Buchanan H, Niven N
Department of Child Dental Health, Dental School, Newcastle upon Tyne, UK.
Int J Paediatr Dent. 2003 Jan;13(1):9-12. doi: 10.1046/j.1365-263x.2003.00413.x.
To investigate the extent to which dentists report their encouragement to dentally anxious children to blunt (distract from the procedure) or monitor (give information about the procedure) during treatment.
British Society of Paediatric Dentistry conference.
One hundred and two of 155 delegates (66% response rate) completed a Monitor Blunter Treatment Checklist (MBTC), which was included in their conference pack. Participants were asked to tick all of the 10 statements (five monitoring and five blunting) that reflected how, in general, they would treat a dentally anxious child.
Dentists chose significantly more monitoring than blunting statements. Treatment strategies relating to explaining procedures were endorsed by the majority of dentists, while distraction was chosen by less than a third.
Dentists tend to use monitoring strategies that adhere generally to the principles of the Tell-Show-Do technique. This may have implications if the anxious child has a 'blunting' coping style.
调查牙医在治疗过程中鼓励牙科焦虑儿童进行钝性处理(转移对治疗过程的注意力)或进行监测(提供有关治疗过程的信息)的程度。
英国儿科学会牙科会议。
155名代表中有102名(回复率66%)完成了一份包含在会议资料中的监测-钝性处理治疗检查表(MBTC)。要求参与者勾选10条陈述(5条监测陈述和5条钝性处理陈述)中所有反映他们通常会如何治疗牙科焦虑儿童的内容。
牙医选择监测陈述的比例显著高于钝性处理陈述。大多数牙医认可与解释治疗过程相关的治疗策略,而选择分散注意力策略的牙医不到三分之一。
牙医倾向于使用总体上符合“告知-展示-操作”技术原则的监测策略。如果焦虑儿童采用“钝性处理”应对方式,这可能会产生影响。