The Correlative Analysis Between Treatment Compliance And Mental Health Among Teenagers Orthodontic Patients

Background Orthodontic is a subject that studying the pathogenesis,diagnosis,prevention and treatment of malformation,depending on the type of malformation and its therapies,rectification period of treatment is not the same[1].According to the results of Chinese stomatological association survey in 2007,the prevalence rate of teenagers in our country is 67.82%[2].Adolescence is the best period for us to correct malformation,but the psychological development and physical development of adolescents are not synchronized,and it may cause a series of psychological problems in this process.Malformation will cause some psychological problems,and the rectification device is likely to further aggravate the patient's psychological problems in the process of the combined treatments,these will be a certain impact on treatment adherence in patients [3].The successful treatment of orthodontic patients depends not only on clinical level of orthodontic doctors,but also the mental health status of orthodontic patients,Because the main targets of orthodontic is the teenagers in adolescence,the psychological state of these patients is not stable,and the ability of self adjusting is not as well as adults.Their physical and mental status is from unstable to stable.The entrance pressure that teenagers should face is very big,so it is the most volatile period of psychological state in life,this kind of special psychological conditions necessary for orthodontic treatment for composition and treatment effect in the process of produce certain influence [4].Doctor-patient relationship and treatment progress in all aspects will affect the mental health of patients,including the patient's cooperation and the maintenance of oral health,pain,cognitive,discomfort,and psychological adjustment of treatment.He is not only a orthodontic doctors,but also a psychiatrist [5,6].This study is planning to explore the relationship between adolescents orthodontics patients psychological health and treatment compliance of relevance,so that it can provide theoretical basis for orthodontic doctors to improve the treatment compliance of patients.Objective To explore the correlation between treatment compliance and mental health among orthodontic patients.To provide a theoretical basis for Orthodontic doctors to improve the treatment compliance of patients.Materials and Methods In the case of patients with orthodontics in the First Affiliated Hospital of Zhengzhou University from 2014 to 2017,200 questionnaires were selected to investigate the questionnaire among the young people who met the inclusion criteria.The survey mainly includes the following three parts:(1)Demographic information questionnaire: including the patient's gender,age,grade,parental age and education and the purpose of patients with correction.(2)Mental Health Scale of Child and Adolecence(MHS-CA): this scale is written by the patient or under the guidance of their own parents,including cognitive,thinking and language,personality,emotions,will behavior five dimensions of 24 entries.5 = high health status,4 = general health status,3 = low health status,2 = absence of neurotic behavior,1 = overdose pathologic behavior,6 = Lack of pathological behavior.(3)The physician assesses the questionnaire,which is evaluated by the doctor on the patient's treatment compliance,including 25 subjects with self-discipline,self-initiative,negative resistance,interpersonal relationship.Each entry is always,often,Very few,never five levels of score,respectively,5 points to 1 point,where the negative resistance for the reverse score,the need for data conversion.The score of the entries accumulated,the score and the total score,converted into standard points,the higher the score,the better the compliance.Scoring methods: 5 points score,1 and 7 belong to the disease state were recorded as 1 point,2 and 6 belong to the sub-health state were recorded as 2 points,3 to 5 belong to the state of health were recorded as 3 to 5 points.The newly generated five grades of assessment criteria for the 5 points for the high health status,4 divided into general health status,3 divided into low health status,2 divided into sub-health state,1 divided into disease state.Adding the scores of the entries to get the total score of the dimensions and the total score of the questionnaire.Results The scores of adolescent orthodontic patients were lower than normol in the dimension of behavior,and the scores of cognition,thinking,personality and emotion were higher than those of normol.The differences were statistically significant.The relationship between self-discipline,self-conscious initiative and total score in the cooperative behavior was statistically significant,and the correlation between self-conscious initiative and total score in the cooperative behavior was also statistically significant.There were differences in mental health between adolescent orthodontic patients and normal adolescents,and the former's will behavior was relatively poor.Oral orthodontics can affect the mental health of adolescent patients by influencing beauty,function,learning and life.Conclusions This study confirmed that the correlation between mental health and treatment compliance among orthodontic patients in adolescence.If orthodontic doctors can apply psychological knowledge,making evaluation of mental health status of patients before treatment evaluation,and distinguish between those who have a mental disorder patients.Orthodontic doctors and patients should be common treatment planning and the communication with patients with patience and respect their opinions and make the patients before treatment have correct understanding of orthodontic treatment.According to different mental health status in patients with appropriate intervention measures,including psychological counseling and psychotherapy,etc.,so as to achieve the aim of shorten the treatment time and improve curative effect...