口腔疾病防治 ›› 2019, Vol. 27 ›› Issue (2): 104-106.DOI: 10.12016/j.issn.2096-1456.2019.02.007

• 防治实践 • 上一篇    下一篇

共同参与模式对牙科畏惧症儿童就诊行为的管理

张帆,任伟伟(),管琴,赵慧,李守宏   

  1. 湖北医药学院附属口腔医院,湖北 十堰(442000)
  • 收稿日期:2018-04-11 修回日期:2018-05-10 出版日期:2019-02-20 发布日期:2019-02-21
  • 通讯作者: 任伟伟
  • 基金资助:
    湖北省教育厅人文社科研究项目(16D074)

The management of dental fear symptoms in children in a coparticipation model

ZHANG Fan,REN Weiwei(),GUAN Qin,ZHAO Hui,LI Shouhong   

  1. Stomatological Hospital, Hubei University of Medicine, Shiyan 442000, China
  • Received:2018-04-11 Revised:2018-05-10 Online:2019-02-20 Published:2019-02-21
  • Contact: Weiwei REN

摘要:

目的 在共同参与型医患互动模式下,流程化行为管理对牙科畏惧症(dental fear, DF)儿童畏惧程度的影响。方法 选择98名3~6岁的牙科畏惧症儿童,随机均分为观察组、对照组。观察组在共同参与型模式下进行牙科诊疗,对照组采用传统告知—演示—操作(tell-show-do, TSD)。记录每名患儿的诊疗全程,以行为分级法为标准进行牙科畏惧程度评分。结果 观察组患儿与对照组患儿治疗前的畏惧程度评分分别为3.571 ± 0.913、3.857 ± 1.000,2组畏惧程度评分差异无统计学意义(t=1.477,P > 0.05)。治疗中,观察组患儿与对照组患儿的畏惧程度评分分别为1.428 ± 1.061、3.286 ± 0.707,2组畏惧程度评分差异有统计学意义(t =10.198,P<0.001)。结论 在共同参与型模式下,通过流程化的行为管理,DF患儿的恐惧程度下降,此种方式有助于改善患儿的牙科恐惧心理。

关键词: 儿童, 牙科畏惧症, 共同参与型, 畏惧程度, 行为管理, 龋齿

Abstract:

Objective To explore the impact of procedural behavior management on children with dental fear (DF) using the interactive mode of coparticipative doctor-patient interactions.Methods Ninety-eight children with dental fear and aged 3-6 years were randomly divided into an observation group and a control group. Dental treatment was performed on the observation group under the coparticipation model, while the control group adopted the traditional tell-show-do (TSD) operation. The entire process of diagnosing and treating each child was recorded, and the degree of dental fear was assessed using a behavioral grading method as the standard.Results The degrees of fear in the children in the observation group and the control group were 3.571 ± 0.913 and 3.857 ± 1.000. The two groups showed no significant difference in the degree of fear (t=1.477, P > 0.05). During the treatment, the fear scores of the children in the observation group and the control group were 1.428 ± 1.061 and 3.286 ± 0.707. The two groups showed statistically significant differences in fear scores (t=10.198, P < 0.001).Conclusion In the coparticipative model, the fear level of DF children was significantly reduced by process-based behavior management, which helped to improve the dental fear of the children.

Key words: Children, Dental anxiety, Coparticipative model, Dental anxiety level, Behavior Management, Dental caries

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