歯列矯正治療の動機付けと協力。思春期の患者と親の回答のクロスセクション分析

Orthodontic treatment motivation and cooperation: A cross-sectional analysis of adolescent patients' and parents' responses.

抄録

はじめに:

思春期の患者の歯科矯正治療に対するモチベーションは、治療中の患者の反応と関連している。また、親も患者のモチベーションに影響を与える要因であると考えられている。本研究では、患者とその保護者の歯科矯正治療に対するモチベーションを調査した。

INTRODUCTION: Motivation for orthodontic treatment among adolescents has been linked with patients' response during treatment. Parents have also been seen to be influencing factors in patient motivation. This study investigates the motivation for orthodontic treatment among patients and their parents/guardians.

材料と方法:

3つの公立病院で、平均年齢11.9歳、年齢層7～17歳の矯正歯科患者とその保護者100名（男子41名、女子59名）からデータを得た。募集は、初診時のスクリーニング予約時の患者とその保護者、および定期的な矯正治療を予定している患者を中心に行いました。データの収集は、患者さんと保護者の両方を対象とした調査票を用いて行いました。データはEpi info™ version 3.5.1を用いて分析した。

MATERIALS AND METHODS: Data were obtained from 100 orthodontic children (41 boys, 59 girls), with a mean age of 11.9 years, in the age range of 7-17 years, and with parents/guardians from three public hospitals. Recruitment focused on patients and their parents at their initial screening appointment and those scheduled for regular orthodontic treatment. Data were collected by the use of survey forms for both patients and parents. Data were analyzed using Epi info™ version 3.5.1.

結果:

治療前の子供は親よりも矯正治療へのモチベーションが高かったが、治療中の子供は親よりも矯正治療へのモチベーションが高かった。治療中の子どもは、治療を開始していない子どもよりもモチベーションが低かった。歯列矯正の使用は、子どもにとって親よりも重要であった。治療中の子どもの保護者は、治療を開始していない子どもの保護者よりも、子どもが歯列矯正治療を受けることに対するモチベーションが高かった。矯正治療中の子どもは、治療の一環として抜歯をすることに抵抗があったが、親はあまり反対しなかった（＝0.001）。保護者は、子どもに課せられた食事指導に喜んで応じた。( = 0.45).治療前の子どもは、治療中の子どもよりも食後のブラッシングに積極的であった（0.010）。

RESULTS: Children were more motivated to have orthodontic treatment than their parents before treatment, however parents showed greater motivation for their children to have orthodontic treatment than did the children during treatment. Children on treatment were less motivated than those who have not started treatment. Using braces was more important to children than their parents. Parents of children on treatment were more motivated for their children to have orthodontic treatment than parents of children who were not yet on treatment. Children undergoing orthodontic treatment were not willing to have extractions as part of their treatment, while parents did not have much objections ( = 0.001). Parents were willing to comply with dietary instructions imposed on their children. ( = 0.45). Pretreatment, children were more willing to brush after meals than the ones undergoing treatment (0.010).

結論:

治療中の子どもの保護者は、未治療の子どもの保護者よりも、子どもの矯正治療に対するモチベーションが高かった。治療中の子どもは、治療中のモチベーションが低かった。

CONCLUSION: Parents of children on treatment were more motivated for their children to have orthodontic treatment than parents of children who were not yet on treatment. Children on treatment were less motivated during treatment.