Seangpadsa Kanchaporn, Smutkeeree Apiwan, Leelataweewud Pattarawadee
Department of Pediatric Dentistry, Faculty of Dentistry, Mahidol University, Bangkok, Thailand.
J Indian Soc Pedod Prev Dent. 2020 Jul-Sep;38(3):274-279. doi: 10.4103/JISPPD.JISPPD_349_20.
Parental acceptance of behavior management techniques (BMTs) in dental practice is important and subjected to change with the dynamics of the society.
The aim of this study was to evaluate the parental acceptance of eight selected BMTs: tell-show-do (TSD), voice control (VC), passive restraint (PR), active restraint (AR), parental presence/absence (PP/PA), oral sedation (OS), inhalation sedation nitrous oxide/oxygen (NO/O), and general anesthesia (GA) and its associated factors in a group of Thai parents.
The cross-sectional study was conducted among 200 parents of preschool children in Bangkok metropolitan.
Parents were asked to rate the BMTs demonstrated in video with a Visual Analog Scale (VAS). Possible relevant factors were collected via questionnaires. Descriptive statistics were used to describe the samples. BMTs were ranked by mean VAS using the general linear model repeated measure. The association between the mean VASs and parental and child's factors was analyzed using the one-way ANOVA and independent t-test. Significant factors were further analyzed by multiple linear regression. The level of confidence was set at 95%.
All BMTs were acceptable. TSD was rated the highest, followed by PR, VC, AR, NO/O, OS, GA, and PP/PA, respectively. Parental dental anxiety was associated with less acceptance of PP/PA. Child's experience of VC, AR, OS, and PP/PA was related to better acceptance of the techniques.
The BMTs were better accepted with similar pattern compared to past studies. PP/PA was the least accepted related to high parental anxiety. Child's experience with BMTs increased the acceptance.
在牙科实践中，家长对行为管理技术（BMTs）的接受程度很重要，并且会随着社会动态而发生变化。
本研究的目的是评估一组泰国家长对八种选定的行为管理技术的接受程度：告知-展示-做（TSD）、语音控制（VC）、被动约束（PR）、主动约束（AR）、家长在场/不在场（PP/PA）、口服镇静（OS）、氧化亚氮/氧气吸入镇静（NO/O）和全身麻醉（GA）及其相关因素。
在曼谷大都市的200名学龄前儿童家长中进行了横断面研究。
要求家长使用视觉模拟量表（VAS）对视频中展示的行为管理技术进行评分。通过问卷收集可能的相关因素。描述性统计用于描述样本。使用一般线性模型重复测量按平均VAS对行为管理技术进行排名。使用单因素方差分析和独立t检验分析平均VAS与家长和儿童因素之间的关联。通过多元线性回归进一步分析显著因素。置信水平设定为95%。
所有行为管理技术都可以接受。TSD的评分最高，其次分别是PR、VC、AR、NO/O、OS、GA和PP/PA。家长的牙科焦虑与对PP/PA的接受程度较低有关。儿童对VC、AR、OS和PP/PA的体验与对这些技术的更好接受程度相关。
与过去的研究相比，行为管理技术的接受程度更高，且模式相似。由于家长的高焦虑，PP/PA的接受程度最低。儿童对行为管理技术的体验增加了接受程度。
