摘要
目的 在控制前牙美学修复效果良好的前提下,通过分析牙科修复患者述情障碍与满意度之间的关系,旨在为临床医生正确理解述情障碍的患者在修复后的满意度提供理论依据.方法 选取单颗前牙全瓷修复并且达到美学评价优良标准的患者211名.进行多伦多述情障碍量表（TAS-20）和直观模拟评价修复体满意度量表（VAS）的调查.通过卡方检验、相关分析和一般线性模型分析述情障碍总分和其3个因子（因子1：缺乏识别情感的能力;因子2：缺乏描述情感的能力;因子3：外向性思维）的评分与满意度的关系.结果 85.3%的患者对修复体比较满意（VAS≥80）;述情障碍发生率（TAS总分≥61）为7.1%.其中修复后满意度和述情障碍在性别上差异无显著性（P＞0.001）;年龄与述情障碍总分呈正相关（r=0.629）,与满意度呈负相关（r=-0.429）.根据VAS评分将修复后患者满意度分为高、低两类,TAS总分、因子1和因子2在满意度高低上存在显著差异.在控制年龄效应下述情障碍总分与满意度呈负相关（r=-0.68）.结论 患者的述情障碍程度影响修复后前牙的满意程度.
Objective To analyze the relationship between alexithymia and patients＇ satisfaction under the condition of good quality in the esthetic characters. Methods 211 patients requiring single anterior tooth restoration were treated with all ceramic crowns which were assessed by the good and moderate degrees. Patients received 20-item Toronto Alexithymia Scale （TAS-20） and a visual analogue scale assessing patients＇ satisfaction （VAS）. Chi-squared analysis, correlation analysis and the general linear modeling procedure were calculated for TAS total and factors scores according to age, gender and dichotomized satisfaction. Results 85. 3% patients belonged to the high satisfaction group（VAS scores 80 or higher） and 7.1% reported alexithymia （ total score 61 or higher）. No difference across gender was observed in the prevalence of alexithymia and satisfaction. Age was correlated with the TAS scores （ r=0.629） and satisfaction scores （ r= -0.429）. According to dichotomized satisfaction,TAS total and factor 1＆2 scores were significantly different. When adjusting for the effect of age,the association was existed between TAS scores and san＇sfaction（ r= -0.68）. Conclusion Alexithymia has effect on dental satisfaction.
出处
《中华行为医学与脑科学杂志》
CAS
CSCD
北大核心
2011年第5期431-433,共3页
Chinese Journal of Behavioral Medicine and Brain Science
关键词
述情障碍
牙科
全瓷修复体
满意度
Alexithymia
Dentistry
All-ceramic restoration
Satisfaction
