目的:牙病关系(DPR)被认为是牙科临床环境中的关键要素。这项范围审查旨在检查以前对DPR的研究程度,专注于其对结构具体化的决定因素。
方法:本研究由JoannaBriggs研究所的系统范围评价指南指导。纳入/排除标准基于一般成年人和牙医的参与者,DPR决定因素的概念,以及牙科保健的背景。2023年7月在6个主要电子数据库中进行了文献检索。从包含的文章中提取关键信息以绘制结果,主要是确定DPR的决定因素。根据DPR的概念模型对DPR的每个决定因素进行分类。
结果:最初总共确定了1727条记录,和16篇文章被纳入审查。9项研究使用了定量方法,7项为非经验性文章。除了两篇文章外,所有文章都是从患者的角度出发的。因素分为6个主要领域:牙医,病人,社会/环境,临床结构,临床过程,和结果。在DPR的6个领域中,大多数决定因素与临床过程有关。“沟通”是最常见的计数,8次,后跟“信任”(频率,6).在患者层面,“牙科恐惧/焦虑”经常被用来衡量DPR。
结论:以前关于DPR的文献从患者的角度指出了一些常见的和牙科特异性的决定因素。鼓励进一步研究,以制定更全面的DPR框架和评估量表。
OBJECTIVE: The dentist-patient relationship (DPR) is considered to be a key element in dental clinical settings. This scoping review aimed to examine the extent of previous research on DPR, focussing on its determinants for the reification of the construct.
METHODS: This research was directed by the guidance for systematic scoping reviews from the Joanna Briggs Institute. The inclusion/exclusion criteria were based on participants of general adults and dentists, the concept of determinants of DPR, and the context of dental health care encounters. A literature search was performed in 6 major electronic databases in July 2023. Key information from included articles was extracted to chart the results, mainly to identify the determinants of DPR. Each determinant of DPR was classified according to the conceptual model of DPR.
RESULTS: A total of 1727 records were initially identified, and 16 articles were included in the review. Nine studies used a quantitative method and 7 were nonempirical articles. All but 2 articles were from the perspective of patients. Factors were grouped into 6 main domains: dentist, patient, society/environment, clinical structure, clinical process, and outcome. Amongst the 6 domains of DPR, most determining factors were related to the clinical process. \"Communication\" was most frequently counted, at 8 times, followed by \"trust\" (frequency, 6). At the patient level, \"dental fear/anxiety\" was frequently used to measure DPR.
CONCLUSIONS: Previous literature about DPR indicated a few common and dentistry-specific determinants from the patient perspective. Further studies are encouraged to develop a more comprehensive framework and evaluation scale of DPR.