视听信息会影响微型种植钉植入过程中的焦虑和疼痛感知吗？——一项个体内随机对照试验

Does audiovisual information affect anxiety and perceived pain levels in miniscrew application? - a within-person randomized controlled trial.

机构信息

Private Practice, Istanbul, Turkey.

Department of Orthodontics, Faculty of Dentistry, Medipol University, Bağcılar, 34214, Istanbul, Turkey.

出版信息

Prog Orthod. 2019 Aug 1;20(1):29. doi: 10.1186/s40510-019-0281-1.

DOI:10.1186/s40510-019-0281-1

PMID:31367995

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6669226/

Abstract

BACKGROUND

Anxiety can cause difficulties during surgical procedures. The main objective of this study was to evaluate changes in patients' anxiety and perceived pain levels after receiving audiovisual and verbal information about miniscrew application.

MATERIALS AND METHODS

Eighty-eight patients (30 males and 58 females) with a mean age of 18.18 ± 5.39 years who had fixed orthodontic treatment and required miniscrew anchorage took part in this questionnaire-based randomized controlled trial. The participants were randomly allocated to two groups and either watched a video depicting miniscrew application (study group, 44 patients) or were informed verbally about the procedure (control group, 44 patients) before miniscrew placement. The audiovisual information was given via a video containing footage of local anesthesia injection, topical antiseptic application, and miniscrew insertion. The Spielberger State-Trait Anxiety Inventory (STAI) was used to measure anxiety immediately before miniscrew application. Self-drilling miniscrews (8 mm length, 1.5 mm diameter; Aarhus System Miniscrews, American Orthodontics, Washington, USA) were placed in posterior buccal interdental region. Each patient received only one miniscrew. Postoperative pain (PP) was determined using a 100-mm horizontal visual analog scale (VAS).

RESULTS

State and total anxiety scores were significantly higher in the study group than in the control group (p = 0.009 and p = 0.011 respectively). The mean PP scores (SD) for control and study groups were 12.86 (14.22) and 12.8 (16.22), respectively. The results of Mann-Whitney U test showed no significant difference (p > 0.05). Participants' PP scores did not have a significant effect on state, trait, or total anxiety scores. There was a weak but significant positive correlation between trait anxiety and state anxiety scores in both groups.

CONCLUSION

Using an audiovisual method to inform patients about miniscrew placement increased anxiety levels but did not affect pain perception.

摘要

背景

焦虑会给手术带来困难。本研究的主要目的是评估患者在接受关于微型螺钉应用的视听和口头信息后焦虑和感知疼痛程度的变化。

材料和方法

本问卷调查随机对照试验共纳入 88 名（男 30 名，女 58 名）年龄 18.18 ± 5.39 岁、接受固定正畸治疗且需要微型螺钉锚固的患者。参与者被随机分配到两组，一组观看描述微型螺钉应用的视频（研究组，44 名患者），另一组在微型螺钉放置前接受口头告知（对照组，44 名患者）。视听信息通过包含局部麻醉注射、局部抗菌应用和微型螺钉插入的视频提供。使用 Spielberger 状态-特质焦虑量表（STAI）在微型螺钉应用前即刻测量焦虑。使用自攻微型螺钉（长度 8mm，直径 1.5mm；Aarhus 系统微型螺钉，美国正畸公司，华盛顿，美国）放置于后颊牙间区。每位患者仅植入一颗微型螺钉。使用 100mm 水平视觉模拟量表（VAS）评估术后疼痛（PP）。

结果

研究组的状态和总焦虑评分明显高于对照组（p = 0.009 和 p = 0.011）。对照组和研究组的平均 PP 评分（SD）分别为 12.86（14.22）和 12.8（16.22）。Mann-Whitney U 检验结果显示差异无统计学意义（p > 0.05）。患者的 PP 评分对状态、特质或总焦虑评分均无显著影响。两组特质焦虑和状态焦虑评分之间存在微弱但显著的正相关。