Bernson Jenny M, Hallberg Lillemor R-M, Elfström Magnus L, Hakeberg Magnus
Department of Behavioral and Community Dentistry, Institute of Odontology, The Sahlgrenska Academy, University of Gothenburg, Sweden.
Eur J Oral Sci. 2011 Oct;119(5):373-80. doi: 10.1111/j.1600-0722.2011.00845.x. Epub 2011 Aug 12.
Dental fear is a common and widespread problem, which can cause severe stress. Even so, most patients with dental fear undergo regular dental treatment in spite of their fear and many enjoy good oral health. The aim of this study was to obtain a deeper understanding of how patients with dental fear manage to undergo dental treatment. Fourteen patients with dental fear, who undergo regular dental care, were interviewed. Qualitative analysis of the transcribed interviews was performed according to the principles of grounded theory. A conceptual framework was generated, and the main concern was identified as 'making dental care possible - a mutual affair'. Four additional categories explained how patients handled their dental fear and how dental care became possible. The strategies were labelled 'taking part in a mental wrestling match', 'trust-filled interaction with dental staff', 'striving for control' and 'seeking and/or receiving social support'. The results showed that making dental care possible for patients with dental fear is a mutual challenge that requires interplay between dental staff and patients, involving verbal and non-verbal communication reflecting respect, attention, and empathy. Moreover, a balance between nearness and distance and between professional and personal treatment is required.
牙科恐惧是一个普遍且广泛存在的问题，它会导致严重的压力。即便如此，大多数有牙科恐惧的患者尽管心存恐惧，仍会接受常规的牙科治疗，而且许多人保持着良好的口腔健康。本研究的目的是更深入地了解有牙科恐惧的患者是如何设法接受牙科治疗的。对14名有牙科恐惧且接受常规牙科护理的患者进行了访谈。根据扎根理论的原则，对转录的访谈进行了定性分析。生成了一个概念框架，并确定主要关注点为“使牙科护理成为可能——一项相互的事务”。另外四个类别解释了患者如何应对牙科恐惧以及牙科护理是如何成为可能的。这些策略被标记为“参与一场心理搏斗”、“与牙科工作人员充满信任的互动”、“努力争取掌控权”以及“寻求和/或获得社会支持”。结果表明，让有牙科恐惧的患者能够接受牙科护理是一项相互的挑战，需要牙科工作人员和患者之间的相互作用，包括体现尊重、关注和同理心的言语和非言语交流。此外，还需要在亲近与距离之间以及专业治疗与个性化治疗之间取得平衡。
