PSYCHOSOCIAL VS CLINICAL RESPONSES--ORTHOGNATHIC SURGERY

社会心理反应与临床反应——正颌手术

• 批准号: 2458601
• 负责人: CEIB PHILLIPS
• 金额: $ 25.13万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 1995
• 资助国家: 美国
• 起止时间: 1995-09-15 至 1999-07-14
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2458601
• 关键词: clinical trials; emotional adjustment; face; human subject; human therapy evaluation; jaw; longitudinal human study; orthodontics; patient care management; prognosis; questionnaires; self concept; social adjustment; surgery; videotape /videodisc

The goals of this project are to assess psychosocial outcomes of orthognathic surgery, clarify the relationship of outcome to both pretreatment patient characteristics and patient management during treatment, and evaluate the impact of presurgical exposure of patients to video image predictions of the treatment result. The basic objective is to improve the management of patients undergoing orthognathic surgery and to identify patients who are "at risk" for a poor adjustment to either the treatment experience or the functional and/or esthetic changes following tr tment. The project is based on a collaborative effect between the University of North Carolina (UNC) and the university of Washington (UW). Essentially all patients having orthognathic surgery at both centers will be included to achieve an adequate sample size for planned comparisons that will subset the sample. Two control groups, a presurgery orthodontic patient control and an acquaintance control group, are included to minimize the effect of potential biases and confounders in the longitudinal psychological and self-concept assessment. Two control groups were selected since each group serves a different purpose and provides control for different types of potential confounders. Data collection will include two major aspects: (1) patient questionnaires to evaluate psychological adjustment and personality characteristics, expectations from treatment and patient perception of experiences during treatment; and (2) clinical examination to evaluate neurosensory status and changes; facial esthetic appearance, expectation and changes; dental appearance and changes; and functional status and changes. In addition, a randomized clinical trial of ht effects of exposing patients to video predictions of treatment outcomes will be carried out, to evaluate whether and when video image presentations are advantageous to patients. Although video predictions can improve communication with patients by helping them visualize possible treatment results, it may be that for some individuals, exposure to the video predictions can increase anxiety or create desires for unrealistic and unobtainable appearance changes. The trial should clarify whether and when, for best management, video predictions should be shared with patients.

该项目的目标是评估 正牙手术，阐明结果与两者的关系 预处理患者特征和患者管理 治疗，并评估患者的预性暴露对 视频图像预测治疗结果。 基本目标是 改善接受正牙手术的患者的管理和 确定对对任何一项“有风险”的患者的调整 TR之后的治疗经验或功能和/或审美变化 t。 该项目基于大学之间的协作效应 北卡罗来纳州（UNC）和华盛顿大学（UW）。 本质上 所有在两个中心都进行正牙手术的患者将包括在内 为了获得足够的样本量以进行计划的比较 样本。 两个对照组，一个前正畸患者对照 包括一个熟人对照组，以最大程度地减少 纵向心理学中的潜在偏见和混杂因素 自我概念评估。 选择两个对照组，因为每个组 服务目的不同，并为不同类型的 潜在的混杂因素。 数据收集将包括两个主要方面： （1）评估心理调整和 人格特征，治疗和患者的期望 治疗期间经历的感知； （2）临床检查 评估神经感觉状态和变化；面部审美外观， 期望和变化；牙齿外观和变化；和功能 状态和变化。 此外，暴露患者的HT效应的随机临床试验 将对治疗结果进行视频预测，以评估 视频图像演示是否对患者有利。 尽管视频预测可以通过 帮助他们可视化可能的治疗结果，可能是某些人 个人，接触视频预测会增加焦虑或 为不现实和无法获得的外观变化创造欲望。 这 试验应澄清是否以及何时，用于最佳管理，视频 预测应与患者共享。