and A were positively correlated with overall satisfaction. In addition to the firmness and avoidance of food impaction, the factors L, C, Q4 and Q3 were negatively correlated with the patient’s aesthetic satisfaction. The factors A, G, I and E were positively correlated with the aesthetic satisfaction. L, Q4, N and Q3 factors were negatively correlated with patient’s chewing satisfaction, while those of G and Q1 were positively correlated with patient’s chewing satisfaction. O and Q4 factors were negatively correlated with patient satisfaction, and C factor positively correlated with comfort satisfaction. Conclusion: There are significant differences in personality factors between orthodontic patients and Chinese norm. Individuality of patients with fixed denture was significantly correlated with satisfaction. The overall satisfaction and individual satisfaction of prosthesis with prosthesis were related to different personality factors, and personality should be valued clinically from the perspective of psychology.
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