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音乐作为一种非药物技术在儿童患者管理中的作用评估。

Evaluation of the Role of Music as a Nonpharmacological Technique in Management of Child Patients.

作者信息

Gupta Neha, Gupta Himanshu, Gupta Prahlad, Gupta Nidhi

机构信息

Department of Pedodontics, Maharaja Ganga Singh Dental College & Research Centre, Sri Ganganagar, Rajasthan, India.

Department of Prosthodontics, Maharaja Ganga Singh Dental College & Research Centre, Sri Ganganagar, Rajasthan, India.

出版信息

J Contemp Dent Pract. 2017 Mar 1;18(3):194-197.

Abstract

INTRODUCTION

Behavior management and reducing anxiety and pain are very important for success of treatment. Hence, apart from pharmacological management, such as conscious sedation, nonpharmacological interventions like music play a significant role. This study aims to evaluate the effects of music in reducing anxiety, pain, and behavior management.

MATERIALS AND METHODS

This study was conducted at the Department of Pedodontics in 2015. It consisted of 60 patients, age ranging from 3 to 7 years, who required dental treatment with local anesthesia. They were divided into three groups of 20 each. Group I consisted of upbeat music distraction group. Group II consisted of relaxing music distraction group. Group III consisted of control group. We scheduled the treatment in two visits. We used Venham picture test, North Carolina behavior rating scale, and visual analog scale test for the study. Baseline heart rate was also recorded.

RESULTS

No significant differences were found among the three groups based on three scales used in the study.

CONCLUSION

Management of child patient in dental clinic is a challenge for clinician. Apart from various pharmacological techniques, management of pediatric patients using audio music distraction has been introduced. However, music did not produce a reduction in pain, anxiety, or disruptive behavior.

CLINICAL SIGNIFICANCE

Various pharmacological techniques are present for the management of pediatric patients. Apart from it, there is need of introducing nonpharmacological techniques to reduce pain, anxiety, and to alter behavior of child. By this study, we have tried to evaluate the usefulness of music in child management.

摘要

引言

行为管理以及减轻焦虑和疼痛对于治疗的成功非常重要。因此,除了药物管理,如清醒镇静外,音乐等非药物干预也起着重要作用。本研究旨在评估音乐在减轻焦虑、疼痛和行为管理方面的效果。

材料与方法

本研究于2015年在儿童牙科学系进行。研究对象为60名年龄在3至7岁之间、需要局部麻醉进行牙科治疗的患者。他们被分为三组,每组20人。第一组为欢快音乐分心组。第二组为放松音乐分心组。第三组为对照组。我们将治疗安排为两次就诊。本研究使用了韦纳姆图片测试、北卡罗来纳行为评定量表和视觉模拟量表测试。同时记录了基线心率。

结果

根据本研究使用的三个量表,三组之间未发现显著差异。

结论

在牙科诊所管理儿童患者对临床医生来说是一项挑战。除了各种药物技术外,还引入了使用音频音乐分心来管理儿科患者的方法。然而,音乐并未减轻疼痛、焦虑或破坏性行为。

临床意义

目前有各种药物技术用于管理儿科患者。除此之外,还需要引入非药物技术来减轻疼痛、焦虑并改变儿童的行为。通过本研究,我们试图评估音乐在儿童管理中的效用。

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