Pani Sharat C, AlAnazi Ghazi S, AlBaragash Abdulrahman, AlMosaihel Mohammad
Department of Preventive Dental Sciences, Riyadh Colleges of Dentistry and Pharmacy, Riyadh, Saudi Arabia.
Department of Pediatric Dentistry, Riyadh Colleges of Dentistry and Pharmacy, Riyadh, Saudi Arabia.
J Int Soc Prev Community Dent. 2016 Aug;6(Suppl 2):S148-52. doi: 10.4103/2231-0762.189750.
Parents play an important role in the dental behavior of a child patient. This study aimed to assess the effect of parental presence on the behavior of the child and objectively measure the behavior using pulse oximetry.
The study was registered with the clinical trials registry of the National Institutes of Health (NCT02619981). The children were divided into three groups, those who had no accompanying parent, those accompanied by their fathers, and those accompanied by their mothers. The Venham anxiety and behavior scores were used for subjective measurements whereas the objective measurement of fear was done by measuring the heart rate using a portable pulse oximeter at six critical clinical situations. Statistical analysis was carried out using the Statistical Package for the Social Sciences version 21 (IBM corp. Armonk, NY, USA).
One hundred and twenty two children aged between 6 years and 8 years completed the study. Most of the children accompanied by fathers were males while most of the children accompanied by their mother were females. It was seen that females showed a higher mean heart rate than males at all steps. Children who had their parents outside the operatory exhibited lower anxiety and behavior scores than those whose parents were present; however, they showed a significantly higher pulse rate at all procedures. Boys had higher anxiety and behavior scores than girls, however, these differences were not statistically significant.
The results of this study suggest that the presence of the parent in the operatory reduces the physiological manifestations of anxiety in children in their first restorative dental visit.
父母在儿童患者的口腔行为中起着重要作用。本研究旨在评估父母在场对儿童行为的影响，并使用脉搏血氧饱和度仪客观测量其行为。
该研究已在美国国立卫生研究院临床试验注册中心注册（NCT02619981）。儿童被分为三组，即没有陪伴家长的儿童、由父亲陪伴的儿童和由母亲陪伴的儿童。使用韦纳姆焦虑和行为评分进行主观测量，而在六个关键临床情况下，通过使用便携式脉搏血氧饱和度仪测量心率来客观测量恐惧程度。使用社会科学统计软件包第21版（美国纽约州阿蒙克市IBM公司）进行统计分析。
122名年龄在6岁至8岁之间的儿童完成了该研究。大多数由父亲陪伴的儿童为男性，而大多数由母亲陪伴的儿童为女性。可以看出，在所有阶段，女性的平均心率均高于男性。父母在诊疗室外的儿童比父母在场的儿童表现出更低的焦虑和行为评分；然而，在所有操作过程中，他们的脉搏率明显更高。男孩的焦虑和行为评分高于女孩，然而，这些差异无统计学意义。
本研究结果表明，在首次进行牙齿修复治疗时，家长在诊疗室的陪伴可降低儿童焦虑的生理表现。
