为什么牙过敏症患者不与牙医讨论这种情况?
Koula Asimakopoulou1, Nicola X West2, Maria Davies2
1Oxford Brookes University, Faculty of Health and Life Sciences, Headington, Oxford, OX3 0BP, United Kingdom; King's College London, Faculty of Dentistry, Oral & Craniofacial Sciences, Floor 18 Tower Wing, Guy's Hospital, London, SE1 9RW, United Kingdom.
Journal of dentistry
|September 27, 2024
概括
患者通常不会与牙医讨论牙过敏症 (DH),认为它是轻微且无法治疗的. 解决患者的信念和牙科团队的沟通是改善DH对话和管理的关键.
科学领域:
- 牙科科学 牙科科学
- 患者沟通 患者沟通
- 定性研究是指质量研究.
背景情况:
- 牙过敏症 (DH) 是一种普遍影响患者生活质量的疾病.
- 高血压的有效管理依赖于患者和牙科专业人员之间的公开沟通.
- 在牙科咨询中讨论糖尿病的障碍仍然不太清楚.
研究的目的:
- 探讨患者在与牙医讨论牙过敏症 (DH) 的障碍和促进因素方面的观点.
- 确定影响患者与牙医之间关于血栓炎的沟通因素.
- 为改善牙科实践中DH对话的策略提供信息.
主要方法:
- 采用在线焦点小组的定性研究,其中26名参与者经历了DH.
- 利用理论领域框架指导主题探索.
- 对转录的对话进行感应性主题分析,以确定不讨论的原因.
主要成果:
- 患者认为DH不是一个"正确"或严重的疾病,不值得牙科的关注.
- 报告说,牙医缺乏例行讨论,患者不愿意开始对话.
- 牙焦虑和相信牙医提供有限的解决方案 (例如",只是牙膏") 是重要的障碍.
- 牙医团队的积极,正常化态度可以促进牙科疾病讨论.
结论:
- 由于患者对病情的严重程度和可用的治疗方法的信念,DH对话并不频繁.
- 患者对DH疼痛的认知合法性和缺乏可信的牙科解决方案的感知阻碍了讨论.
- 需要行为科学干预来改变患者和牙科团队对例行DH对话的看法.
- 赋予患者提出DH担忧的权力对于诊断和管理至关重要,因为DH不能通过视觉诊断.
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