A qualitative study of preoperative anxiety in orthognathic patients: The patient perspective.

Autor: Kok XLF; Department of Orthodontics, UCL Eastman Dental Institute, London, United Kingdom; Faculty of Dentistry, National University of Singapore, Singapore. Electronic address: denkxlf@nus.edu.sg., Ryan FS; Royal National ENT and Eastman Dental Hospitals, UCLH NHS Foundation Trust, London, United Kingdom., Gwilliam J; Department of Orthodontics, St George's Hospital, St George's University Hospitals NHS Foundation Trust, London, United Kingdom., Sayers M; Department of Orthodontics, Queen Mary's Hospital Sidcup, King's College Hospital NHS Foundation Trust, Sidcup, United Kingdom., Cunningham SJ; Department of Orthodontics, UCL Eastman Dental Institute, London, United Kingdom; Royal National ENT and Eastman Dental Hospitals, UCLH NHS Foundation Trust, London, United Kingdom.
Jazyk: angličtina
Zdroj: American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics [Am J Orthod Dentofacial Orthop] 2024 Sep 26. Date of Electronic Publication: 2024 Sep 26.
DOI: 10.1016/j.ajodo.2024.08.007
Abstrakt: Introduction: Increased preoperative anxiety may have an adverse impact on the patient experience. This qualitative study therefore aimed to explore those factors affecting anxiety in the approach to orthognathic surgery.
Methods: A total of 28 orthognathic patients who had completed their presurgical orthodontic treatment and were within 8 weeks before their surgery underwent one-to-one in-depth interviews. The interviews explored their experience in the preoperative period, with the focus on aspects relating to anxiety. Interviews were audio-recorded and transcribed verbatim, and data were then analyzed using a thematic framework approach.
Results: Eight themes and associated subthemes were identified. The first theme related to time and described the approach to the surgery and the transience of the side effects. The second theme discussed control and how the need for control may affect anxiety; the third focused on fear related to the surgery and the element of "the unknown." The fourth theme highlighted the importance of trust between patients and clinicians, whilst the fifth focused on information and its delivery, which was crucial for managing uncertainty. The sixth theme centered on expectations about the surgery and the patient's ability to cope, and the seventh discussed coping strategies that were effective in alleviating anxiety. The final theme focused on the benefits of a strong, effective support system in reducing anxiety. No distinct typologies emerged from the data. Recommendations for consideration by clinicians are presented.
Conclusions: The findings provide a novel insight into the multifactorial nature of preoperative anxiety in orthognathic patients and also highlight the important role of the clinical team in creating a supportive environment to help reduce patient anxiety.
(Copyright © 2024 American Association of Orthodontists. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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