Ghadimi S, Estaki Z, Rahbar P, Shamshiri A R
Laser Research Centre of Dentistry, Dental Research Institute, Department of Paediatric Dentistry, School of Dentistry, Tehran University of Medical Sciences, North Kargar St, Tehran, 14399-55991, Iran.
Department of Paediatric Dentistry, School of Dentistry, Tehran University of Medical Sciences, North Kargar St, Tehran, 14399-55991, Iran.
Eur Arch Paediatr Dent. 2018 Aug;19(4):239-244. doi: 10.1007/s40368-018-0352-x. Epub 2018 Jun 12.
This was to evaluate the effect of visual distraction on anxiety of children during dental treatment.
This randomized, crossover clinical trial study was conducted on 28 children (aged 4-5 years) randomly divided into two groups of 14 each. Group 1, treatment procedure in the first visit was completed while the patients were watching a cartoon as a visual distraction tool, at the second visit, the procedure was carried out with conventional tell-show-do. Group 2, had visual distraction in their second visit and conventional tell-show-do during the first visit. Treatment procedures were similar in both groups during two sessions. The anxiety level was determined using Venham picture test and pulse rate (PR) at the beginning and the end of each appointment. Patient behaviour was also scored using Frankl behaviour rating scale (FBRS).
Self-reported dental anxiety was reduced significantly by visual distraction (p-value < 0.001) compared to conventional tell-show-do, but it did not change FBRS scores significantly (p-value = 0.24).
Use of visual distraction improves self-reported anxiety and decreases PR of children but does not change their behaviour.
本研究旨在评估视觉分心对儿童牙科治疗期间焦虑情绪的影响。
本随机交叉临床试验研究针对28名4至5岁儿童开展，随机分为两组，每组14人。第一组，首次就诊时在患者观看卡通片作为视觉分心工具的情况下完成治疗程序，第二次就诊时采用传统的告知-展示-操作方法。第二组，第二次就诊时进行视觉分心，首次就诊时采用传统的告知-展示-操作方法。两组在两个疗程中的治疗程序相似。在每次预约开始和结束时，使用韦纳姆图片测试和脉搏率（PR）来确定焦虑水平。还使用弗兰克尔行为评定量表（FBRS）对患者行为进行评分。
与传统的告知-展示-操作方法相比，视觉分心显著降低了自我报告的牙科焦虑（p值<0.001），但未显著改变FBRS评分（p值=0.24）。
使用视觉分心可改善儿童自我报告的焦虑情绪并降低其脉搏率，但不会改变他们的行为。
