儿童牙科畏惧症发生原因调查分析
|
摘要
目的:通过对引起儿童牙科畏惧症(children’s dental fear,CDF)发生的可能影响因素进行问卷调查,探讨导致CDF发生的原因,以期为预防和治疗CDF提供一定帮助。方法:随机选取2018年2月～2018年4月于重庆医科大学附属口腔医院儿童口腔科就诊的3～12岁患者110例,由患儿家长根据实际情况填写调查问卷,并采用Frankl行为分级法评估各调查对象的牙科畏惧程度,调查结果进行χ2检验。结果:本调查中儿童牙科畏惧症的发生率为58.2%,其中高度畏惧发生率为18.2%。经卡方检验,儿童牙科畏惧症组与非畏惧症组患儿在年龄与不良牙科就诊经历2个调查因素上有统计学意义(P<0.05)。结论:儿童牙科畏惧症的发生与年龄和是否有不良牙科就诊经历等因素相关。
Objective:To investigate and analyze the related factors of children's dental fear with a view to providing some help for the prevention and treatment of children's dental fear.Methods:One hundred and ten children aged 1-12 years old who went to Stomatological Hospital of Chongqing Medical University during February 2018 to April 2018 were randomly sampled by using clinical rating of anxiety and behavior comparative evaluation system.The data about dental fear gathered from 110 valid questionaires was analyzed with chi-square test.Results:The incidence rate of children's dental fear in this survey was 58.2%.The result of chi-square test showed that age and bad dental experience were statistically different compared with DF and NDF.Conclusion:The occurrence of children's dental fear is mainly related to age and bad dental experience.
Objective:To investigate and analyze the related factors of children's dental fear with a view to providing some help for the prevention and treatment of children's dental fear.Methods:One hundred and ten children aged 1-12 years old who went to Stomatological Hospital of Chongqing Medical University during February 2018 to April 2018 were randomly sampled by using clinical rating of anxiety and behavior comparative evaluation system.The data about dental fear gathered from 110 valid questionaires was analyzed with chi-square test.Results:The incidence rate of children's dental fear in this survey was 58.2%.The result of chi-square test showed that age and bad dental experience were statistically different compared with DF and NDF.Conclusion:The occurrence of children's dental fear is mainly related to age and bad dental experience.
引文
[1] Klingberg G,Broberg AG.Dental fear/anxiety and dental behaviour management problems in children and adolescents:a review of prevalence and concomitant psychological factors[J].Int J Padiatr Dent,2010,17(6):391-406.
[2]王一珠,吕岩,李晓光,等.儿童牙科畏惧症临床治疗研究进展[J].中国实用口腔科杂志,2017,10(5):313-316.
[3]徐浩,每晓鹏,徐礼鲜.牙科畏惧症的诱发因素与防治策略[J].牙体牙髓牙周病学杂志,2016,26(3):184-187.
[4] Rankl SN,Shiere FR,Fogels MR.Should the parent-main with child in the dental operatory[J].ASDC J Dent Child,1962,19(2):150-163.
[5] Suprabha BS,Rao A,Choudhary S,et al.Child dental fear and behavior:The role of environmental factors in a hospital cohort[J].Indian Soc Pedodontics Prevention Dent,2011,29(2):95-101.
[6]张耀祖,李觉慧.儿童牙科畏惧症防治临床研究进展[J].陕西医学杂志,2011,40(7):895-896.
[7]王晖,严加林,吕敏.儿童牙科畏惧症的原因及其诱发因素研究进展[J].临床口腔医学杂志2014,30(5):318-319.
[8]王慧民,汪俊,陈曦,等.3种不同龋病治疗方法对儿童牙科畏惧症的影响[J].口腔医学,2014,34(5):372-374.
[9]杨光.儿童牙科畏惧症230例分析[J].中国儿童保健杂志,2004,12(5):445-446.
[10]张耀国,朱玲,梅予峰,等.儿童牙科畏惧症调查分析[J].北京口腔医学,2007,15(4):225-227.
[11]夏可畏,钱虹,黄群.儿童牙科焦虑:与父母牙科焦虑的关系和有效的儿童应对策略[J].口腔医学研究,2016,32(9):969-973.
[12] Milgrom P,Mancl L,King B,et al.Origins of childhood dental fear[J].Behav Res Ther,1995,3(33):313-319.
