唇腭裂患者家长寻求正畸治疗的Q方法调查

目的 探讨唇腭裂（cleft lip and/or palate,CLP）患儿家长的正畸治疗动机,为制定更加合理的治疗方案提供帮助。方法 采用Q方法对40例患儿家长进行调查,主要分为5部分— ①语句集合即收集所有关于CLP患儿家长寻求矫正的动机观点;② Q样本,由从语句集合中整理出的36条观点组成;③P样本,由40例寻求正畸治疗的CLP患儿家长组成;④Q排序,P样本被要求完成一张从“最同意”到“最不同意”的Q分布量表; ⑤分析,利用PQMethod 进行数据处理和分析。结果 根据参与者完成的Q分布处理分析,提取得到3个主要动机因素,将CLP患儿家长分为3种相应类型。类型1,“责任动力型”（13人）;类型2,“担忧型”（8人）;类型3,“混合功能型”（9人）。部分持分散观点的参与者不包括在以上3组内。结论 大多数参与者都能归类到以上3种类型中,结果有助于对CLP患儿制定更加合理的正畸治疗方案,提高家长及患儿的合作性,以期取得更满意的效果。

Using Q methodology to investigate motives of seeking orthodontic treatment from parents' perspectives of cleft lip and/or palate patients

PURPOSE: This study was aimed to use Q methodology to find out why parents of cleft lip and/or palate (CLP) patients want their children to undergo orthodontic treatment. METHODS: Q methodology involved five phases.①concourse, collecting all viewpoints from CLP patients' parents on seeking orthodontic treatment. ②Q sample, Selecting 36 items from the concourse. ③P sample, forty varieties of parents whose children were CLP patients and want to have braces. ④Q sort, participant- ranked statements (Q sample) in order of relative significance using an enforced distribution grid (Q grid). ⑤analysis: using PQMehtod 2.35 vision to analyze the data. RESULTS: Three factors were identified as representing the most widespread views of the majority of the parents. Group 1 consisted of parents of 13 CLP patients marked as factor 1: responsibility as parents. The parents of 8 participants made up group 2 designated as factor 2: parents' anxiety for their children's wellbeing. Group 3 was made up of parents of 9 CLP patients marked as factor 3: oral function. The opinions of the remaining participants did not fit into any of the outlined three groups. CONCLUSIONS: Parents' motives to seek orthodontic treatment for their children are complicated. Most CLP patients' parents are categorized into three different groups. Understanding these motives will help orthodontists frame their treatment discussions with parents and improve cooperation of both patients and parents.