Kupietzky Ari, Ram Diana
Department of Pediatric Dentistry, Hebrew University, Hadassah School of Dental Medicine, Jerusalem, Israel.
Pediatr Dent. 2005 Sep-Oct;27(5):380-4.
The purpose of this study was to investigate the impact of a positive verbal presentation on parental acceptance of passive medical stabilization of young dental patients needing dental treatment in the private setting.
Parents appearing for the treatment of their young, uncooperative child were informed regarding the use of passive medical stabilization (Papoose Board). The control group (CG) was given a neutral explanation regarding the use of the Papoose Board (PB), and the experimental group (EG) was given a positive verbal presentation. A video film depicting 2 children undergoing dental treatment with conscious sedation and PB and a third child undergoing dental treatment under general anesthesia was viewed. Next, a post-screening survey regarding parents' attitudes to the treatment modalities was given.
Sixty parents completed the trial. EG parents were found to be significantly more receptive to PB use compared to CG parents (69% vs 10%; chi-squared = 19.48; P=.001). CG parents believed that active restraint by a parent would be just as successful as passive restraint. The majority of EG parents, however, voiced the opposite opinion. EG parents attributed a restrained child's crying while in a PB to the child's fear, while CG parents attributed it directly to the restraint.
Parental acceptability of the PB, coupled with conscious sedation, is dependent on the way it is presented by the clinician. Positive explanation may result in more parents' acceptance of this form of treatment.
本研究旨在调查积极的言语表述对在私人诊所需要牙科治疗的年幼牙科患者进行被动医学稳定处理时家长接受度的影响。
告知前来为其年幼、不合作孩子进行治疗的家长有关被动医学稳定处理（婴儿固定板）的使用情况。对照组（CG）接受关于婴儿固定板（PB）使用的中性解释，实验组（EG）接受积极的言语表述。观看一段视频影片，影片中描绘了2名儿童在清醒镇静和使用婴儿固定板的情况下接受牙科治疗，以及第3名儿童在全身麻醉下接受牙科治疗的情景。接下来，进行了一项关于家长对治疗方式态度的筛查后调查。
60名家长完成了试验。与CG组家长相比，发现EG组家长对使用婴儿固定板的接受度明显更高（69%对10%；卡方 = 19.48；P = 0.001）。CG组家长认为家长主动约束与被动约束同样有效。然而，大多数EG组家长表达了相反的观点。EG组家长将孩子在婴儿固定板中哭闹归因于孩子的恐惧，而CG组家长则直接将其归因于约束。
家长对婴儿固定板的接受度，以及清醒镇静，取决于临床医生介绍的方式。积极的解释可能会使更多家长接受这种治疗形式。
