Vika Margrethe, Raadal Magne, Skaret Erik, Kvale Gerd
Department of Clinical Psychology, Faculty of Psychology, University of Bergen, Norway.
Eur J Oral Sci. 2006 Apr;114(2):122-7. doi: 10.1111/j.1600-0722.2006.00335.x.
The aim of the present study was to evaluate the prevalence of self-reported problems (fear, pain, unpleasantness, fainting) of dental and medical injections, and the extent to which such problems may lead to avoidance of necessary treatment. The study included a representative sample (n = 1385) of 18-yr-old students attending high schools in the county of Hordaland, Norway. Data were collected by use of questionnaires completed in the classrooms. More problems were reported during dental than medical injections. About 17% and 15% of participants reported high fear during their last dental and medical injection, respectively. Fainting had been experienced by 2% during a dental injection and by 7% during a medical injection. Avoidance of treatment when an injection is needed was 6.7% for dental treatment and 5.2% for medical treatment. In multiple regression analyses, fear was the only explanatory factor for the avoidance of dental treatment. It is concluded that self-reported problems of injections are prevalent in this age group, particularly among girls, and that it may lead to the avoidance of necessary treatment in 5-7% of the adolescent population.
本研究的目的是评估牙科和医疗注射中自我报告的问题（恐惧、疼痛、不适、昏厥）的患病率，以及这些问题可能导致回避必要治疗的程度。该研究纳入了挪威霍达兰郡高中18岁学生的代表性样本（n = 1385）。数据通过在课堂上完成的问卷收集。牙科注射时报告的问题比医疗注射时更多。分别约有17%和15%的参与者报告在他们上次牙科和医疗注射时高度恐惧。牙科注射时有2%的人经历过昏厥，医疗注射时有7%的人经历过昏厥。需要注射时回避治疗的比例，牙科治疗为6.7%，医疗治疗为5.2%。在多元回归分析中，恐惧是回避牙科治疗的唯一解释因素。得出的结论是，注射的自我报告问题在这个年龄组中普遍存在，尤其是在女孩中，并且这可能导致5 - 7%的青少年人群回避必要的治疗。
