METHOD FOR MOTIVATIONAL INTERVIEWING OF DENTAL PATIENTS IN OUTPATIENT DENTAL PRACTICE

摘要

FIELD: medicine.;SUBSTANCE: patient passes a psychological pre-testing to determine an anxiety level and a self-efficacy level that are used to derive the number for visits, which are supposed to include the motivational interviewing preceding the dental intervention. If the patients have the low anxiety and the low self-efficacy, the motivational interviewing is only included in the first visit with the demonstration of empathy. The patients showing the medium anxiety and the high self-efficacy require the motivational interviewing on the first three visits to demonstrate empathy by reflexive listening with argues and straight confrontation to be avoided. In the patients with the medium anxiety and the low self-efficacy, the motivational interviewing is used on the first five visits with each visit started with demonstrating empathy to the patient to relieve a resistance to the treatment if any. The patients with the high anxiety and the high self-efficacy require the motivational interviewing on each visit to relieve a resistance to the treatment if any, to demonstrate empathy, to intensify a contradictory nature of the patient's judgments, to support a positive self-feeling; the first visit includes no traumatic interventions; the visits are appointed not less than every 10 days. The patients with the high anxiety and the lower self-efficacy passes the motivational interviewing on each visit; on the first 3 visits, no traumatic injuries are included with demonstrating empathy, relieving a patient's resistance to the treatment, intensifying intensify a contradictory nature of the patient's judgments, and supporting a positive self-feeling. On each visit, the patient is accompanied by people who give the moral support with the visits appointed not less than every 7 days.;EFFECT: method enables reducing the state anxiety on the outpatient dental visit by normalising the functional values that reduces a probability of medical emergencies.;10 tbl, 5 ex