The dentist- patient relationship: perceived dentist behaviors that reduce patient anxiety and increase satisfaction. Corah N.L. et al. JADA 1988:116:73-76
The researchers asked250 adultsto respond to 25dentist behaviors after receiving treatment. Positive reactions were recorded in response to ten behaviors perceived to be associated with anxiety reduction: specially, empathy, friendliness and communicativeness. The dentist�s anxiety about the patient and the patient�s anxiety about the dentist make for a dental procedure that can be difficult for both of them. The patients frequently recommanded that dentists: 1. give initial explanatioons of what was going to happen during dental procedure. 2. give an inprocess explanation to let the patient know what is happeneding as it is going on. 3. instruct the patient to be calm. 4. warn the patient about pain when it is likely to occur. 5. verbally support the patient 6. try to give the patient ways of looking at the procedure in a less- threatening fashion and provide coaching to make them believe it is not as bad as they expect it to be. 7. provide distraction of attention and try to communicate in ways that will build trust in the dentist 과거 연구에의하면 치료불안에 대한 반응의 20-25%는 치과에 도착시 그리고 치료에 대한 환자의 일반적인 불안에 의해 결정된다고 한다. The dentist behavior items(questionnaire) during today� visit , the dentist 1. warn me when he felt the procedure might hurt 2. told me to be calm or to relax 3. criticized my teeth or how I�ve been taking care of them 4. made sure I was numb before working on me 5. showed that he knew what I was feeling 6. worked quickly but didn�t rush 7. was friendly to me 8. encourage me to ask questions about my treatment 9. made me feel welcome 10. was polite to me during my visit 11. used words that were understandable in talking about my dental care 12. told me what he was going to do before starting to work 13. showed that he paid attention to what I said. 14. reassured me during the procedure. 15. asked during the procedure if I were havinf any discomfort 16. had a calm manner 17. asked during the procedure if I were concerned or nervous 18. gave me a step by step explanation of what he was doing as he did it 19. shpwed that he took seriously what I had to say 20. was patient with me 21. carried on casual conversation ans small talk 22. told me that if it started to hurt, he would relieve the pain 23. gave me moral support during the procedure 24. let me know that he�d do everything he could to prevent pain 25. smiled The most important behavior is the dentist�s dedication to prevent pain. Most of other behaviors being friendly not rushing being calm giving moral support promising relief should pain occur. 환자의 만족도와 관련된 의사의 행동양식은 empathy friendliness calm and competent image to the patient having calm manner and dedication to prevent pain Anxiety reduction과 관련된 의사의 행동중 가장 중요한 것들은 dentist explicit dedication to prevent pain friendliness working quickly being calm giving moral support being important auxiliary behaviors
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