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候诊区鱼缸对成年牙科患者的应激、焦虑和情绪的影响:一项对照临床试验。

Effect of the presence of an aquarium in the waiting area on the stress, anxiety and mood of adult dental patients: A controlled clinical trial.

机构信息

Clinic of General, Special Care, and Geriatric Dentistry, Centre of Dental Medicine, University of Zurich, Zurich, Switzerland.

出版信息

PLoS One. 2021 Oct 12;16(10):e0258118. doi: 10.1371/journal.pone.0258118. eCollection 2021.

DOI:10.1371/journal.pone.0258118
PMID:34637458
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8509982/
Abstract

BACKGROUND

Interaction with fish is known to reduce stress and anxiety in humans.

OBJECTIVE

This trial evaluated the effect of an aquarium present in a geriatric dental clinic waiting-area (WA) on blood pressure (BP), heart-rate (HR), anxiety, and mood of waiting patients.

METHODS

Participants were recruited into three groups: control (CG): WA without aquarium; partially-stocked aquarium (PSA): aquarium without fish; fully-stocked aquarium (FSA): aquarium with fish. BP and HR of the participants were recorded upon arrival and after 20-minutes of waiting, along with anxiety [State trait anxiety inventory (STAI-6)] and mood [Feeling scale (FS), Felt arousal scale (FAS)] scores. A purpose-built questionnaire evaluated the subjective assessment of the participants' experience in the WA. ANOVA with repeated measures and nonparametric tests were used for statistical analysis (p<0.05).

RESULTS

392 patients (mean age: 65.07±16.9y) completed this trial. There was an effect of time on the BP [systolic: F(1, 120) = 44.82, p<0.001; diastolic: F(1, 120) = 25.10, p<0.001] and HR [F(1, 120) = 40.94, p<0.001]. No effect of groups on BP [systolic: F(1, 120) = 1.01, p = 0.32; diastolic: F(1, 120) = 0.01, p = 0.92] was revealed, but a decrease of HR [F(1, 120) = 21.59, p<0.001]. No effect of time*group on BP [systolic: F(1, 120) = 0.89, p = 0.35; diastolic: F(1, 120) = 0.31, p = 0.58], or HR [F(1, 120) = 1.04, p-0.31]. WA groups had no effects on the participants' anxiety [H(2) = 2.76, p = 0.25], or mood [FS: H(2) = 2.28, p = 0.32; FAS: H(2) = 1.54, p = 0.46]. Patients rated FSA higher than others [H(2) = 20.98, p<0.001).

CONCLUSIONS

There was no influence of the presence of an aquarium on the patients' blood pressure, heart rate, anxiety, or mood.

摘要

背景

与鱼类互动已知可减轻人类的压力和焦虑。

目的

本试验评估了在老年牙科诊所候诊室(WA)中放置水族馆对血压(BP)、心率(HR)、焦虑和候诊患者情绪的影响。

方法

参与者被招募到三个组中:对照组(CG):无水族馆的 WA;部分水族馆(PSA):无鱼的水族馆;满水族馆(FSA):有鱼的水族馆。参与者的 BP 和 HR 在到达时和等待 20 分钟后进行记录,同时记录焦虑[状态特质焦虑量表(STAI-6)]和情绪[感觉量表(FS),感觉唤醒量表(FAS)]评分。一个专门设计的问卷评估了参与者在 WA 中的主观体验。使用重复测量的方差分析和非参数检验进行统计分析(p<0.05)。

结果

392 名患者(平均年龄:65.07±16.9y)完成了这项试验。BP 有时间的影响[收缩压:F(1, 120) = 44.82,p<0.001;舒张压:F(1, 120) = 25.10,p<0.001]和 HR [F(1, 120) = 40.94,p<0.001]。没有发现组对 BP 的影响[收缩压:F(1, 120) = 1.01,p = 0.32;舒张压:F(1, 120) = 0.01,p = 0.92],但 HR 降低[F(1, 120) = 21.59,p<0.001]。BP 没有时间*组的影响[收缩压:F(1, 120) = 0.89,p = 0.35;舒张压:F(1, 120) = 0.31,p = 0.58]或 HR [F(1, 120) = 1.04,p-0.31]。WA 组对参与者的焦虑[H(2) = 2.76,p = 0.25]或情绪[FS:H(2) = 2.28,p = 0.32;FAS:H(2) = 1.54,p = 0.46]没有影响。患者对 FSA 的评分高于其他组[H(2) = 20.98,p<0.001]。

结论

水族馆的存在对患者的血压、心率、焦虑或情绪没有影响。

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