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在儿童行为管理中,对“讲述 - 玩耍 - 做”方法、影片示范法以及智能手机牙科应用效果的比较评估

Comparative Evaluation of Effectiveness of Tell-Play-Do, Film Modeling and Use of Smartphone Dental Application in the Management of Child Behavior.

作者信息

Kevadia Mital V, Sandhyarani B, Patil Anil T, Gunda Sachin A

机构信息

Department of Pedodontics and Preventive Dentistry, Bharati Vidyapeeth Dental College, Sangli, Maharashtra, India.

出版信息

Int J Clin Pediatr Dent. 2020 Nov-Dec;13(6):682-687. doi: 10.5005/jp-journals-10005-1857.

Abstract

AIM

To evaluate the effectiveness of three different behavioral modification techniques: tell-play-do (TPD), film modeling, and use of smartphone dental app in the management of child behavior.

SETTINGS AND DESIGN

Seventy-five children aged between 6 years and 9 years who were on their first dental visit were randomly divided into three groups. The study was conducted into two visits.

MATERIALS AND METHODS

First visit: group I-children watched a film containing various dental procedures performed on a child model followed by oral prophylaxis; group II-TPD techniques were introduced with dental instruments imitating various playing objects followed by oral prophylaxis; group III-children were asked to use mobile dental application followed by oral prophylaxis. Second visit: After 7 days interval, all the children were subjected to class I restorative treatment using glass-ionomer cement. In both visits, the heart rate (HR), facial image scale (FIS) score, and Venham's pictorial index (VPI) score were evaluated before the intervention, after the intervention of behavior modification technique, and during the dental procedure.

STATISTICAL ANALYSIS USED

One-way ANOVA test followed by the Tukey test was used to compare HR and the Kruskal-Wallis test was used to compare the FIS and VPI of all three groups.

RESULTS

The average HR, FIS, and VPI scores were significantly lower among children who received TPD intervention compared to those who received film modeling intervention and mobile dental application.

CONCLUSION

Tell-play-do technique is more effective in reducing children's fear and anxiety for dental treatment. Tell-play-do can be a functional alternative method to tell-show-do (TSD) and modeling techniques during dental treatment.

HOW TO CITE THIS ARTICLE

Kevadia MV, B Sandhyarani, Patil AT, Comparative Evaluation of Effectiveness of Tell-Play-Do, Film Modeling and Use of Smartphone Dental Application in the Management of Child Behavior. Int J Clin Pediatr Dent 2020;13(6):682-687.

摘要

目的

评估三种不同行为矫正技术:讲述 - 演示 - 操作(TPD)、影片示范和使用智能手机牙科应用程序在儿童行为管理中的有效性。

设置与设计

75名年龄在6岁至9岁之间首次就诊的儿童被随机分为三组。研究分两次就诊进行。

材料与方法

首次就诊:第一组儿童观看一部包含在儿童模型上进行各种牙科操作随后进行口腔预防的影片;第二组采用TPD技术,用模仿各种玩具的牙科器械进行操作随后进行口腔预防;第三组儿童被要求使用移动牙科应用程序随后进行口腔预防。第二次就诊:间隔7天后,所有儿童使用玻璃离子水门汀进行I类修复治疗。在两次就诊中,分别在行为矫正技术干预前、干预后以及牙科操作期间评估心率(HR)、面部图像量表(FIS)评分和韦纳姆图像指数(VPI)评分。

所用统计分析方法

采用单因素方差分析后进行Tukey检验比较心率,采用Kruskal - Wallis检验比较三组的FIS和VPI。

结果

与接受影片示范干预和移动牙科应用程序干预的儿童相比,接受TPD干预的儿童的平均HR、FIS和VPI评分显著更低。

结论

讲述 - 演示 - 操作技术在减轻儿童对牙科治疗的恐惧和焦虑方面更有效。在牙科治疗期间,讲述 - 演示 - 操作可以作为讲述 - 展示 - 操作(TSD)和示范技术的一种有效的替代方法。

如何引用本文

Kevadia MV, B Sandhyarani, Patil AT, Tell - Play - Do、影片示范和使用智能手机牙科应用程序在儿童行为管理中的有效性比较评估。《国际临床儿科牙科学杂志》2020年;13(6):682 - 687。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7c1/8060929/25365816744b/ijcpd-13-682-g001.jpg

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