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各种音频分散注意力辅助工具在焦虑儿童牙科患者管理中的有效性及比较

Effectiveness and Comparison of Various Audio Distraction Aids in Management of Anxious Dental Paediatric Patients.

作者信息

Navit Saumya, Johri Nikita, Khan Suleman Abbas, Singh Rahul Kumar, Chadha Dheera, Navit Pragati, Sharma Anshul, Bahuguna Rachana

机构信息

Professor and Head, Department of Pedodontics and Preventive Dentistry, Saraswati Dental College , Lucknow, India .

Post Graduate Student, Department of Pedodontics and Preventive Dentistry, Saraswati Dental College , Lucknow, India .

出版信息

J Clin Diagn Res. 2015 Dec;9(12):ZC05-9. doi: 10.7860/JCDR/2015/15564.6910. Epub 2015 Dec 1.

Abstract

BACKGROUND

Dental anxiety is a widespread phenomenon and a concern for paediatric dentistry. The inability of children to deal with threatening dental stimuli often manifests as behaviour management problems. Nowadays, the use of non-aversive behaviour management techniques is more advocated, which are more acceptable to parents, patients and practitioners. Therefore, this present study was conducted to find out which audio aid was the most effective in the managing anxious children.

AIMS AND OBJECTIVES

The aim of the present study was to compare the efficacy of audio-distraction aids in reducing the anxiety of paediatric patients while undergoing various stressful and invasive dental procedures. The objectives were to ascertain whether audio distraction is an effective means of anxiety management and which type of audio aid is the most effective.

MATERIALS AND METHODS

A total number of 150 children, aged between 6 to 12 years, randomly selected amongst the patients who came for their first dental check-up, were placed in five groups of 30 each. These groups were the control group, the instrumental music group, the musical nursery rhymes group, the movie songs group and the audio stories group. The control group was treated under normal set-up & audio group listened to various audio presentations during treatment. Each child had four visits. In each visit, after the procedures was completed, the anxiety levels of the children were measured by the Venham's Picture Test (VPT), Venham's Clinical Rating Scale (VCRS) and pulse rate measurement with the help of pulse oximeter.

RESULTS

A significant difference was seen between all the groups for the mean pulse rate, with an increase in subsequent visit. However, no significant difference was seen in the VPT & VCRS scores between all the groups. Audio aids in general reduced anxiety in comparison to the control group, and the most significant reduction in anxiety level was observed in the audio stories group.

CONCLUSION

The conclusion derived from the present study was that audio distraction was effective in reducing anxiety and audio-stories were the most effective.

摘要

背景

牙科焦虑是一种普遍现象,也是儿童牙科关注的问题。儿童无法应对具有威胁性的牙科刺激往往表现为行为管理问题。如今,更提倡使用非厌恶行为管理技术,这些技术更容易被家长、患者和从业者接受。因此,本研究旨在找出哪种音频辅助工具在管理焦虑儿童方面最有效。

目的

本研究的目的是比较音频分散注意力辅助工具在儿科患者接受各种压力大且侵入性的牙科治疗过程中减轻焦虑的效果。目标是确定音频分散注意力是否是一种有效的焦虑管理手段,以及哪种类型的音频辅助工具最有效。

材料与方法

从前来进行首次牙科检查的患者中随机选取150名6至12岁的儿童,分为五组,每组30人。这些组分别是对照组、器乐组、儿歌组、电影歌曲组和音频故事组。对照组在正常设置下接受治疗,音频组在治疗期间收听各种音频节目。每个孩子进行四次就诊。每次就诊在治疗完成后,借助脉搏血氧仪通过维纳姆图片测试(VPT)、维纳姆临床评定量表(VCRS)和脉搏率测量来测量儿童的焦虑水平。

结果

所有组的平均脉搏率存在显著差异,且在后续就诊中有所增加。然而,所有组之间的VPT和VCRS评分没有显著差异。与对照组相比,音频辅助工具总体上降低了焦虑,并且在音频故事组中观察到焦虑水平下降最为显著。

结论

本研究得出的结论是,音频分散注意力在减轻焦虑方面是有效的,且音频故事是最有效的。

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