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[儿童牙科中的沟通与行为管理研究。运用童话故事与儿童沟通的方法]

[A study of communication and behavior management in pediatric dentistry. Approach to the child using the fairy tales].

作者信息

Ishikawa T, Miyazaki S, Ichikawa H, Nagasaka N

机构信息

Department of Pedodontics, Hiroshima University School of Dentistry.

出版信息

Shoni Shikagaku Zasshi. 1990;28(4):1084-92.

PMID:2134123
Abstract

There were a total of 100 subjects, of which 50 were children and 50 were mothers. The first time, the doctor lends the child the fairy tale book. The second time, the child is treated under the audio-analgesia with the same fairy tale book and the child borrows on other fairy tale book. The third time, the child is also treated under the audio-analgesia. The child, the mother and the doctor answered the questionnaires. Changes in internal behavior were observed by polygraph system. The subjects comprised a total 13 children (4 to 6 years), of which 6 were males and 7 were females. The first time, the emotional reactions were observed when the subjects were stimulated by the engine, the turbine and the crying for 10 seconds each. The Second and third time, the emotional reactions were also observed under the audio-analgesia. The change ratios were analyzed with respect to Plethysmogram, Respiration Curve and Galvanic Skin Reflex. The results are summarized as follows: 1. 91.8% of the parents answered "I would like my children to be treated under the audio-analgesia using fairy tales." 2. 73.5% (2nd time) and 80% (3rd time) of the children answered "The treatment has been pleasant." 3. 61.2% (2nd time) and 64% (3rd time) of the doctors answered "The anxiety and fear was reduced by the approach." 4. With the engine stimulation, the emotional reaction decreased in the order, of the 1st time greater than 3rd time greater than 2nd time. There were significant differences between the 1st time and the 2nd time, and also between the 1st time and the 3rd time.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

总共有100名受试者,其中50名是儿童,50名是母亲。第一次,医生借给孩子一本童话书。第二次,孩子在听同一本童话书的音频镇痛下接受治疗,然后孩子借了另一本童话书。第三次,孩子同样在音频镇痛下接受治疗。孩子、母亲和医生都回答了问卷。通过测谎系统观察内部行为的变化。受试者共有13名儿童(4至6岁),其中6名是男性,7名是女性。第一次,当受试者分别受到发动机、涡轮机刺激以及哭闹10秒时,观察其情绪反应。第二次和第三次,同样在音频镇痛下观察情绪反应。针对体积描记图、呼吸曲线和皮肤电反射分析变化率。结果总结如下:1. 91.8%的家长回答“我希望我的孩子在使用童话的音频镇痛下接受治疗”。2. 73.5%(第二次)和80%(第三次)的孩子回答“治疗过程很愉快”。3. 61.2%(第二次)和64%(第三次)的医生回答“这种方法减轻了焦虑和恐惧”。4. 对于发动机刺激,情绪反应按第一次大于第三次大于第二次的顺序下降。第一次和第二次之间以及第一次和第三次之间存在显著差异。(摘要截断于250字)

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