Amin Maryam S, Harrison Rosamurd L
Department of Oral Health Sciences, University of British Columbia, Vancouver, Canada.
Pediatr Dent. 2007 Jul-Aug;29(4):278-86.
The purpose of this study was to investigate parents' challenges to long-term maintenance of healthy behaviors following their child's dental general anesthesia (GA).
Twenty-six in-depth interviews were conducted with parents of children younger than 6 years of age who had dental treatment under GA. The interviews were scheduled at various time periods following the surgery. Compared were the responses of: (1) "relapse" families, whose child had new cavities at the 6-month recall; and (2) "no relapse" families, who were caries-free at recoil. A grounded theory approach to data analysis was used.
"Relapse" parents: (1) valued baby teeth differently; (2) perceived their child to be less susceptible to new cavities; and (3) expressed lower self-efficacy for controlling their child's oral health compared to "no relapse" parents. They also appeared to be: (1) in earlier stages of change; (2) less receptive to advice from others, including professionals; and (3) more permissive regarding their child's desires. "Relapse" parents did not seem to have any immediate plans to change their "home-care" behaviors.
GA did not appear to affect long-term preventive behaviors for all parents. Readiness to change seemed to be an important predictor of whether parents adopted and maintained preventive behaviors to improve their child's oral health.
本研究旨在调查儿童接受牙科全身麻醉（GA）后，家长在长期维持健康行为方面所面临的挑战。
对26名6岁以下接受GA牙科治疗儿童的家长进行了深入访谈。访谈安排在手术后的不同时间段。比较了以下两组家长的回答：（1）“复发”组家庭，其孩子在6个月回访时有新龋齿；（2）“未复发”组家庭，回访时无龋齿。采用扎根理论方法进行数据分析。
“复发”组家长：（1）对乳牙的重视程度不同；（2）认为自己的孩子较不易患新龋齿；（3）与“未复发”组家长相比，对控制孩子口腔健康的自我效能感较低。他们似乎还处于：（1）改变的早期阶段；（2）对包括专业人士在内的他人建议接受度较低；（3）对孩子的愿望更为宽容。“复发”组家长似乎没有立即改变其“家庭护理”行为的计划。
GA似乎并未对所有家长的长期预防行为产生影响。改变的意愿似乎是家长是否采取并维持预防行为以改善孩子口腔健康的重要预测因素。
