青少年隐形保持器的适应性和依从性与人格特征的调查

doi:10.19439/j.sjos.2017.01.021

摘要/Abstract

摘要： 目的探讨青少年使用隐形保持器的适应性和依从性,及其与人格特征的关系。方法纳入青少年正畸患者50例,在拆除固定矫治器后以透明压膜式隐形保持器保持。在隐形保持器戴用2个月后,问卷调查患者对隐形保持器的适应性及依从性。以艾森克人格问卷评估患者的人格特征。采用SAS8.0软件包中的Spearman秩相关评估患者隐形保持器适应性和依从性与人格特征的关系。结果 42例患者完成问卷。76%的患者反映隐形保持器无黏膜刺激,95%反映其不影响日常活动。但75%反映隐形保持器有异物感,71%反映影响发音。另外,40%的患者戴用时间不足18 h,31%曾遗落保持器,83%不能做到进食后刷牙。患者的人格特征中情绪不稳定性越高,保持器对咀嚼的影响越大,相关系数为0.32;精神质越强,保持器异物感和对面部肌肉酸痛的影响越明显,相关系数分别为0.31和0.35。但精神质越强者,保持器对情绪的影响越小,相关系数为-0.34;越外向的患者越常发生保持器损坏,相关系数为0.31。结论青少年隐形保持器的适应性较好,但依从性不佳。隐形保持器的适应性和依从性与患者人格特征有关。提示青少年患者选用隐形矫治器时应重视患者依从性,可以通过人格特征预测。

关键词: 隐形保持器, 人格, 适应性, 依从性, 青少年

Abstract: PURPOSE: The aim of this study was to evaluate the adolescents' adaptation and compliance to clear retainers, and to investigate their associations with personality traits. METHODS: Fifty adolescents at the end of fixed orthodontic treatment were consecutively recruited. After debonding the fixed orthodontic appliances, clear retainers were used. Participants were asked to fill questionnaires 2 months after wearing the clear retainers. A questionnaire was designed to evaluate their adaptation and compliance for clear retianers. Eysenck personality questionnaire was used to assess the personality traits. Spearman rank correlation was used to analyze the associations between personality traits with the adaptation and compliance to clear retainers using SAS8.0 software package. RESULTS: Forty-two of 50 adolescents accomplished the questionnaires. 76% felt no mucous irritation, 95% felt no influence on socializing. However, 75% showed oral constraint, 71% felt impaired speech. Moreover, 40% adolescents wore the retainers less than 18 hours per day. 31% patients had their aligner lost. 83% patients did not brush their teeth after each meal. Neuroticism was positively associated with the effect of impaired chewing (r=0.32). Psychoticism was positively associated with the oral constraint (r=0.31) and facial muscular soreness (r=0.35), but negatively associated with the influence on emotion (r=-0.34). Extraversion was positively associated with the retainers' damage (r=0.31). CONCLUSIONS: Adolescents showed good adaptation for clear retainers, but unsatisfactory compliance. There are associations between adolescents' adaptation and compliance for clear retainers and personality traits. These results suggest that clinicians should pay more attention to the compliance of adolescents when using clear retainer. Personality traits could be a useful prediction to assess the compliance for clear aligners.

Key words: Clear retainer, Personality, Adaptation, Compliance, Adolescent

中图分类号:

R783.5

徐凡, 唐国华. 青少年隐形保持器的适应性和依从性与人格特征的调查[J]. 上海口腔医学, 2017, 26(1): 98-101.

XU Fan, TANG Guo-hua. The impact of personality traits on adolescents' adaptation and compliance to clear retainers[J]. Shanghai Journal of Stomatology, 2017, 26(1): 98-101.

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