Decision-making process for treatment of mandibular fractures among minority groups.
Decision-making process for treatment of mandibular fractures among minority groups.
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少数民族下颌骨骨折治疗的决策过程。
DOI：
10.1111/j.1752-7325.2006.tb02549.x
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发表时间：
2006
影响因子：
2.3
通讯作者：
Atchison,KathrynA
中科院分区：
文献类型：
--
作者：
Der-Martirosian,Claudia;Gironda,MelanieW;Black,Edward;Leathers,Richard;Atchison,KathrynA
目的：虽然患者对医疗护理的偏好被广泛研究，但只有少数研究关注下颌骨折牙科治疗的决策过程。本研究探讨了少数群体治疗下颌骨骨折的决策过程。研究参与者被要求考虑上颌下颌固定（MMF -一种非手术方法，将牙齿连接4-8周）或刚性内固定（RIF -手术放置骨板）。方法：对在内城医院接受全麻下拔第三磨牙或下颌骨折治疗的患者进行定性研究，招募他们参加一个小时的焦点小组，讨论他们的偏好。选择第三磨牙组作为对照组，以说明口腔手术和全身麻醉恢复的经验。结果：颌骨骨折组和第三磨牙组讨论了影响治疗选择的七个决策因素，包括：副作用、每种治疗方法的有效性、信任医生的建议、每次手术的预期、使用以往病例研究的图片、手术疤痕/切口的位置和疤痕的大小。刚性内固定（RIF）的参与者与上颌下颌固定（MMF）的参与者讨论了不同的关注点。结论：无论性别，第三磨牙和下颌骨折患者的治疗选择均为4-8周的非手术方法。本研究的II期部分将系统地检查第三磨牙和颌骨骨折患者的偏好，纳入患者报告的颌骨骨折治疗的关注，该研究在归纳现象学研究中发现。
Objectives: While patients' preferences for medical care are widely studied, only a small number of studies have looked at the decision‐making process for dental treatment of mandibular fracture. This study examines the decision‐making process for treatment of mandibular fractures among minority groups. Study participants were asked to consider Maxillomandibular Fixation (MMF ‐ a non‐surgical approach of wiring the teeth for 4–8 weeks) or Rigid Internal Fixation (RIF ‐ surgical placement of bone plate). Methods: A qualitative study of patients receiving care at an inner‐city hospital for either 3rdmolar extraction under general anesthesia or a mandibular fracture were recruited to participate in an hour‐long focus group to discuss their preferences. The 3rdmolar group was selected as a comparison group exemplifying experience with oral surgery and recovery from general anesthesia. Results: Seven decision‐making factors affecting choice of treatment were discussed by both jaw fracture and 3rdmolar groups, including: side effects, effectiveness of each treatment, trusting doctor's recommendation, what to expect from each procedure, use of pictures from previous case studies, surgery location of scar/ incision, and size of scar. Rigid Internal Fixation (RIF) participants discussed a different set of concerns compared to Maxillomandibular Fixation (MMF) participants. Conclusions: Regardless of gender, the treatment of choice for both 3rdmolar and jaw fracture participants was the non‐surgical method of wiring of the teeth for 4–8 weeks. The Phase II part of this study will systematically examine patient preferences among a larger sample of 3rdmolar and jaw fracture patients by incorporating the patient‐reported concerns about treatment of jaw fracture found in this inductive, phenomenological study.