烧伤口综合征门诊病人期望值与临床心理特征的关系

Hye-Kyoung Kim, Mee-Eun Kim
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摘要

接收日期2019年11月22日修订日期2019年12月29日接受日期2019年2月3日目的:本研究旨在调查灼口综合征(BMS)患者的期望值,并评估患者期望值与临床和心理特征之间的关系。方法:对93例BMS患者进行回顾性评价。共测量了5份关于患者就诊期望、疼痛、睡眠质量(匹兹堡睡眠质量指数)、认知(疼痛灾难量表)和心理困扰(症状自评量表90修订版)的问卷。结果:65名患者被纳入本研究。口腔医学科就诊的三大优先事项如下:;“我希望我的痛苦是自由的”;“我想知道为什么会痛”;“我想更好地与医生沟通疼痛”。与对疾病相关信息更感兴趣的患者相比,优先缓解疼痛的患者睡眠质量较差。结论:为了提高BMS的治疗效果,临床医生应该提高自己对BMS患者的理解。询问患者的期望可能是其中之一,这将有助于提高患者的整体幸福感。
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Patient Expectations of Visiting Department of Oral Medicine for Burning Mouth Syndrome: Relationship between Expectations and Clinical and Psychological Characteristics
Received November 22, 2019 Revised November 29, 2019 Accepted December 3, 2019 Purpose: The aims of this study were to investigate the expectation of patients with burning mouth syndrome (BMS) and assess the relationship between patient expectations and clinical and psychological characteristics. Methods: Eligibility was retrospectively assessed on 93 patients with BMS. A total of five questionnaires on patients’ expectation for a visit, pain, sleep quality (Pittsburgh Sleep Quality Index), cognition (Pain Catastrophizing Scale) and psychological distress (Symptom Checklist-90 revised) were measured. Results: Sixty-five patients were included in this study. The top 3 priorities of expectation for a treatment visit to the Department of Oral Medicine were as following; “I want my pain to be free”; “I want to understand why it hurts”; “I want to communicate better with doctors about pain”. Patients with priority of pain relief showed poor sleep quality than patients who are more interested in the disease related information. Conclusions: To improve treatment outcomes of BMS, clinicians should improve their own understanding of patients who are suffering from BMS. Inquiring about the patient expectations may be one of them, and it would contribute to the enhancement of patients’ overall well-being.
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