Department of Pediatric Dentistry, College of Dentistry, University of Florida , Gainesville, FL 32610, USA.
J Dent Educ. 2011 May;75(5):616-25.
This study compared acceptability scores of pediatric dental behavior guidance between predoctoral senior dental students and postdoctoral pediatric dentistry graduates. The scores were obtained with an anonymous survey that included twenty-five items related to behavior guidance techniques or situations, with the degree of acceptability of each being marked on a visual analog scale. Demographic data collected included year of graduation from the postdoctoral program, type of employment, being board-certified or not, gender, marital and parental status, previously receiving dental or medical treatment, and degree of unpleasantness from these treatments. Thirty-nine predoctoral and fifty-one postdoctoral surveys were compared. Analysis of variance (ANOVA) indicated that the predoctoral acceptability scores were statistically significantly higher than the postdoctoral scores for not allowing the child to speak during treatment, voice control, hand over mouth, active immobilization, and providing an exact explanation to the child. The predoctoral scores were lower than the postdoctoral scores for not using local anesthetic when the child does not want it, parent's presence in the operatory during treatment, or talking with the dentist during treatment. ANOVA of the predoctoral and postdoctoral scores combined indicated statistically significant differences between scores from male and females respondents for parent talking with the dentist during treatment; between married and not married respondents for hand over mouth, encouraging the child not to be a coward, the child being allowed to stop the treatment, and the parent being in the operatory during treatment; and between parents and not parents respondents for child not allowed to speak during the treatment, voice control, and hand over mouth. This study found that perspectives about pediatric dental behavior guidance are influenced by pre- and postdoctoral education and postgraduate experience.
本研究比较了牙医学博士高年级学生和儿童牙科学博士毕业生在儿童牙科行为引导方面的可接受性评分。评分采用匿名调查获得,包括 25 项与行为引导技术或情况相关的项目,每项的可接受程度均在视觉模拟量表上标记。收集的人口统计学数据包括毕业后的年份、就业类型、是否获得委员会认证、性别、婚姻和父母状况、以前是否接受过牙科或医疗治疗以及这些治疗的不愉快程度。比较了 39 份牙医学博士高年级学生的调查和 51 份儿童牙科学博士毕业生的调查。方差分析(ANOVA)表明,在不允许孩子在治疗期间说话、控制声音、手捂住嘴、主动固定、向孩子提供准确解释方面,牙医学博士高年级学生的可接受性评分明显高于儿童牙科学博士毕业生。在不使用局部麻醉剂、孩子不想使用时、治疗期间家长在操作室中、或治疗期间与牙医交谈方面,牙医学博士高年级学生的可接受性评分低于儿童牙科学博士毕业生。对牙医学博士高年级和儿童牙科学博士毕业生的评分进行方差分析合并后,发现受访者的性别对治疗期间父母与牙医交谈的评分存在统计学差异;婚姻状况对治疗期间手捂住嘴、鼓励孩子不要胆小、允许孩子停止治疗以及家长在操作室中存在统计学差异;父母状况对孩子在治疗期间不允许说话、控制声音和手捂住嘴的评分存在统计学差异。本研究发现,儿童牙科行为引导的观点受本科和研究生教育以及研究生经历的影响。