The Humanistic Factors Of Patients In Doctor-patient Communication On The Treatment Of Oral Potentially Malignant Disorders

BackgroundOral potentially malignant disorders(OPMDs)are series of oral mucosal diseases with certain risk of malignant transformation.Most of OPMDs patients have the fear for "cancer",anxiety or other kinds of negative emotions.What's more,OPMDs patients with different personalities,occupation,educational level and other related factors would give different performance in aspects of accepting the medical treatment opinions doctors provide,cooperating with doctors in treatment and advices,which would eventually affect the treatment effect of diseases.ObjectiveTo explore the influence of different gender,age,disease types of patients on OPMDs doctor-patient communication and performance,and to lay a foundation for further study o humanistic factors of patients affecting OPMDs therapy achievements and doctor-patient communication.MethodsPatients with mucosal diseases from June 2019 to January 2020 were included in this study.The statistical clinical information included age,gender,diagnosis and "doctor-patient communication time"(excluding consultation and examination time).SPSS 25.0 statistical software was used for data analysis.ResultsIn the study,1177 patients,including 329 OPMDs patients and 848 non-OPMDs patients were enrolled,with an average age of(49.35±16.72),of which the 40-60 age group was more common.The communication time of OPMDs patients was longer than that of non-OPMDs patients,and the difference was statistically significant.The communication time of OPMDs patients with different ages and diseases was statistically different,no significant difference was found between patients with different genders.Conclusion1.Within the scope of this study,the doctor-patient communication time of OPMDs patients was longer than that of non-OPMDs patients.2.Within the scope of this study,the doctor-patient communication time was related to age and disease types,but not significantly related to gender.3.Within the scope of this study,oral lichen planus was most common in OPMDs,followed by oral submucous fibrosis and leukoplakia,patients with discoid lupus erythematosus and oral erythroplakia were the least.The incidence of traumatic ulcer with or without leukoplakia was high.4.Limitations: This study only analyzed the age,gender,disease types and "communication time" of patients,which may not fully represent the specific doctor-patient communication situation in clinic.The further study on humanistic factors of patients will explore the quantitative strategy on early recognition of patients' emotion which affects the communication between doctors and patients.