Patient expectations and satisfaction following orthognathic surgery
Patient expectations and satisfaction following orthognathic surgery
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DOI：
10.1016/j.ijom.2018.07.013
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发表时间：
2019-02-01
影响因子：
2.4
通讯作者：
Heliotis, M.
中科院分区：
文献类型：
--
作者：
Al-Hadi, N.;Chegini, S.;Heliotis, M.
颌外科旨在矫正牙骨和面部的差异。治疗通常需要至少18个月，患者必须对所提供的治疗充分满意。本研究旨在评估治疗后患者满意度的决定因素。前瞻性纳入了118例接受正颌外科手术的患者。所有参与者都完成了一份关于他们接受治疗的原因，治疗后勤，治疗结果和整个旅程的满意度的问卷。大多数患者对总体治疗“非常满意”（71.2%）或“满意”（19.5%）。大多数人希望改善他们的微笑（78.0%）;治疗后，89.0%的患者报告微笑有所改善。几乎一半的患者（46.6%）仅住院一晚，41.5%的患者术后休假或上学超过4周。术后呼吸困难的患者住院时间更长（P = 0.021），但重要的是，上颌骨前移、双侧矢状劈开截骨术和双颌手术的住院时间没有差异（P = 0.78）。总之，患者满意度高，正颌治疗后。结果突出了需要改进的领域，例如在整个治疗过程中向患者提供信息，并表明持续存在的问题是患者满意度的重要预测因素。
Orthognathic surgery aims to correct dentoskeletal and facial discrepancies. Treatment usually requires a minimum of 18 months, necessitating that patients are adequately satisfied with the treatment provided. This study aimed to assess the determinants of patient satisfaction following treatment. One hundred and eighteen patients who had undergone orthognathic surgery were included prospectively. All participants completed a questionnaire regarding their reasons for undergoing treatment, treatment logistics, treatment outcomes, and satisfaction throughout their journey. Most patients were 'very satisfied' (71.2%) or 'satisfied' (19.5%) with the overall treatment. The majority wished to improve their smile (78.0%); post-treatment, 89.0% of patients reported an improved smile. Almost half of the patients (46.6%) stayed in hospital for only one night, and 41.5% took over 4 weeks off work or school post-surgery. People with postoperative breathing difficulties spent more days in hospital (P = 0.021), but importantly, the duration of hospital stay did not differ between maxillary advancement, bilateral sagittal split osteotomy, and bimaxillary surgery (P = 0.78). In conclusion, patient satisfaction was high following orthognathic treatment. The results highlight areas for improvement, such as information delivery to the patient throughout the treatment journey, and show that the presence of ongoing problems is an important predictor of patient satisfaction.