Department of Paediatric Dentistry, Universitat Internacional de Catalunya, Barcelona, Spain.
Statistics Consultant, Universitat Internacional de Catalunya, Barcelona, Spain.
Eur J Paediatr Dent. 2014 Sep;15(3):297-302.
To evaluate whether the parental perception of the patient's anxiety, children's anxiety, pain, behaviour and heart rate of paediatric patients improves when an audiovisual technique is used as a distraction method during dental treatment.
This non-randomised crossover trial was performed with 34 patients aged 6-8 years, who required a minimum of two treatment visits for restorative therapy. During the last visit, the patient was shown a cartoon film.
There was a significant improvement in the global behaviour when children were shown a cartoon film (P < 0.001). A significant increase in heart rate was recorded in both visits (P = 0.0001) when the anaesthetic was injected. A 97% of the sample would like to continue seeing their chosen film during subsequent visits. No statistically significant differences were found (P > 0.05) between the visits in terms of parental perception of the patient's anxiety, or the patient's self-reported anxiety, pain and heart rate.
The use of the audiovisual material used as a method of distraction produces a global improvement in patient behaviour, but not in parental perception of the patient's anxiety, self-reported anxiety, pain or heart rate according to the measurement scales used. This material is also highly accepted by paediatric patients.
评估在儿童牙科治疗中使用视听技术作为分散注意力的方法时，父母对患者焦虑、儿童焦虑、疼痛、行为和心率的感知是否会得到改善。
这是一项非随机交叉试验，共有 34 名 6-8 岁的患者参与，他们需要至少两次就诊进行修复治疗。在最后一次就诊时，给患者播放了一部卡通片。
当给儿童播放卡通片时，他们的整体行为有显著改善（P < 0.001）。在注射麻醉剂时，两次就诊时的心率都显著增加（P = 0.0001）。97%的样本表示希望在后续就诊时继续观看他们选择的电影。在父母对患者焦虑的感知，以及患者自我报告的焦虑、疼痛和心率方面，两次就诊之间没有发现统计学上的显著差异（P > 0.05）。
使用视听材料作为分散注意力的方法可以整体改善患者的行为，但根据使用的测量量表，父母对患者焦虑的感知、患者自我报告的焦虑、疼痛或心率并没有改善。这种材料也深受儿科患者的欢迎。
