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在不同的口腔外科手术过程中,提供简短信息能让患者保持冷静吗?

Does giving brief information keep patients calm during different oral surgical procedures?

作者信息

Cabbar Fatih, Burdurlu Muammer Çağrı, Tomruk Ceyda Özçakır

出版信息

Quintessence Int. 2018;49(10):817-828. doi: 10.3290/j.qi.a40245.

Abstract

OBJECTIVES

Dental anxiety may play a central role in the oral health status and treatment outcomes of oral surgical procedures. The study aimed to investigate the effect that brief written information has over patients undergoing oral surgical procedures and to evaluate factors that may cause anxiety.

METHOD AND MATERIALS

A prospective study was performed on 38 mandibular third molar surgery patients (mean age 26.74 ± 6.44 years) and 56 implant surgery patients (mean age 49.13 ± 15.11 years). Each group was divided into two subgroups, and written information, explaining what they could expect and details about the procedure, was provided to study groups. The Spielberger State-Trait Anxiety Inventory was used to measure state (STAI-S) and trait anxiety (STAI-T). The visual analog scale (VAS) was used for pain scores preoperatively and on days 1, 3, 5, and 7. Demographic data and intraoperative behaviors of patients were recorded.

RESULTS

All groups had similar anxiety scores at baseline. Preoperative STAI-S and VAS scores were similar between study and control groups (P > .05). Study groups showed significantly lower mean intraoperative anxiety levels (P < .05). The implant group had a significantly lower VAS score (P < .05). STAI-T and preoperative STAI-S were not related to VAS. Postoperative STAI-S and VAS and recuperation were correlated (P < .05). Women showed significantly higher anxiety and VAS scores.

CONCLUSION

The patients who received written information did not report lower anxiety scores. However, improved patient cooperation could be achieved with this method. Different surgical procedures may cause anxiety for different reasons.

摘要

目的

牙科焦虑可能在口腔外科手术的口腔健康状况和治疗结果中起核心作用。本研究旨在调查简短书面信息对接受口腔外科手术患者的影响,并评估可能导致焦虑的因素。

方法和材料

对38名下颌第三磨牙手术患者(平均年龄26.74±6.44岁)和56名种植牙手术患者(平均年龄49.13±15.11岁)进行了一项前瞻性研究。每组分为两个亚组,向研究组提供书面信息,解释他们可能的预期以及手术细节。使用斯皮尔伯格状态-特质焦虑量表来测量状态焦虑(STAI-S)和特质焦虑(STAI-T)。视觉模拟量表(VAS)用于术前以及术后第1、3、5和7天的疼痛评分。记录患者的人口统计学数据和术中行为。

结果

所有组在基线时的焦虑评分相似。研究组和对照组术前的STAI-S和VAS评分相似(P>.05)。研究组术中平均焦虑水平显著较低(P<.05)。种植牙组的VAS评分显著较低(P<.05)。STAI-T和术前STAI-S与VAS无关。术后STAI-S、VAS和恢复情况具有相关性(P<.05)。女性的焦虑和VAS评分显著更高。

结论

收到书面信息的患者并未报告焦虑评分降低。然而,通过这种方法可以实现更好的患者合作。不同的外科手术可能因不同原因导致焦虑。

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