Department of Pediatric Dentistry, Universidade Luterana do Brasil, Canoas, Brazil.
Department of Psychology, Faculdade Meridional, Passo Fundo, Brazil.
Int J Paediatr Dent. 2021 Sep;31(5):647-656. doi: 10.1111/ipd.12751. Epub 2021 Jan 25.
Evidence regarding the feelings evoked, distress caused, and the best way to conduct protective stabilization for the management of young children is lacking.
Describe the perceptions of mothers, psychologists, and pediatric dentists regarding the use of protective stabilization during the dental care of children up to three years of age attending a University Dental Clinic in southern Brazil.
After watching a video of dental care involving the protective stabilization technique, individualized qualitative interviews were held with three groups [mothers (n = 5), psychologists (n = 7), and pediatric dentists (n = 4)] to investigate four categories of interest: importance of the technique, affective attitude, distress caused to the child, and participation of parents. After the transcription of the recorded comments, qualitative content analysis was performed.
Protective stabilization generated emotional discomfort but was well accepted by all groups. All expressed the need to create a bond between the dentist and caregiver; and the active participation of the caregiver was considered fundamental. The mothers and psychologists rejected other options, such as passive restraint, general anesthesia, and sedation.
The three groups admitted having negative feelings, recognized the importance of protective stabilization, and suggested conditions for its use.
目前缺乏有关管理幼儿时使用保护性固定的感觉、痛苦和最佳操作方式的证据。
描述巴西南部一所大学牙科诊所的母亲、心理学家和儿童牙医对 3 岁以下儿童牙科护理中使用保护性固定的看法。
观看了涉及保护性固定技术的牙科护理视频后,对三组人员(母亲(n=5)、心理学家(n=7)和儿童牙医(n=4))进行了个体化的定性访谈,以调查四个感兴趣的类别:技术的重要性、情感态度、对儿童的痛苦以及父母的参与度。记录评论后,进行了定性内容分析。
保护性固定会引起情绪不适,但所有组均接受该技术。所有人都表达了需要在牙医和照顾者之间建立联系的愿望,并且认为照顾者的积极参与至关重要。母亲和心理学家拒绝了其他选择,如被动约束、全身麻醉和镇静。
三组人员均承认有负面情绪,认识到保护性固定的重要性,并提出了使用该技术的条件。