[13] Smith PA,Freeman R.Remembering and repeating childhood dental treatment experiences:parents,their children and barriers to dental care[J].Int J Paediatr Dent,2010,20(2):83-101.
[14]吴家媛,李洁,李帅,等,父母牙科焦虑诱导儿童牙科畏惧症行为的影响[J].牙体牙髓牙周病学杂志,2011,21(9):533-535.
[15]王俊艳,牛一山.儿童牙科恐惧症产生原因研究进展[J].口腔医学,2016,36(11):1054-1056.
[16]赵萤,林晓萍.儿童牙科畏惧症病因及行为管理方法研究进展[J].中国实用口腔科杂志,2017,10(9):562-567.
[17]苏吉梅,阮文华,叶笑味,等.儿童牙科畏惧症的临床分析[J].华西口腔医学杂志,2007,25(4):362-364.
[18]朱婷,张耀国,吴友农,等.6~12岁儿童牙科畏惧症相关因素的logistic回归分析[J].牙体牙髓牙周病学杂志,2010,20(4):223-226.
[19] Chikkala J,Chandrabhatla SK,Vanga NR.Variation in levels of anxiety to dental treatment among non-orphan and orphan children live under different systems[J].J Nat Sci Biol Med,2015,6(Suppl 1):S13-S16.
[2]王一珠,吕岩,李晓光,等.儿童牙科畏惧症临床治疗研究进展[J].中国实用口腔科杂志,2017,10(5):313-316.
[3]徐浩,每晓鹏,徐礼鲜.牙科畏惧症的诱发因素与防治策略[J].牙体牙髓牙周病学杂志,2016,26(3):184-187.
[4] Rankl SN,Shiere FR,Fogels MR.Should the parent-main with child in the dental operatory[J].ASDC J Dent Child,1962,19(2):150-163.
[5] Suprabha BS,Rao A,Choudhary S,et al.Child dental fear and behavior:The role of environmental factors in a hospital cohort[J].Indian Soc Pedodontics Prevention Dent,2011,29(2):95-101.
[6]张耀祖,李觉慧.儿童牙科畏惧症防治临床研究进展[J].陕西医学杂志,2011,40(7):895-896.
[7]王晖,严加林,吕敏.儿童牙科畏惧症的原因及其诱发因素研究进展[J].临床口腔医学杂志2014,30(5):318-319.
[8]王慧民,汪俊,陈曦,等.3种不同龋病治疗方法对儿童牙科畏惧症的影响[J].口腔医学,2014,34(5):372-374.
[9]杨光.儿童牙科畏惧症230例分析[J].中国儿童保健杂志,2004,12(5):445-446.
[10]张耀国,朱玲,梅予峰,等.儿童牙科畏惧症调查分析[J].北京口腔医学,2007,15(4):225-227.
[11]夏可畏,钱虹,黄群.儿童牙科焦虑:与父母牙科焦虑的关系和有效的儿童应对策略[J].口腔医学研究,2016,32(9):969-973.
[12] Milgrom P,Mancl L,King B,et al.Origins of childhood dental fear[J].Behav Res Ther,1995,3(33):313-319.
[13] Smith PA,Freeman R.Remembering and repeating childhood dental treatment experiences:parents,their children and barriers to dental care[J].Int J Paediatr Dent,2010,20(2):83-101.
[14]吴家媛,李洁,李帅,等,父母牙科焦虑诱导儿童牙科畏惧症行为的影响[J].牙体牙髓牙周病学杂志,2011,21(9):533-535.
[15]王俊艳,牛一山.儿童牙科恐惧症产生原因研究进展[J].口腔医学,2016,36(11):1054-1056.
[16]赵萤,林晓萍.儿童牙科畏惧症病因及行为管理方法研究进展[J].中国实用口腔科杂志,2017,10(9):562-567.
[17]苏吉梅,阮文华,叶笑味,等.儿童牙科畏惧症的临床分析[J].华西口腔医学杂志,2007,25(4):362-364.
[18]朱婷,张耀国,吴友农,等.6~12岁儿童牙科畏惧症相关因素的logistic回归分析[J].牙体牙髓牙周病学杂志,2010,20(4):223-226.
[19] Chikkala J,Chandrabhatla SK,Vanga NR.Variation in levels of anxiety to dental treatment among non-orphan and orphan children live under different systems[J].J Nat Sci Biol Med,2015,6(Suppl 1):S13-S16.