Self-checking Type, Repetitive, Education Efficacy for Temporomandibular Disorder Patients
옥수민, 김경희, 허준영, 안용우, 정성희,
소속 상세정보
옥수민 ( Ok Soo-Min ) - Pusan National University School of Dentistry Department of Oral Medicine
김경희 ( Kim Kyung-Hee ) - Inje University College of Medicine Busan Paik Hospital Department of Oral Medicine
허준영 ( Heo Jun-Young ) - Pusan National University Dental Hospital Department of Oral Medicine
안용우 ( Ahn Yong-Woo ) - Pusan National University School of Dentistry Department of Oral Medicine
정성희 ( Jeong Sung-Hee ) - Pusan National University School of Dentistry Department of Oral Medicine
KMID : 0355220150400020072
Abstract
Purpose: The purpose of this research was twofold: to compare the short-term efficacy of onceoff education versus repetitive education (RE) of patients suffering from temporomandibular disorders (TMDs) and to determine whether there was any correlation amongst patient demographics, recommendation adherence degree and pain levels.
Methods: A total of 848 patients with TMDs were enrolled. The control group consisted of patients who received a standard conservative treatment (STD) over at least 6 visits with education provided only during the first visit. The experimental group consisted of patients who received STD but had also been given RE (STD+RE). The RE was delivered through a standardized self-assessment questionnaire (SAQ) that was completed by the patient during each visit. Pain, which included maximum comfortable opening (MCO) of the mouth and limitation of mouth opening (LOM), was compared between the two groups. Behavior pattern and reported pain level changes in the group who used the SAQ were also analyzed.
Results: The LOM was significantly improved in all of the experimental group patients (especially in females under 30 years of age, p<0.05). The MCO was significantly higher in females (p=0.029). All of the patients displayed improvements in their habits following RE, which resulted in a strong correlation with pain reduction. Adhering to the recommendations regarding questions 14 and 15 of the SAQ appeared to have the greatest effect on pain reduction.
Conclusions: These results clearly demonstrate that RE is more effective than once-off education for TMD patients who are female or under 30 years of age.
키워드
Behavior therapy; Cognitive therapy; Health education; Temporomandibular joint disorders
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