■这项研究的目的是评估社会经济地位(SES)对接受上颌骨切除术和闭孔假体康复的患者的心理困扰和治疗满意度的影响。
■预期,观察,分析研究。
■纳入43例上颌骨切除术患者,中间,和较低的SES组,根据更新后的KuppuswamySES量表。在上颌骨切除术前(T0)和确定性闭孔器分娩后3周(T1),使用医院焦虑和抑郁量表(HADS)评估心理困扰水平。在T1时使用闭孔功能量表(OFS)评估闭孔假体的治疗满意度水平。然后将HADS和OFS得分与参与者的SES相关联。
■在43名参与者中,7人失去了跟进。上层参与者的总数,中间,较低的SES组分别为14、11和11。手术前,不同SES组的焦虑水平差异无统计学意义(P>0.05)。然而,在较低的SES中,抑郁水平最高,随着SES的增加,抑郁水平显着降低。假肢康复导致假肢交付后3周评估的焦虑和抑郁水平有统计学意义(P<0.05)下降。修复修复后,与中,下SES组相比,上SES组的焦虑和抑郁程度较低。与较高SES组相比,较低SES组的治疗满意度水平明显较低(P=0.005),而与较高或较低SES组相比,中间SES之间没有差异。
■SES对患者的心理健康和治疗满意度有深远的影响。与较高SES的患者相比,较低SES的患者表现出更高的心理困扰和较低的治疗满意度。
UNASSIGNED: The aim of this study was conducted to evaluate the effect of socioeconomic status (SES) on psychological distress and treatment satisfaction levels of patients who underwent maxillectomy and rehabilitation with obturator prosthesis.
UNASSIGNED: Prospective, observational, analytic study.
UNASSIGNED: Forty-three patients undergoing maxillectomy were enrolled and divided into upper, middle, and lower SES groups, according to the updated Kuppuswamy SES scale. Psychological distress levels were assessed using Hospital Anxiety and Depression Scale (HADS) before maxillectomy (T0) and at 3 weeks after delivery of definitive obturator (T1). Treatment satisfaction levels with obturator prosthesis were assessed using Obturator Functioning Scale (OFS) at T1. HADS and OFS scores were then correlated with the SES of the participants.
UNASSIGNED: Out of 43 participants, 7 were lost to follow up. The total number of participants in upper, middle, and lower SES groups was 14, 11, and 11, respectively. Before surgery, there was no significant difference in anxiety levels (P > 0.05) among different SES groups. However, the depression levels were the highest in the lower SES and decreased significantly with increasing SES. Prosthetic rehabilitation led to statistically significant (P < 0.05) fall in the levels of both anxiety and depression assessed at 3 weeks after delivery of prosthesis. The upper SES group was found to be less anxious and depressed compared to middle and lower SES groups after prosthodontic rehabilitation. Treatment satisfaction level was found to be significantly low (P = 0.005) in lower SES group as compared to upper SES group while no difference was found in between the middle SES when compared to higher or lower SES groups.
UNASSIGNED: SES has a profound impact on the patient\'s psychosocial well-being and treatment satisfaction. Patients of lower SES reported with higher psychological distress and lesser treatment satisfaction compared to those belonging to upper SES.