| 引用本文： |
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廖崇珊,闫烨,张骞,等.职场人群正畸需求及正畸焦虑水平的调查研究[J].同济大学学报（医学版）,2023,44(2):265-270. [点击复制]
- LIAO Chongshan,YAN Ye,ZHANG Qian,et al.Survey on the needs for orthodontic treatment and related anxiety status among office workers and professionals[J].同济大学学报（医学版）,2023,44(2):265-270. [点击复制]
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| 摘要: |
| 目的调查职场人群的正畸需求与正畸过程中的焦虑水平及其原因，根据统计所得数据对正畸人群进行相应的心理干预、健康教育和知识科普，以缓解正畸人群的焦虑情况。方法通过线下对同济大学附属口腔医院正畸科就诊的患者及线上发放问卷星展开调查，并通过Kessler10量表评估患者的焦虑程度，应用SPSS 22.0软件进行四格表资料检验和R×C列联表资料检验分析。结果大部分职场人群都存在正畸需求，费用高是其未做正畸治疗的主要原因；在正畸就诊中的职场人群最容易在正畸前产生焦虑，引起焦虑最主要的原因是担心治疗效果不好；在整个正畸过程中，虽然有患者会产生焦虑，但焦虑程度普遍较低。课题组根据Kessler10量表评分等级将调查人群分为心理健康状况良好和心理健康状况存在问题2类，与不同性别、年龄段、税后月收入、使用的矫治器、不同职业分别进行统计，去除样本量较小的分组后使用四格表资料检验和R×C列联表资料检验，结果均显示差异无统计学意义(P＞0.05)。结论大部分在正畸就诊中的职场人群都会有焦虑产生，且大部分焦虑程度偏低。对于有轻微焦虑的正畸患者，正畸医生应做好疏导解释工作，为其科普相关知识，而对于严重焦虑者则建议寻求心理医生的援助。本次研究是首次对上海地区职场人群正畸焦虑程度及原因的评估，为职场人群正畸患者提供针对性心理辅导提供了理论依据，有助于提升口腔保健治疗的服务质量和医患关系。 |
| 关键词: 正畸 焦虑 职场人群 Kessler10量表 |
| DOI：10.12289/j.issn.1008-0392.22187 |
| 投稿时间：2022-05-05 |
| 基金项目:中华口腔青年人才项目(COS-B2021-05);上海市卫生健康委员会青年科研项目(20204Y0097) |
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| Survey on the needs for orthodontic treatment and related anxiety status among office workers and professionals |
| LIAO Chongshan,YAN Ye,ZHANG Qian,XIA Wenjing |
| (Department of Orthodontics, Stomatological Hospital and School of Stomatology, Tongji University, Shanghai Engineering Research Center of Tooth Restoration and Regeneration, Shanghai 200072, China;School of Stomatology, Tongji University, Shanghai 200072, China) |
| Abstract: |
| ObjectiveTo investigate the need for orthodontic treatment and the levels and causes of anxiety during orthodontics in employed population. According to the obtained statistical analysis, it is expected to relieve their anxiety by providing necessary psychological intervention, health instruction, and knowledge exchange for community of orthodontics. MethodsSurveys were conducted both offline on the patients visiting our orthodontic department and online(https:∥www.wjx.cn/) on the public. Their anxiety level was assessed by the Kessler-10(K10) distress scale and the chi squared tests of fourfold and R×C contingency tables were analyzed by using SPSS 22.0. ResultsMost employed people had orthodontic needs, and the high cost was the main reason for not having orthodontic treatment. The employed people in orthodontic visits were most likely to have anxiety before orthodontic treatment, and the main reason was the fear of poor treatment results. Throughout the orthodontic process, although some patients had anxiety, the level of anxiety was generally low. According to Kessler-10 scales, the participants were divided into two mental health categories: Good and Problematic. The Chi squared tests were performed between Kessler-10 groups and groups of genders, Age stratification, after-tax monthly income ranges, the types of the appliances and occupations using fourfold or contingency tables, after removing the grouping with small sample size. The results all showed no statistically significant difference(P>0.05). ConclusionMost employed people have anxiety during the orthodontic process, and most of them have low levels of anxiety. Orthodontists should provide necessary counseling, explanation, education to patients with mild distress for relief. However, for patients with severe anxiety, it is advisable to seek the assistance of a therapist. This study is the first to assess the degree and causes of orthodontic anxiety in employed population in Shanghai, providing theoretical basis for targeted psychological counseling for orthodontic patients, and is helpful to improve the quality of oral health care service and doctor-patient relationship. |
| Key words: orthodontics distress occupational population Kessler-10 distress scale |
