儿童在私立儿科牙科诊所中的恐惧与行为。

Children's fear and behavior in private pediatric dentistry practices.

作者信息

Baier Krista, Milgrom Peter, Russell Stephen, Mancl Lloyd, Yoshida Toshiko

机构信息

Division of Pediatric Dentistry, Alberta Children's Hospital, Calgary, Canada.

出版信息

Pediatr Dent. 2004 Jul-Aug;26(4):316-21.

PMID:15344624

Abstract

PURPOSE

This study assessed the proportion of children with dental fear, the proportion of children with negative behavior and the relationship of children's dental fear and children's negative behavior in private pediatric dentistry practices in western Washington state.

METHODS

A total of 421 children seen in 21 private pediatric dentistry practices in western Washington State participated. The average age of the children was 6.8+/-2.8 years (range=0.8-12.8 years). An average of 21 children were studied per practice (range=7-25 children). Dental fear was measured using the parents' version of the Dental Subscale of the Child Fear Survey Schedule (CFS). Behavior of the child during treatment was rated using the Frankl scale. Additional data were collected regarding the child's previous experiences and parental fear.

RESULTS

The children's average item score on the 15-item CFS was 2+/-0.7, corresponding to a total score of 29.6 out of 75, where 75 indicates maximum fear. The proportion of children with dental fear, defined as an average item score of > or = 2.5 (corresponding to a total score of > or = 38), was 20% (85/421, 95% CI=16.3, 24%). The proportion of children who displayed negative behavior during treatment was 21% (95% CI=17.5, 24%). A prevalence ratio of 2.4 was calculated to describe the relationship between children's behavior during treatment and children's dental fear prior to dental treatment. Multivariate logistical regression analysis showed children with dental fear, younger children, and children exposed to treatment involving local anesthesia have higher odds of displaying negative behavior.

CONCLUSIONS

The proportion of children with dental fear in private pediatric dentistry practices was 20%, and the proportion of children with negative behavior during treatment was 21%. Children with negative behavior had greater odds of having dental fear and children with dental fear had greater odds of having negative behavior. Screening for dental fear may allow pediatric dentists to prepare children more adequately for positive treatment experiences.

摘要

目的

本研究评估了华盛顿州西部私立儿科牙科诊所中存在牙科恐惧的儿童比例、有消极行为的儿童比例，以及儿童牙科恐惧与消极行为之间的关系。

方法

共有421名在华盛顿州西部21家私立儿科牙科诊所就诊的儿童参与了研究。儿童的平均年龄为6.8±2.8岁（范围=0.8 - 12.8岁）。每家诊所平均研究21名儿童（范围=7 - 25名儿童）。使用儿童恐惧调查量表（CFS）的父母版牙科分量表来测量牙科恐惧。使用弗兰克尔量表对儿童治疗期间的行为进行评分。还收集了有关儿童既往经历和父母恐惧的其他数据。

结果

在15项CFS上，儿童的平均项目得分为2±0.7，对应总分75分中的29.6分，其中75分表示最大恐惧。牙科恐惧被定义为平均项目得分≥2.5（对应总分≥38），此类儿童的比例为20%（85/421，95%可信区间=16.3, 24%）。治疗期间表现出消极行为的儿童比例为21%（95%可信区间=17.5, 24%）。计算出患病率比为2.4，以描述儿童治疗期间的行为与牙科治疗前儿童牙科恐惧之间的关系。多因素逻辑回归分析显示，有牙科恐惧的儿童、年龄较小的儿童以及接受涉及局部麻醉治疗的儿童表现出消极行为的几率更高。