Relation of individually-personal features of patients and commitment to the doctor's recommendations for oral hygiene

Relevance. In modern medicine, the question of an individual approach to the prevention and treatment of patients with dental diseases becomes relevant. Consideration of the personal characteristics of patients is necessary both for building a successful communication with a doctor and for predicting their adherence to medical recommendations.

Objectives. The study of the relationship of individual-personal characteristics of patients undergoing dental treatment, with a commitment to follow the recommendations of the doctor.

Methods and sampling. The study involved patients who underwent examination and therapeutic treatment in the dental clinic (63 women and 35 men). The study took place in two stages. At the first stage, the level of dental health was measured (by 5 indices) and a psychodiagnostic study was conducted to determine the individual and personal characteristics of patients (type of interpersonal relationships, character accentuation, extraversion / introversion); a questionnaire on attitudes towards dental health, developed by the staff at Pavlov’s University. Patients were given detailed instructions on proper oral hygiene. At the second stage (in a month), dental health indices were re-measured in patients.

Results. Adherence to the implementation of the recommendations of the dentist is associated with such personality characteristics as hyperthymic and demonstrative character traits, altruistic and authoritarian types of behavior in interpersonal relationships and extroversion. Insufficient level of care for dental health and low commitment to follow the recommendations of the dentist are associated with such personality features as anxious, fearful and dysthymic types of character accentuations and introversion.

Conclusion. The ability to predict patient behavior regarding compliance with the recommendations of the dentist based on the diagnosis of the psychological profile of patients opens up prospects for developing personalized prevention programs for each type of patient and introducing case management into the dental practice, in which an individual treatment plan is developed for each patient personal and social characteristics.

References

Arina, G.A., Iosifyan, M.A., Nikolaeva, V.V. (2018). Osoznavaemye i neosoznavaemye tsennosti i reshenie dilemm, svyazannykh so zdorovʹem [Aware and unrecognizable values and solutions to health-related dilemmas]. Natsionalʹnyy psikhologicheskiy zhurnal [National Psychological Journal], 4(32), 77—85.

Arkhangelʹskaya, A.S. (2018). Vliyanie ehstetiki ulybki na psikhoehmotsionalʹnyy status  patsientov s zubochelyustnymi anomaliyami: Avtoref. diss. … kand. med. nauk [The effect of smile aesthetics on the psycho-emotional status of patients with dental-maxillary anomalies: Abstract of the dissertation of the candidate of medical sciences]. Moscow.

Aslam, I., Feldman, S.R. (2015). Practical Strategies to Improve Patient Adherence to Treatment Regimens. Southern Medical Journal, 108, 6, 325—331. DOI: 10.14423/SMJ.0000000000000294

Beaton, L., Freeman, R., Humphris, G. (2014). Why Are People Afraid of the Dentist? Observations and Explanations. Medical Principles and Practice, 23, 295—301. DOI: doi.org/10.1159/000357223

Bos, A., Vosselman, N., Hoogstraten, J. (2005). Patient compliance: a determinant of patient satisfaction? Angle Orthod., 75, 526—531.

Buzunova,A.D., Isaeva,E.R. (2017). Osobennosti vospriyatiya vremennoy perspektivy, sobstvennogo somaticheskogo zdorovʹya i urovnya sotsialʹnoy podderzhki u VICH-infitsirovannykh patsientov [Features of perception of time perspective, own somatic health and level of social support in HIV-infected patients]. Vestnik YuUrGU. Ser. Psikhologiya[Bulletin of the South Ural State University. Ser. Psychology], 10, 4, 17—27. DOI: 10.14529/psy170402

Carlsson, S.G., Boman, U.W., Lundgren, J., Hakeberg, M. (2013). Dental anxiety – a joint interest for dentists and psychologists. European Journal of Oral Sciences, 121, 221—224. DOI: doi.org/10.1111/eos.12046

Cramer, J.A. (1995). Microelectronic systems for monitoring and enhancing patient compliance with medication regimens. Drugs, 49, 321—327. DOI: doi.org/10.2165/00003495-199549030-00001

Fedotova,A.V. (2009). Komplaens. Ehffektivnaya kommunikatsiya vrach-patsient // Veynovskie chteniya (Moskva, 6—7 fevralya 2009 g.) [Ehlektronnyy resurs] [Compliance. Effective communication between the patient and the patient // Weinovskie readings (Moscow, February 6—7, 2009)]. URL: http:// http://www.paininfo.ru/events/vein09/2544.html (data of retrieval: 15.02.2017).

Fleysher, G.M. (2019). Profilaktika stomatologicheskikh zabolevaniy [Prevention of dental diseases]. Moscow: Izdatelʹskie resheniya.

