Amin Maryam S, Harrison Rosamund L
Division of Pediatric Dentistry, University of Alberta, Edmonton, Alberta, Canada.
Qual Health Res. 2009 Jan;19(1):116-27. doi: 10.1177/1049732308327243. Epub 2008 Nov 7.
Young children with extensive dental decay often require a general anesthetic (GA) to enable dental treatment. The purpose of this study was to develop a grounded theory to help our understanding of the processes that influence parental adoption of dentally healthy behaviors following the experience of their child's "dental general anesthetic." Twenty six interviews were conducted. Data were analyzed and a conceptual model was generated. Overall, the dental GA experience had an immediate, but short-lived, impact on parental behavior change. Parents had difficulty over time maintaining these behaviors. Social influences, family context, and parenting strategies were the key categories that influenced parental behavior change; however, parenting strategies occupied the central position in the model. Cultural beliefs, actions of dental professionals, and media/advertising were some of the identified barriers to behavior change. Those parents who were more confident in their ability to successfully carry out dentally healthy practices were more likely to maintain them over time.
患有严重龋齿的幼儿通常需要全身麻醉（GA）才能进行牙科治疗。本研究的目的是建立一个扎根理论，以帮助我们理解在孩子经历“牙科全身麻醉”后，影响父母采取牙齿健康行为的过程。我们进行了26次访谈。对数据进行了分析，并生成了一个概念模型。总体而言，牙科全身麻醉经历对父母的行为改变有直接但短暂的影响。随着时间的推移，父母难以维持这些行为。社会影响、家庭环境和育儿策略是影响父母行为改变的关键类别；然而，育儿策略在模型中占据核心地位。文化信仰、牙科专业人员的行为以及媒体/广告是已确定的行为改变障碍中的一些因素。那些对自己成功实施牙齿健康做法的能力更有信心的父母更有可能长期维持这些做法。
