社区环境中接受牙科预防保健程序的学龄前儿童的安抚与苦恼行为：一项多层次观察性研究。
Reassurance and distress behavior in preschool children undergoing dental preventive care procedures in a community setting: a multilevel observational study.
作者信息
Zhou Yuefang, Humphris Gerry Michael
机构信息
School of Medicine, University of St Andrews, St Andrews, Fife, KY16 9TF, Scotland, UK,
出版信息
Ann Behav Med. 2014 Aug;48(1):100-11. doi: 10.1007/s12160-013-9566-7.
BACKGROUND
The effect of reassurance in managing distress among children who receive procedures of a less aversive nature has not been fully investigated.
PURPOSE
This study aimed to investigate the relationship between reassurance by dental staff and distress behavior of preschool children receiving preventive procedures in a community setting.
METHODS
Nurse-child interactions (n = 270) during fluoride varnish application were video recorded and coded. Multilevel logistic regression modeled the probability of the occurrence of child distress behavior as a function of reassurance provision, controlling for child-level and nurse-level variables.
RESULTS
Child distress behavior was positively related to nurse verbal reassurance but negatively linked to the time that this reassurance occurred. Both child initial anxiety and nurse nonprocedural training increased the probability of observable distress behavior.
CONCLUSIONS
The use of verbal reassurance to promote reception of mild invasive procedures was counterindicated, especially when offered early in the intervention ( ClinicalTrials.gov number: NCT00881790).
背景
在接受不那么令人厌恶的程序的儿童中，安慰在处理痛苦方面的效果尚未得到充分研究。
目的
本研究旨在调查牙科工作人员的安慰与在社区环境中接受预防性程序的学龄前儿童的痛苦行为之间的关系。
方法
在应用氟化物清漆期间对护士与儿童的互动（n = 270）进行视频记录和编码。多级逻辑回归将儿童痛苦行为发生的概率建模为安慰提供的函数，同时控制儿童层面和护士层面的变量。
结果
儿童痛苦行为与护士的言语安慰呈正相关，但与这种安慰发生的时间呈负相关。儿童最初的焦虑和护士的非程序培训都增加了可观察到的痛苦行为的概率。
结论
使用言语安慰来促进对轻度侵入性程序的接受是不合适的，尤其是在干预早期提供时（ClinicalTrials.gov编号：NCT00881790）。
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