Gazhva, S.I., Gazhva, Yu.V., Guluev R.S. (2012). Kachestvo zhizni patsientov s zabolevaniyami polosti rta (literaturnyy obzor) [Quality of life for patients with oral diseases (literature review)]. Sovremennye problemy nauki i obrazovaniya[ehlektronnyy resurs] [Modern problems of science and education], 4; URL: http://science-education.ru/ru/article/view?id=6466 (data of retrieval: 30.07.2018).

Grudyanov,A.I. (2009). Zabolevaniya parodonta [Periodontal disease]. Moscow: Meditsinskoe informatsionnoe agentstvo.

Hathiwala, S., Acharya, S., Patil, S. (2015). Personality and psychological factors: Effects on dental beliefs. Journal of Indian Society of Pedodontics and Preventive Dentistry, 33, 88—92. DOI: doi.org/10.4103/0970-4388.155110

Kadyrov,R.V.,  Asriyan,O.B.,  Kovalʹchuk,S.A. (2014). Oprosnik «Urovenʹ komplaentnosti» [Compliance Questionnaire]. Vladivostok: Tikhookeanskiy gos. med. un-t.

Kuleshov,D.V. (2016). Obshchenie organizatsii, okazyvayushchey psikhologicheskuyu (meditsinskuyu) pomoshchʹ, s klientom[Communication of the organization providing psychological (medical) care with the client].In N.D. Tvorogova (Ed.), Klinicheskaya psikhologiya: ehntsiklopedicheskiy slovarʹ [Clinical Psychology: Encyclopedic Dictionary] (pp. 414—415). 2nd ed. Moscow: Prakticheskaya meditsina.

Kuzʹmina, E.M. (2001). Profilaktika stomatologicheskikh zabolevaniy: Uchebnoe posobie [Dental Disease Prevention: Tutorial]. Moscow: Tonga-print.

Levin, O.S., Vasenina, E.E. (2015). Diagnostika i lechenie kognitivnykh narusheniy i dementsii [Diagnosis and treatment of cognitive impairment and dementia]. Moscow: Medpressinform.

Macri, D. (2016). The expert advice: Dental patient compliance hinges on effective communication strategies. RDH Magazine. URL: https://www.rdhmag.com/articles/print/volume-36/issue-6/contents/the-expert-advice.html (date of retrieval: 29.10.2018).

Martynov, A.I., Nikolaev, N.A. (2017). Natsionalʹnye rekomendatsii Rossiyskogo nauchnogo meditsinskogo obshchestva terapevtov po kolichestvennoy otsenke priverzhennosti k lecheniyu [National recommendations Russian Scientific Medical Society of Physicians by quantifying treatment adherence]. Moscow: Rossiyskoe nauchnoe meditsinskoe obshchestvo terapevtov.

Morisky, D.E., Ang, A., Krousel-Wood, M., Ward, H.J. (2008). Predictive validity of a medication adherence measure in an outpatient setting.J. Clin. Hypertens (Greenwich),10, 5,348—354.DOI: doi.org/10.1111/j.1751-7176.2008.07572.x

Müller-Tasch, T., Löwe, B., Lossnitzer, N., et al. (2017). Anxiety and self-care behaviour in patients with chronic systolic heart failure: a multivariate model. European Journal of Cardiovascular Nursing, 17, 2, 170—177. DOI: doi. org/10.1177/1474515117722255

Partovi, М. (2010). Compliance and Your Patients. RDH Magazine. URL: https://www.rdhmag.com/articles/print/volume-30/issue-11/features/compliance-and-your-patients.html (date of retrieval: 15.10.2018).

Pechere, J.C., Hughes, D., Kardas, P., et al. (2007). Non-compliance with antibiotic therapy for acute community infections: a global survey. Int J Antimicrob Agents, 29, 245—253. DOI: doi.org/10.1016/j.ijantimicag.2006.09.026

Raygorodsky,  D.Ya. (1998, Ed.). Prakticheskaya psikhodiagnostika. Metodiki i testy: uchebnoe posobie [Practical psychodiagnostics. Methods and tests: A tutorial]. Samara: Izd-vo  BAKHRAKH.

RBK. Obzor platnykh meditsinskikh uslug i zdorovogo obraza zhizni. Rynok stomatologicheskikh uslug[RBC. Review of paid medical services and a healthy lifestyle. Dental Services Market] [Ehlektronnyy resurs]. URL: https://marketing.rbc.ru/articles/9997/ (data of retrieval: 12.12.2017).

