对计划进行牙槽内拔牙的患者牙科焦虑症的社会人口学决定因素的评估。

An evaluation of the sociodemographic determinants of dental anxiety in patients scheduled for intra-alveolar extraction.

作者信息

Egbor Peter E, Akpata Osagie

机构信息

Department Oral and Maxillofacial Surgery, University of Benin Teaching Hospital, Benin City, Nigeria.

Department Oral and Maxillofacial Surgery, University of Benin Teaching Hospital, Benin City, Nigeria;

出版信息

Libyan J Med. 2014 Sep 22;9(1):25433. doi: 10.3402/ljm.v9.25433. eCollection 2014.

DOI:10.3402/ljm.v9.25433

PMID:25249306

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4172696/

Abstract

BACKGROUND

Studies on anxiety in patients having intra-alveolar extraction as well as the effect of patient's sociodemographic characteristics influencing level of associated anxiety are few in our environment. The aim of this study was to statistically analyze the sociodemographic determinants of dental anxiety in patients scheduled for intra-alveolar extraction.

METHODS

A cross-sectional study was conducted among 93 consecutive patients attending the outpatient clinic of the Department of Maxillofacial Surgery, University of Benin Teaching Hospital for intra-alveolar extraction in the months of November and December 2013. An interview-based questionnaire, Corah Dental Anxiety Scale Revised (DAS-R), was administered to evaluate levels of dental anxiety. Sociodemographic characteristics of the subjects were recorded. Descriptive statistics and regression models were done with the independent variables (sociodemographic factors) and the dependent variable being the DAS-R. A P<0.05 was considered significant.

RESULTS

The internal consistency of the scale used as determined by Cronbach alpha was 0.76. Mean DAS score was 8.12±2.58. Dental anxiety and age of subjects showed significant inverse relationship. Females had a higher mean DAS score (8.76) than the males (7.37) (P=0.006). Residence (urban/rural) was not statistically significant. Singles reported the highest DAS score (9.41) (P=0.006). The educational level attained was significantly related to dental anxiety (P=0.005). Those with secondary school education had the highest DAS score (9.26). Class V social status had the highest mean anxiety score (P=0.012). Stepwise linear regression showed that the best predictors for dental anxiety were sex (P=0.008) and marital status (P=0.026).

CONCLUSION

This present study demonstrates that sex and marital status are the predictive factors for dental anxiety in the overall management of patients indicated for intra-alveolar extraction.

摘要

背景

在我们所处的环境中，关于牙槽内拔牙患者焦虑情况以及患者社会人口学特征对相关焦虑水平影响的研究较少。本研究的目的是对计划进行牙槽内拔牙的患者牙科焦虑的社会人口学决定因素进行统计学分析。

方法

2013年11月和12月，在贝宁大学教学医院颌面外科门诊连续就诊的93例计划进行牙槽内拔牙的患者中开展了一项横断面研究。采用基于访谈的问卷——修订版科拉牙科焦虑量表（DAS-R）来评估牙科焦虑水平。记录受试者的社会人口学特征。对自变量（社会人口学因素）和因变量DAS-R进行描述性统计和回归模型分析。P<0.05被认为具有统计学意义。

结果

经Cronbach α确定，所用量表的内部一致性为0.76。DAS平均得分为8.12±2.58。牙科焦虑与受试者年龄呈显著负相关。女性的DAS平均得分（8.76）高于男性（7.37）（P = 0.006）。居住地（城市/农村）无统计学意义。单身者的DAS得分最高（9.41）（P = 0.006）。受教育程度与牙科焦虑显著相关（P = 0.005）。受过中学教育的人DAS得分最高（9.2）。社会地位五等的平均焦虑得分最高（P = 0.012）。逐步线性回归显示，牙科焦虑的最佳预测因素是性别（P = 0.008）和婚姻状况（P = 0.026）。