The korean journal of orthodontics (대한치과교정학회지)

The Korean Association Of Orthodontists (대한치과교정학회)
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A study on the factors associated with treatment compliance in adolescent orthodontic patients

청소년기 교정환자의 치료 협조도와 연관된 요소에 관한 연구

  • Kim, Jin-Ee (Department of Orthodontics, College of Dentistry, Kangnung National University) ;
  • Cha, Bong-Kuen (Department of Orthodontics, College of Dentistry, Kangnung National University) ;
  • Lee, Nam-Ki (Department of Orthodontics, College of Dentistry, Kangnung National University)
  • 김진이 (강릉대학교 치과대학 교정학교실) ;
  • 차봉근 (강릉대학교 치과대학 교정학교실) ;
  • 이남기 (강릉대학교 치과대학 교정학교실)
  • Published : 2004.04.01
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Abstract

This study is aimed at providing the variables associated with adolescent compliance In orthodontic treatment, and identifies the salient predictors of cooperative behaviors over the course of treatment. Orthodontic attitude scale, orthodontic locus of control scale and demographics data were obtained for 60 adolescent orthodontic patients who had been in treatment a minimum of 10 months. This data was then analyzed in relation to their sex, school age and treatment compliance. The following results were obtained. 1. The scoring of external-powerful others-parents, subscale of the Orthodontic Locus of Control scale, found a statistically significant difference between sex differences (p<0.05). The score of boys was higher than that of girls. 2. The external-powerful others-parents score from the Orthodontic Locus of Control scale showed a significantly positive correlation (p<0.05) with the level of compliance. 3. The salient factors associated with compliance were the adolescent patients' own cognition and decisions. 4. There was a statistically significant correlation between the length of treatment and patient compliance (p<0.05). Thus, there was a substantial decrease in the cooperation of orthodontic patients over time. 5. Other independent variables including age, sex, family environment, religion, academic standing, parents' occupation and education, and brushing frequency were investigated and did not yield any significant relationships. Patient compliance is a critical factor in the efficacy of orthodontic treatment. Individuals vary greatly in their perceptions and attitudes of orthodontic treatment, sociodemographic environments and personality characteristics. In assessing the level of compliance attainable by each individual patient it is advisable To pay sufficient attention not only to the technical matters but also to the psychologic aspects of the treatment progress.

교정치료 시기의 적기이며 내원 환자의 많은 부분을 차지하고 있는 청소년기 교정환자의 치료 협조도에 영향을 미치는 요소들에 대해 파악하고자 강릉대학교 치과병원 교정과에서 10개월 이상 동적 치료를 받은 중학교 1학년 이상, 고등학교 3학년 이하 남녀 청소년 60명 (남자 23명, 여자 37명)을 대상으로 인구학적 변인에 따른 치료 협조도를 비교하고 성별, 학령, 치료 협조도에 따른 교정적 태도 척도, 교정용 내외통제소재 척도를 측정, 비교 분석하여 다음과 같은 결과를 얻었다. 1. 교정용 내외통제소재 척도를 조사 분석한 결과 외적통제-부모의 항목에서 성별에 따라 유의한 차이가 인정되었으며(p<0.05) 남학생이 여학생보다 높은 외적통제-부모의 양상을 나타내었다. 2. 교정용 내외통제소재 척도를 조사 분석한 결과 협조적인 환자 군과 비협조적인 환자 군간에 외적통제-부모 항목에서 유의성 있는 차이가 인정되었으며(p<0.05) 교정치료에 대해 협조적인 군에서 외적통제-부모에 대한 인식이 보다 높았다. 3. 교정 치료를 권유하거나 치료받기를 결정한 사람과 치료시의 협조도 사이에는 통계적으로 유의한 차이가 인정되었으며(p<0.05) 환자 자신의 결정에 의한 경우 가장 높은 협조도를 나타내었다. 4. 치료기간과 협조도 사이에 유의한 차이가 인정되었으며 (p<0.05) 치료기간이 길어질수록 협조도는 지속적으로 감소하였다. 5. 교정적 태도 척도를 조사 분석한 결과 성별, 중학생과 고등학생간, 협조적인 환자군과 비협조적인 환자군 사이 에 통계적으로 유의한 차이가 없었다. 6. 교정치료 시 협조정도와 한자의 성별, 연령, 가족관계, 부모의 직업 및 학력, 학업성적, 양치횟수 등의 변인과는 통계적으로 유의한 차이가 인정되지 않았다.

Keywords

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