Tripp D A, Neish N R, Sullivan M J
Department of Psychology, Dalhousie University, Nova Scotia, Canada.
J Dent Hyg. 1998 Fall;72(4):25-30.
The purpose of this study was to examine clients' pain reports for routine clinical procedures during dental hygiene treatment, and to examine the degree to which physical and psychological variables contribute to pain.
A convenience sample consisting of 53 (18 male, 35 female) undergraduate students enrolled at Dalhousie University participated as dental hygiene clients. Before treatment, the demographics, dental anxiety, and pain catastrophizing of students were measured. During procedures, dental status was measured. Following procedures, the amount of pain associated with procedures was recorded. Data was analyzed using an SPSS/PC statistical package.
Most procedures were associated with little or no pain. However, probing and scaling were associated with greater pain. Furthermore, 25 percent of the sample reported their pain was > or = 7/10 on at least one dental hygiene procedure. Dental status measures and treatment difficulty did not correlate with pain. Individuals higher in dental anxiety and pain catastrophizing reported greater pain. Multiple regression showed that all predictor variables combined to account for approximately 1/3 of the variance in pain reports.
On average, clinical dental hygiene treatment is associated with low levels of pain, but approximately 25 percent of subjects experienced at least one of the seven procedures as being moderately to severely painful. Findings illustrate the need for effective pain management that may be physiologically or psychologically based. Interventions geared toward reducing anxiety and pain catastrophizing may be useful additions to the curriculum of dental hygiene programs.
本研究旨在调查牙科保健治疗期间常规临床操作中患者的疼痛报告，并探究生理和心理变量对疼痛的影响程度。
选取53名（18名男性，35名女性）就读于达尔豪斯大学的本科生作为牙科保健患者，组成便利样本。治疗前，测量学生的人口统计学信息、牙科焦虑和疼痛灾难化程度。操作过程中，测量牙齿状况。操作结束后，记录与操作相关的疼痛程度。使用SPSS/PC统计软件包对数据进行分析。
大多数操作引起的疼痛轻微或没有疼痛。然而，探查和刮治与更强烈的疼痛相关。此外，25%的样本报告在至少一项牙科保健操作中疼痛程度≥7/10。牙齿状况测量和治疗难度与疼痛无关。牙科焦虑和疼痛灾难化程度较高的个体报告的疼痛更强烈。多元回归分析表明，所有预测变量共同解释了疼痛报告中约1/3的方差。
平均而言，临床牙科保健治疗引起的疼痛程度较低，但约25%的受试者在七项操作中的至少一项中经历了中度至重度疼痛。研究结果表明需要基于生理或心理的有效疼痛管理。旨在减少焦虑和疼痛灾难化的干预措施可能是牙科保健课程的有益补充。
