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lockdown 对儿童生活方式的影响及其在牙科治疗中的配合。

Impact of lockdown on children's lifestyle and their collaboration during dental sessions.

机构信息

DDS, Paediatric Dentistry - University of Rome "Tor Vergata", Rome, Italy.

DDS, Paediatric Dentistry Post-Graduate School, University of Rome "Tor Vergata", Regina Apostolorum Hospital, Albano Laziale (Rome), Italy.

出版信息

Eur J Paediatr Dent. 2021;22(1):61-65. doi: 10.23804/ejpd.2021.22.01.11.

DOI:10.23804/ejpd.2021.22.01.11
PMID:33719485
Abstract

AIM

To analyse lifestyle of Italian families during lockdown, evaluating its possible impact on the collaboration of children with the paediatric dentist and associated predictive factors.

MATERIALS AND METHODS

Only patients aged between 3 and 16 years, who had started treatment before the lockdown and had spent this periodwith both parents were included in the study. The interviews were carried out using an anonymous questionnaire that assessed school and play activities, the type of diet, the time dedicated to home oral hygiene and the activities carried out with parents. Parents' work situation during lockdown was included to correlate it with time spent at home. The Frankl Behavior Rating Scale was used to determine the degree of cooperation during dental sessions pre- and post-lockdown. Chi-square test and Fisher's Exact tests were used to identify statistical associations of improvement with each categorical variable. Student's t-test was used to highlight the differences in mean values of continuous variables between subjects considered more cooperative and unimproved subjects. Hosmer-Lemeshow test was used to assess the goodness-of-fit of the model. Assumption of linearity of independent variables and log-odds were assessed by Box-Tidwell transformation. Final selection was carried out using the Akaike criterion and all statistical analyses were carried out using the STATA statistical software package.

RESULTS

The sample consisted of 212 patients (103F; 109M). The age ranged between 3 and 16 years with an average age of 9.03 years; 82.08% (95% CI 76.24-86.99) of the subjects showed an improvement in collaboration compared to pre-lockdown. Logistic analysis reveals a statistically significant increase of the odds of improvement in patients with a lower pre-lockdown collaboration (OR: 6.05, p = 0.001), in children with a parental presence at home (jobless, OR : 30.55, p <0.001; in "smart working", OR: 23.06, p <0.001) when compared to children whose parents work away from home. From a further exploratory analysis, time dedicated to home oral hygiene was increased if associated with an increased presence of the parents at home (p = 0.015).

CONCLUSION

Changes in family routines and increased parental presence at home, during the COVID-19 pandemic lockdown, are associated with improved collaboration of children during dental sessions. A statistical association between the increase in time spent on oral hygiene and the increased presence of parents at home was found.

摘要

目的

分析意大利家庭在封锁期间的生活方式,评估其对儿童与儿科牙医合作的可能影响及其相关预测因素。

材料与方法

仅纳入在封锁前开始治疗且在封锁期间父母双方均在场的年龄在 3 至 16 岁之间的患者。通过匿名问卷进行访谈,评估学习和玩耍活动、饮食类型、在家口腔卫生时间和与父母一起进行的活动。还纳入了封锁期间父母的工作状况,以便与在家时间相关联。采用 Frankl 行为评分量表评估封锁前后牙科治疗期间的合作程度。采用卡方检验和 Fisher 精确检验确定与每个分类变量相关的改善的统计学关联。采用学生 t 检验确定被认为更合作和未改善的受试者之间连续变量的平均值差异。采用 Hosmer-Lemeshow 检验评估模型拟合优度。通过 Box-Tidwell 转换评估自变量的线性和对数优势假设。最终选择使用 Akaike 准则,所有统计分析均使用 STATA 统计软件包进行。

结果

样本包括 212 名患者(103 名女性;109 名男性)。年龄在 3 至 16 岁之间,平均年龄为 9.03 岁;与封锁前相比,82.08%(95%CI76.24-86.99)的患者合作程度有所改善。Logistic 分析显示,在封锁前合作程度较低的患者中,改善的几率具有统计学意义(OR:6.05,p = 0.001),在父母在家的儿童中(失业者,OR:30.55,p <0.001;“远程办公”者,OR:23.06,p <0.001)与父母不在家的儿童相比。进一步的探索性分析发现,如果与父母在家的时间增加相关,那么在家口腔卫生时间也会增加(p = 0.015)。

结论

在 COVID-19 大流行封锁期间,家庭常规的变化和父母在家中的更多存在与儿童在牙科治疗期间的更好合作相关。发现口腔卫生时间的增加与父母在家中的增加之间存在统计学关联。

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