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Preferences for dental decisional control and associations with quality of life among third molar patients attending public dental services

机译：牙科策略控制和与在公共牙科服务的第三摩尔患者中的生活质量的偏好

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Objectives: To explore: (1) the prevalence of dental decisional control preferences (DDCP) among third molar (TM) patients attending public dental services and associated individual's characteristics, and (2) the association between DDCP and quality of life (QoL). Method: Participants were adult public dental patients with internet access referred for TM consultation. Collected data included patients' socio-demographic variables, the Control Preferences Scale (CPS), the Oral Health Impact Profile (OHIP-14) and the EuroQol EQ-5D-5L. Results: Participants (n=163) were mainly females (73.6%) with a mean age of 26.2 years (SD=8.3). Most participants preferred an active DDCP (n=71, 44.1%) or a collaborative DDCP (n=60, 37.3%) while a minority preferred a passive DDCP (n=30, 18.6%). Gender (P=.05) and education (P=.03) were associated with DDCP. In a multinomial logistic regression model for DDCP, females were more likely to have an active DDCP (OR=2.73, P=.04) as were participants who had tertiary education (OR=2.72, P=.04). In a linear regression model for OHIP-14, active (P=.05) and collaborative DDCP (P=.04) were associated with less impact on oral health-related QoL. Conclusion: Patients attending public dental services preferred to be involved (either actively or collaboratively) in dental treatment decision-making. Being a female and/or having tertiary education were associated with an active DDCP. The positive association between patients' involvement in decision-making and oral health-related QoL might support the benefit for enhancing patients' involvement in decision-making.
机译：目标：探索：（1）参加公共牙科服务和相关个人特征的第三磨牙（TM）患者中牙科灾害控制偏好（DDCP）的患病率，以及（2）DDCP与生活质量（QOL）之间的关联。方法：参与者是成人公共牙科患者，互联网访问TM咨询。收集的数据包括患者的社会人口变量，控制偏好量表（CPS），口腔健康影响概况（OHIP-14）和Euroqol EQ-5D-5L。结果：参与者（n = 163）主要是女性（73.6％），平均年龄为26.2岁（SD = 8.3）。大多数参与者优选活性DDCP（n = 71,44.1％）或协作DDCP（n = 60,37.3％），而少数素优选被动DDCP（n = 30,18.6％）。性别（P = .05）和教育（P = .03）与DDCP有关。在DDCP的多项逻辑回归模型中，女性更有可能具有活动的DDCP（或= 2.73，P = .04），作为具有高等教育的参与者（或= 2.72，P = .04）。在OHIP-14的线性回归模型中，活性（P = .05）和协作DDCP（P = .04）与对口腔健康相关QOL的影响较少。结论：参加公共牙科服务的患者优先于牙科治疗决策中参与（积极或协作）。作为女性和/或拥有高等教育与活跃的DDCP有关。患者与决策和口头健康有关的QOL之间的积极关系可能支持提高患者参与决策的福利。

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