家长对荷兰自闭症谱系障碍儿童口腔护理的满意度。
Parents' satisfaction on dental care of Dutch children with Autism Spectrum Disorder.
机构信息
Department of Cariology, Endodontics and Pedodontology, Academic Centre for Dentistry Amsterdam (ACTA), Gustav Mahlerlaan 3004, 1081 LA, Amsterdam, The Netherlands.
Department of Pediatric Dentistry, Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, The Netherlands.
出版信息
Eur Arch Paediatr Dent. 2021 Jun;22(3):491-496. doi: 10.1007/s40368-020-00586-y. Epub 2021 Jun 18.
PURPOSE
To assess if Dutch children with Autism Spectrum Disorder (ASD) regularly visit a dentist and to evaluate parent's satisfaction on the care provided.
METHODS
Parents of ASD children (2-18 years) were invited to fill out a survey. The survey consisted of questions regarding ASD severity, frequency of dental visits, history of dental pain, type of dental practice and parents' satisfaction. Results were analysed using Chi square and Mann-Whitney U tests (α = 5%).
RESULTS
Of the 246 returned questionnaires, 19 were excluded (incomplete or unconfirmed ASD diagnosis). All children visited a dentist at least once and 5% of them had their last visit more than 12 months ago. According to parents, 15% of the children did not receive the needed care when they had toothache and 21% of the parents were unsatisfied with the current dental care provided. No difference was found between satisfied and unsatisfied parents in type of dental practice visited (p > 0.05). The children of unsatisfied parents reported more often pain during the last year (p = 0.013) and had a more severe type of ASD (p = 0.016).
CONCLUSIONS
The majority of Dutch ASD children investigated regularly visit a dentist and 21% of the parents is unsatisfied with the dental care provided.
目的
评估荷兰自闭症谱系障碍（ASD）儿童是否定期看牙医，并评估家长对所提供护理的满意度。
方法
邀请 ASD 儿童（2-18 岁）的家长填写一份调查问卷。调查问卷包括有关 ASD 严重程度、看牙医频率、牙痛史、看牙医类型以及家长满意度的问题。使用卡方检验和曼-惠特尼 U 检验（α=5%）分析结果。
结果
在 246 份返回的问卷中，19 份被排除（不完整或未确认的 ASD 诊断）。所有儿童至少看过一次牙医，其中 5%的儿童上次看牙医的时间超过 12 个月。根据家长的说法，15%的儿童在牙痛时没有得到所需的护理，21%的家长对目前提供的牙科护理不满意。满意度不同的家长在就诊的牙科类型方面没有差异（p＞0.05）。不满意的家长的孩子在过去一年中更常报告疼痛（p=0.013），并且 ASD 类型更严重（p=0.016）。
结论
调查的大多数荷兰 ASD 儿童定期看牙医，但有 21%的家长对所提供的牙科护理不满意。
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