Savina, E.A., Bulkina, N.V., Lomakina, D.O., Olevskaya, O.A. (2011). Psikhoterapevticheskie priemy pri provedenii lechebno-profilakticheskikh meropriyatiy v ramkakh deontologicheskogo povedeniya vracha stomatologa-terapevta [Psychotherapeutic techniques during treatment and preventive measures as part of the deontological behavior of a dentist therapist]. Saratovskiy nauchno-meditsinskiy zhurnal[Saratov Scientific Medical Journal], 7, 3, 683—689.

Shindrikov, R.Yu., Shchelkova, O.Yu., Demchenko, E.A., Sitnikova, M.Yu. (2019). Psikhosotsialʹnyy status patsientov s khronicheskoy serdechnoy nedostatochnostʹyu, ozhidayushchikh transplantatsiyu serdtsa [Psychosocial status of patients with chronic heart failure awaiting heart transplantation]. Vestnik Rossiyskogo universiteta druzhby narodov. Seriya: Psikhologiya i pedagogika[Bulletin of Peoples' Friendship University of Russia. Series: Psychology and Pedagogy], 16, 2, 163—180. DOI: doi.org/10.22363/2313-1683-2019-16-2- 163-180

Sobchik, L.N. (1990). Metody psikhologicheskoy diagnostiki. Vyp. 3. Diagnostika mezhlichnostnykh otnosheniy. Modifitsirovannyy variant interpersonalʹnoy diagnostiki T. Liri. Metodicheskoe rukovodstvo[Methods of psychological diagnosis. Issue 3. Diagnosis of interpersonal relationships.A modified version of the interpersonal diagnosis T. Leary. Methodical manual]. Moscow: MKTS GU po trudu i sotsialʹnym voprosam Mosgorispolkoma.

Sobchik, L.N. (2003). Diagnostika individualʹno-tipologicheskikh svoystv i mezhlichnostnykh otnosheniy [Diagnostics of individual typological properties and interpersonal relations]. St. Petersburg: Rechʹ.

Timokhova, E.S., Gritskevich, E.R. (2018). Vliyanie stomatologicheskogo statusa polosti rta na urovenʹ kachestva zhizni [Impact of dental oral status on the quality of life]. In S.A. Maskevich, S.S. Poznyak (Eds.), Sakharovskie chteniya 2018 goda: ehkologicheskie problemy XXI veka: materialy 18-y mezhdunarodnoy nauchnoy konferentsii (Minsk, 17—18 maya 2018 g.): V 3 ch. [Sakharov's readings of 2018: environmental problems of the XXI century] (ch. 1, pp. 349—350). Minsk: IVTS Minfina.

Tvorogova, N.D., Kuleshov, D.V. (2017). Doverie k meditsinskomu uchrezhdeniyu (obzor literatury) [Trust in a medical institution (literature review)]. Vestnik novykh meditsinskikh tekhnologiy: Ehlektronnoe izdanie[Bulletin of new medical technologies: Electronic edition], 1, Publ. 7-3. URL: http://www.medtsu.tula.ru/VNMT/Bulletin/E2017-1/7-3.pdf (data of retrieval: 19.01.2017).

Ulitovskiy, S.B. (2013). Situatsionnaya gigiena polosti rta: Uchebnoe posobie [Situational Oral Hygiene: Tutorial]. St. Petersburg: Chelovek. 

Yaltonskiy, V.M., Malyy, A.Yu., Makurdumyan, D.A., Kareva, E.E. (2011). K probleme priverzhennosti/nepriverzhennosti lecheniyu v ortopedicheskoy stomatologii [To the problem of adherence / non-adherence to treatment in prosthetic dentistry]. In: Vserossiyskaya nauchno-prakticheskaya konferentsiya s mezhdunarodnym uchastiem: «Klinicheskaya psikhologiya v zdravookhranenii i obrazovanii» (Moskva, 24—25 noyabrya 2011 g.) [All-Russian scientific-practical conference with international participation:“Clinical psychology in health care and education” (Moscow, November 24–25, 2011)] (pp. 105—108). Moscow: MGMSU, Fakulʹtet klinicheskoy psikhologii.

Yaremenko, A.I., Isaeva, E.R., Kolegova, T.E., et al. (2018). Udovletvorennostʹ kachestvom zhizni patsientov s minimalʹnymi rubtsovymi deformatsiyami litsa i shei [Satisfaction with the quality of life of patients with minimal cicatricial deformities of the face and neck]. Klinicheskaya i spetsialʹnaya psikhologiya, 7, 1, 75—90. DOI: 10.17759/cpse.2018070106

Zinchenko, Yu.P., Volodarskaya, I.A. (2011). Novye spetsializatsii po psikhologii [New specialties in psychology]. Natsionalʹnyy psikhologicheskiy zhurnal [National Psychological Journal], 1(5), 119—123.