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一项探索性研究,调查儿童对牙科行为管理技术的看法。

An exploratory study investigating children's perceptions of dental behavioural management techniques.

机构信息

Institute of Mental Health, The University of Nottingham, Nottingham, UK.

出版信息

Int J Paediatr Dent. 2013 Jul;23(4):297-309. doi: 10.1111/ipd.12007. Epub 2012 Nov 20.

Abstract

BACKGROUND

Behaviour management techniques (BMTs) are utilised by dentists to aid children's dental anxiety (DA). Children's perceptions of these have been underexplored, and their feedback could help inform paediatric dentistry.

AIM

To explore children's acceptability and perceptions of dental communication and BMTs and to compare these by age, gender, and DA.

DESIGN

A total of sixty-two 9- to 11-year-old school children participated in the study. Children's acceptability of BMTs was quantified using a newly developed Likert scale, alongside exploration of children's experiences and perceptions through interviews. anova and t-tests explored BMT acceptability ratings by age, gender, and DA. Thematic analysis was used to analyse interviews.

FINDINGS

Statistical analyses showed no effect of age, gender, or DA upon BMT acceptability. Children generally perceived the BMTs as acceptable or neutral; stop signals were the most acceptable, and voice control the least acceptable BMT. Beneficial experiences of distraction and positive reinforcement were common. Children described the positive nature of their dentist's communication and BMT utilisation.

CONCLUSION

Dental anxiety did not affect children's perceptions of BMTs. Children were generally positive about dentist's communication and established BMTs. Children's coping styles may impact perceptions and effectiveness of BMTs and should be explored in future investigations.

摘要

背景

牙医采用行为管理技术(BMT)来帮助儿童减轻牙科焦虑(DA)。然而,儿童对这些技术的看法尚未得到充分探索,他们的反馈可以为儿童牙科提供信息。

目的

探讨儿童对牙科沟通和 BMT 的接受程度和看法,并按年龄、性别和 DA 进行比较。

设计

共有 62 名 9-11 岁的学龄儿童参与了这项研究。采用新开发的李克特量表来量化儿童对 BMT 的接受程度,同时通过访谈探索儿童的体验和看法。方差分析和 t 检验分析了年龄、性别和 DA 对 BMT 接受程度的影响。采用主题分析方法对访谈进行分析。

结果

统计分析显示,年龄、性别或 DA 对 BMT 的接受程度没有影响。儿童普遍认为 BMT 是可以接受或中立的;停止信号是最受欢迎的 BMT,而声音控制是最不受欢迎的 BMT。分散注意力和积极强化的有益体验很常见。儿童描述了牙医沟通和 BMT 使用的积极性质。

结论

牙科焦虑并没有影响儿童对 BMT 的看法。儿童对牙医的沟通和既定 BMT 普遍持积极态度。儿童的应对方式可能会影响 BMT 的看法和效果,这应该在未来的研究中进行探讨。

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