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与全身麻醉下牙科治疗后返回接受术后护理相关的社会生态因素。

Socio-ecological factors associated with returning for post-operative care after dental treatment under general anesthesia.

作者信息

Mathu-Muju Kavita R, Bush Heather M, Ho Lindsey A, Golden Shelley, Roberts Michael W, Wright Timothy J

机构信息

Pediatric Dentistry, College of Dentistry, University of Kentucky, Lexington, KY, USA.

出版信息

Pediatr Dent. 2010 Jan-Feb;32(1):27-34.

Abstract

PURPOSE

The aim of this study was to determine if specific variables in a theorized socio-ecological model are associated with returning for post-operative care after dental treatment under general anesthesia.

METHODS

A 26 item cross-sectional survey assessing socio-ecological variables of 100 families of patients receiving dental treatment under general anesthesia was conducted. Chi-square tests and logistic regressions were used to investigate associations between returning for post-operative care with child, family, clinic and environmental variables described in the proposed socio-ecological model.

RESULTS

Forty-seven percent of patients returned for post-operative care. Children without a dental home had lower odds of returning than children referred from a continuous source of care. Children with an ASA II/III classification had lower odds of returning for post-operative care than children who were ASA I.

CONCLUSIONS

One child level and one environmental level variable in the theorized socio-ecological model had an impact on whether patients returned for post-operative care after dental treatment under general anesthesia. Further investigation of socio-ecological variables influencing dental health behaviors is needed.

摘要

目的

本研究旨在确定理论化社会生态模型中的特定变量是否与全身麻醉下牙科治疗后返回接受术后护理有关。

方法

对100个接受全身麻醉下牙科治疗患者的家庭进行了一项包含26个项目的横断面调查,以评估社会生态变量。采用卡方检验和逻辑回归来研究术后返回护理与拟议社会生态模型中描述的儿童、家庭、诊所和环境变量之间的关联。

结果

47%的患者返回接受术后护理。没有牙科之家的儿童返回的几率低于从连续护理来源转诊的儿童。美国麻醉医师协会(ASA)分级为II/III级的儿童术后返回护理的几率低于ASA I级的儿童。

结论

理论化社会生态模型中的一个儿童层面变量和一个环境层面变量对全身麻醉下牙科治疗后患者是否返回接受术后护理有影响。需要进一步研究影响牙科健康行为的社会生态变量。

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