伦敦国民保健制度下牙科焦虑和不定时就诊对镇静下牙科治疗转诊的影响。
The effects of dental anxiety and irregular attendance on referral for dental treatment under sedation within the National Health Service in London.
机构信息
Dental Fears Research Clinic, University of Washington, Seattle, WA 98195-7475, USA.
出版信息
Community Dent Oral Epidemiol. 2010 Oct;38(5):453-9. doi: 10.1111/j.1600-0528.2010.00552.x.
OBJECTIVE
To investigate whether the relationship between dental anxiety and referral for treatment under sedation is explained by attendance patterns and oral health.
METHODS
Structural Equation Modeling was used on the covariance matrix of the covariates to test hypothesized inter-relationships. Subsequently, we modeled the probability of referral for treatment under sedation with a multiple logistic regression taking into account inter-relationships between the independent variables.
RESULTS
A direct significant association of referral with dental anxiety and attendance patterns was detected, but not with oral health status. However, oral health and anxiety were highly correlated. Also signaled were correlations between age and education and between gender and bad past experience.
CONCLUSION
Referral for treatment under sedation appears to be motivated by both fear and irregular patterns of attendance. Coupled with behavioral treatments to address dental fear and attendance, sedation can be an important part of comprehensive care where curative treatments are long or unpleasant for patients.
目的
探讨牙科焦虑与镇静治疗转诊之间的关系是否可以用就诊模式和口腔健康来解释。
方法
对协方差矩阵的协变量进行结构方程建模，以检验假设的相互关系。随后，我们采用多元逻辑回归模型，考虑自变量之间的相互关系，对镇静治疗转诊的概率进行建模。
结果
直接发现转诊与牙科焦虑和就诊模式之间存在显著关联，但与口腔健康状况无关。然而，口腔健康和焦虑之间存在高度相关性。年龄和教育程度之间、性别和不良既往经历之间也存在相关性。
结论
镇静治疗转诊似乎既受到恐惧的驱动，也受到就诊模式不规则的驱动。在对患者进行长期或不愉快的治疗时，镇静治疗作为一种综合性治疗的一部分，可以与行为治疗一起，用来解决牙科恐惧和就诊模式不规则的问题。
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