牙颌面畸形患者不同治疗阶段信息需求分析  

Analysis of information needs of patients with dentofacial deformities at different stages of treatment

作　　者：王璧霞[1,2] 胡祥莹 王旭东 阮洪[3] 袁卫军[1] WANG Bi-xia;HU Xiang-ying;WANG Xu-dong;RUAN Hong;YUAN Wei-jun(Department of Oral and Craionmaxillofacial Surgery,Shanghai Ninth Peopled Hospital,Shanghai Jiao Tong University School of Medicine,College of Stomatology,Shanghai Jiao Tong University,National Center for Stomatology,National Clinical Research Center for Oral Diseases,Shanghai Key Laboratory of Stomatology,Shanghai 200011;School of Nursing,Shanghai Jiao Tong University,Shanghai 200025;Department of General Affairs,Shanghai Ninth Peopled Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200011,China)

机构地区：[1]上海交通大学医学院附属第九人民医院口腔颅颌面科,上海交通大学口腔医学院,国家口腔医学中心,国家口腔疾病临床医学研究中心,上海市口腔医学重点实验室,上海200011 [2]上海交通大学护理学院,上海200025 [3]上海交通大学医学院附属第九人民医院综合办,上海200011

出　　处：《上海口腔医学》2021年第5期556-560,共5页Shanghai Journal of Stomatology

基　　金：上海交通大学医学院附属第九人民医院护理院级基金(JYHL2021MS03);上海交通大学医学院附属第九人民医院“优秀护理人才计划”(JYHRC8-P06);上海交通大学医学院附属第九人民医院院级基金(KY科2018-06)。

摘　　要：目的:深入了解牙颌面畸形患者在手术方案设计、手术治疗、术后康复等过程中的治疗体验和信息需求。方法:采用目的抽样法,选择2019年3月—7月36例处于不同治疗阶段的牙颌面畸形患者进行半结构访谈,采用Colaizzi内容分析法,运用QSR Nvivo12.0软件对资料进行分析编码,提炼出主题与类属。结果:共提炼出3个主题,8个类属,分别为(1)不同治疗阶段的信息需求,主要包括入院前阶段-术前准备期、住院阶段-正颌围术期与出院后阶段-术后康复期信息需求的具体内容;(2)信息支持方式,包含多元化信息支持方式及患者对互联网信息的识别;(3)患者的认知差异,包括患者对手术方案、自身疾病认识不足以及患者心理期望与手术效果之间的差异。结论:由于正颌外科治疗特点、患者个体认知差异对不同治疗阶段的信息需求较大而目前信息支持方式存在局限,需进一步完善提供牙颌面畸形患者科学、专业、具有针对性的信息支持。PURPOSE:To investigate the treatment experience and information needs of patients with dentofacial deformities in the process of surgical program design,surgical treatment and postoperative rehabilitation.METHODS:Thirty-six patients with dentofacial deformities at different treatment stages from March to July 2019 were selected for semi-structured interview.Colaizzi content analysis method and QSR NVivo 12.0 software were used to analyze and code the data,as well as extract the theme and genus.RESULTS:Three themes and eight categories were extracted,including(1)information needs in different treatment stages,mainly specific content of information needs at pre-operative preparation stage,orthognathic perioperative stage and post-operative rehabilitation stage;(2)information support methods,i.e.,diversified information support methods and patients’recognition of internet information;(3)patients’cognition difference,namely the difference between patients’psychological expectation and the results of operation.CONCLUSIONS:Due to the treatment characteristics of orthognathic surgery and individual cognitive differences of patients,there is a large demand for information support at different stages of treatment.However,the current information support mode is limited,so it is necessary to further improve and provide scientific,professional and targeted information support for patients with dentofacial deformities.

关 键 词：牙颌面畸形 治疗阶段 信息需求 质性研究 

分 类 号：R782.2[医药卫生—口腔医学]