正畸疗效与满意度的多因素分析.pdfVIP

· 76 · 江西医学院学报 2007年第47卷第6期 ActaAcademiae Medicinae Jiangxi 2007，Vol 47，No6 正畸疗效与满意度的多因素分析 姚 芬，葛红珊，吴建勇 (南昌大学附属口腔医院正畸科，南昌330006) 摘要：目的 通过对患者矫治前后错牙台畸形严重程度(peer assessment rating，PAR指数)与患者满意度之间的相 关性研究，探索与正畸治疗满意度相关的因素，以此为临床医疗服务提供理论依据和帮助。方法 随机选取88例 在南昌大学口1控医院正畸科进行全程双颌固定正畸治疗患者的治疗前后牙牙台模型，测量其PAR指数；调查相应病 例患者对治疗的评价情况，统计相应分值。统计值之间作相关回归分析和逐步回归分析。结果 在满意度上男性 较女性更满意；在是否愿意推荐他人接受正畸治疗及对矫正费用的满意度与患者治疗前的后牙关系呈负相关；对 矫正时间的满意度与患者治疗后的PAR指数呈负相关。结论 患者对正畸治疗的满意度存在明显性别差异，男 性较女性更满意；患者的错牙台畸形严重程度与正畸满意度有显著相关性。 关键词：错牙台畸形；正畸满意度；多因素分析 中图分类号：R783．5 文献标识码：A 文章编号：100o一2294(2007)06—0076—03 Multipul-Ifactor Analysis of Orthodontic Treatment Satisfaction YAO Fen，GE Hong-shan，WU Jian-yong (Departrnent of Orthodontics，Stomatology Hospital， Nanchang University，Nanchang 330006，China) ABSTRACT：Objective To study relationship of patients orthodontic treatment satisfaction with malocclusion severity of pre—and post—treatment of patients，which could aid in medical care．Meth- ods Apply the PAR index which representing patient malocclusion severity on dental casts of 88 patientswho have completed the orthodontic therapy．The sample consisted of 23 males and 65 fe- males．The patients or their parents were asked tO complete standardized questionnaires in which orthodontist behavior items were evaluated．Compare the corresponding patients satisfaction score with the PAR score．Results Stepwise muhipul regression analyses showed that there exists sex difference among patient satisfaction．Males are more satisfacted in evaluating orthodontic treat— ment．Severity of malocclusion correlates with patient satisfaction．Conclusion Males are more satisfacted in evaluating orthodontic treatment than females．The severity of patient malocclusion