颞下颌障碍患者的疾病认知

Sanamed Pub Date : 2020-12-28 DOI:10.24125/sanamed.v15i3.431
H. Ozsoy, Lamia Najafova, Huseyin Kurtulmus
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引用次数: 0

摘要

背景:颞下颌关节紊乱病(TMD)是一个涵盖异质性肌肉骨骼疾病的术语,包括颞下颌关节及其相关结构。疼痛是TMD的常见症状。慢性疼痛是一种影响人们身体、心理、认知和社会领域的疾病,这些人经常对生活质量产生负面影响。疾病认知是指患有慢性病的患者对自己的疾病有自己的信念。换句话说,疾病认知包含患者对疾病及其治疗的感知和理解。材料与方法:对80例应用于临床的慢性TMD患者进行研究。获得适当参与者的书面同意,患者在研究人员的指导下填写疾病认知问卷(ICQ)表格。使用统计软件SPSS(社会科学统计软件包,版本20,美国伊利诺伊州芝加哥)。结果:TMD患者的ICQ分量表:无助感的平均得分为16.95(SD=4.05),接受感的平均分为10.36(SD=3.14),感知利益的平均分是15.55(SD=3.70)。参与者的接受度和感知利益量表得分的班内相关性分别为93.8%(0.915-0.957)和92.5%(0.896-0.948),具有统计学意义。结论:心理干预能够建立对TMD的积极认知,突出克服问题导向TMD的能力,可以积极防止疾病控制TMD患者的日常生活,并有助于积极影响健康促进过程。
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ILLNESS COGNITIONS IN PATIENTS WITH TEMPOROMANDIBULAR DISORDERS
Background: Temporomandibular disorders (TMD) is a term covering heterogeneous musculoskeletal disorders, including the temporomandibular joint and related structures. Pain is a common symptom in TMD. Chronic pain is a condition that affects the physical, psychological, cognitive and social domains of people who frequently have negative effects on quality of life. Illness cognitions is defined that patients who have a chronic illness have their own beliefs about their illness. In another saying, illness cognitions contain patient’s perception and understanding of the disease and its treatment. Material and Methods: This study was performed on 80 patients who applied to clinic with chronic TMD disorder. A written consent was obtained from the appropriate participants and the Illness Cognition Questionnaire (ICQ) forms were filled in by the patients under the guidance of the researchers. The statistical software SPSS (Statistical Package for Social Sciences, Version 20, Chicago IL, USA) was used. Results: ICQ subscores of individuals with TMD: The mean score was 16.95 (SD = 4.05) for helplessness, 10.36 (SD = 3.14) for acceptance, and 15.55 (SD = 3.70) for perceived benefits. There was a statistically significant intra class correlation of 93.8% (0.915-0.957) among the Acceptance and 92.5% (0.896-0.948) among the Perceived benefits scale scores of the participants. Conclusion: Psychological interventions that can create a positive perception against TMD and highlight the ability to overcome problem-oriented TMD, can prevent the disease from controlling the daily life of people with TMD in a positive way and can help to affect the health promotion process positively.
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