评估俄亥俄州治疗牙科焦虑症患者的牙医的态度和临床实践。
Assessing the Attitudes and Clinical Practices of Ohio Dentists Treating Patients with Dental Anxiety.
作者信息
Williams Kristin A, Lambaria Sarah, Askounes Sara
机构信息
School of Dental Medicine, Department of Community Dentistry, Case Western Reserve University, 2124 Cornell Road, Cleveland, OH 44106, USA.
出版信息
Dent J (Basel). 2016 Sep 30;4(4):33. doi: 10.3390/dj4040033.
UNLABELLED
Dental anxiety (DA) negatively affects patients' oral and overall health. This study explored attitudes and clinical practices of licensed Ohio general dentists who treat patients with DA. An anonymous self-administered mail survey was sent to 500 general dentists licensed and practicing in Ohio. Responses to 21 pre-coded questions were analyzed. Frequencies were examined; cross-tabs, Chi-Square, and Fischer's Exact Test were calculated for statements according to dentists' gender. Alpha was set at = 0.05. Nearly all respondents treated anxious patients; males were more likely to find it challenging than females. Dentists were most familiar with distraction, although half found nitrous oxide to be an effective tool. Female dentists were more likely than males to be familiar with anxiolytics and find them effective. Overall, Ohio general dentists are most familiar with using distraction and nitrous oxide during appointments for anxious patients. Gender differences exist in attitudes towards anxiolytic use for patients with DA.
PRACTICE IMPLICATIONS
By identifying techniques that are comfortable for patient and practitioner, oral health disparities associated with DA may be reduced.
未标注
牙科焦虑症（DA）对患者的口腔健康和整体健康有负面影响。本研究探讨了俄亥俄州有执照的普通牙医在治疗患有牙科焦虑症患者时的态度和临床实践。向500名在俄亥俄州有执照并执业的普通牙医发送了一份匿名的自填式邮件调查问卷。对21个预先编码的问题的回答进行了分析。检查了频率；根据牙医的性别，对陈述进行了交叉制表、卡方检验和费舍尔精确检验。显著性水平设定为α = 0.05。几乎所有受访者都治疗过焦虑的患者；男性比女性更有可能觉得这具有挑战性。牙医最熟悉分散注意力的方法，尽管一半的人认为一氧化二氮是一种有效的工具。女牙医比男牙医更有可能熟悉抗焦虑药并认为它们有效。总体而言，俄亥俄州的普通牙医在为焦虑患者进行诊疗时最熟悉使用分散注意力的方法和一氧化二氮。在对患有牙科焦虑症患者使用抗焦虑药的态度上存在性别差异。
实践意义
通过确定患者和从业者都适用的技术，与牙科焦虑症相关的口腔健康差异可能会减少。
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