Torriani D D, Goettems M L, Cademartori M G, Fernandez R R, Bussoletti D M
Department of Social and Preventive Dentistry and Post-Graduate Program in Dentistry, Federal University of Pelotas, Brazil.
Post-Graduate Student, Post-Graduate Program in Dentistry, Federal University of Pelotas, Brazil.
Br Dent J. 2014 Jun;216(12):E26. doi: 10.1038/sj.bdj.2014.545.
Paediatric dentistry requires knowledge of preventive measures, restorative skills and an understanding of child development.
This exploratory, descriptive and qualitative study has analysed children's drawings regarding their perception of dental treatment and oral health.
Children aged from six to ten years attending a dental school for treatment were randomly invited to create a drawing about 'dental treatment' and 'oral health'. Verbal expressions made by the children whilst drawing were also recorded and attached to the drawings. These representations were analysed and categorised using Vygotsky postulations for context reading.
During the drawing analysis different themes emerged. Five categories regarding perceptions of dental treatment were identified: personal relationship; power relation; trauma; childhood resistance; and contextualisation of dental care in the child's life. Three categories relating to oral health were determined: dichotomy of health/sickness; ludic representation of health; and sickness seen as a process.
Drawing can be used to understand children's emotions and expectations about dental treatment. Besides possessing technical skills and scientific knowledge, dentists have an obligation to pay attention to children's feelings.
儿童牙科需要掌握预防措施、修复技能以及对儿童发育的理解。
这项探索性、描述性和定性研究分析了儿童关于牙科治疗和口腔健康认知的绘画作品。
随机邀请在牙科学校接受治疗的6至10岁儿童创作一幅关于“牙科治疗”和“口腔健康”的绘画作品。孩子们在绘画时的言语表达也被记录下来并附在画作上。使用维果茨基的情境阅读假设对这些作品进行分析和分类。
在绘画分析过程中出现了不同的主题。确定了关于牙科治疗认知的五个类别:人际关系;权力关系;创伤;儿童的抗拒;以及牙科护理在儿童生活中的情境化。确定了与口腔健康相关的三个类别:健康/疾病的二分法;健康的游戏化表现;以及将疾病视为一个过程。
绘画可用于了解儿童对牙科治疗的情绪和期望。除了具备技术技能和科学知识外,牙医有义务关注儿童的感受。