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评估家长对儿科牙科中使用的不同行为管理技术的态度。

Assessment of parental attitude toward different behavior management techniques used in pediatric dentistry.

作者信息

Desai Sneha Pramod, Shah Preetam P, Jajoo Shweta S, Smita Patil S

机构信息

Department of Pediatric Dentistry, Bharati Vidyapeeth (Deemed to be University) Dental College and Hospital, Pune, Maharashtra, India.

出版信息

J Indian Soc Pedod Prev Dent. 2019 Oct-Dec;37(4):350-359. doi: 10.4103/JISPPD.JISPPD_138_18.

Abstract

BACKGROUND

The goal of any good dental treatment is to provide a quality dental care to the patient. This may not be possible if the patient is unwilling to cooperate or unable to do so due to their age or related factors. In such children, behavior management techniques are very helpful. With changing times, there have been changes in the law and the outlook of parents and society toward dental treatment. This influences the various behavior management methods used by pediatric dentists.

OBJECTIVES

This study was conducted to assess the attitudes of parents of children of different pediatric age groups towards: Behavior management techniques used by pediatric dentists The effect of maternal anxiety on the child's behavior in clinic Pharmacological behavior management techniques The effect of parental presence in the operatory on the child's behavior.

MATERIALS AND METHODS

Three hundred parents were evaluated and divided into three groups comprising 100 each on the basis of their children's age, Group A: 2-5 years, Group B: 6-9 years, and Group C: 10-13 years, which were further divided into two subgroups, on the basis of the child's gender, with each subgroup having parents of 50 male and 50 female children each. For example, Group A: 50 parents of 2-5-year-old boys, Group A: 50 parents of 2-5-year-old girls.

RESULTS

ANOVA test showed different hierarchies of acceptance for the techniques in all the groups. In all the three groups, tell show do, positive reinforcement, and live modeling were the most accepted techniques. However, statistically significant difference between the groups was not observed for the three techniques. The least accepted techniques for all the groups were hand over mouth technique and voice control technique.

CONCLUSION

Parents were more receptive of those techniques which were visually more acceptable involving a communicative management, such as tell show do, positive reinforcement, and live modeling.

摘要

背景

任何优质牙科治疗的目标都是为患者提供高质量的牙科护理。如果患者不愿意配合,或者由于年龄或相关因素无法配合,这可能无法实现。对于这类儿童,行为管理技术非常有帮助。随着时代的变迁,法律以及家长和社会对牙科治疗的看法都发生了变化。这影响了儿科牙医使用的各种行为管理方法。

目的

本研究旨在评估不同儿科年龄组儿童的家长对以下方面的态度:儿科牙医使用的行为管理技术;母亲焦虑对孩子在诊所行为的影响;药物行为管理技术;家长在治疗室陪伴对孩子行为的影响。

材料与方法

对300名家长进行评估,并根据孩子的年龄将他们分为三组,每组100人,A组:2至5岁,B组:6至9岁,C组:10至13岁,然后根据孩子的性别将每组进一步分为两个亚组,每个亚组有50名男孩和50名女孩的家长。例如,A组:50名2至5岁男孩的家长,A组:50名2至5岁女孩的家长。

结果

方差分析测试显示所有组对这些技术的接受程度存在不同层次。在所有三组中,告知演示做、正面强化和现场示范是最常被接受的技术。然而,这三种技术在组间未观察到统计学上的显著差异。所有组最不接受的技术是捂嘴技术和语音控制技术。

结论

家长更容易接受那些在视觉上更易接受的、涉及沟通管理的技术,如告知演示做、正面强化和现场示范。

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