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牙医与焦虑儿童患者之间的互动:一项行为分析。

Interactions between dentists and anxious child patients: a behavioral analysis.

作者信息

ter Horst G, Prins P, Veerkamp J, Verhey H

机构信息

Department of Social Dentistry, ACTA, Amsterdam, The Netherlands.

出版信息

Community Dent Oral Epidemiol. 1987 Oct;15(5):249-52. doi: 10.1111/j.1600-0528.1987.tb00531.x.

DOI:10.1111/j.1600-0528.1987.tb00531.x
PMID:3477355
Abstract

The aim of this investigation was to study the effect of dentists' behavior on the (anxious) behavior of child patients. Twelve high-anxious and a matched group of 12 low-anxious children from 6 to 12 yr of age were selected and randomly assigned to one of six dentists: three with experience in treating fearful children and three without such experience. Each child was treated twice. The first treatment was prophylactic, the second, 2 wks later, consisted of preparation and restoration of a cavity (Class 1) under local anesthesia. While both treatment sessions were videotaped, only the latter one was used in this study. Data analysis which did not control for autocorrelations revealed 22 (out of 28) significant effects. Data analysis with a control for autocorrelations showed only two significant effects: 'working contact', which decreased fear-related behavior and 'no physical contact', which increased fear-related behavior.

摘要

本调查的目的是研究牙医行为对儿童患者(焦虑)行为的影响。从6至12岁的儿童中选取了12名高度焦虑儿童和一组与之匹配的12名低度焦虑儿童,并将他们随机分配给六位牙医中的一位:三位有治疗恐惧儿童的经验,三位没有此类经验。每个孩子接受两次治疗。第一次治疗是预防性的,第二次治疗在两周后进行,包括在局部麻醉下对龋洞(I类)进行预备和修复。虽然两次治疗过程都进行了录像,但本研究仅使用了后者。未控制自相关的数据分析显示(28个中有)22个显著效应。控制自相关的数据分析仅显示出两个显著效应:“工作接触”,它会减少与恐惧相关的行为;“无身体接触”,它会增加与恐惧相关的行为。

相似文献

1
Interactions between dentists and anxious child patients: a behavioral analysis.牙医与焦虑儿童患者之间的互动:一项行为分析。
Community Dent Oral Epidemiol. 1987 Oct;15(5):249-52. doi: 10.1111/j.1600-0528.1987.tb00531.x.
2
Behavior of dentists and child patients during treatment.
Community Dent Oral Epidemiol. 1987 Oct;15(5):253-7. doi: 10.1111/j.1600-0528.1987.tb00532.x.
3
The effect of dentists' behaviors on fear-related behaviors in children.
J Am Dent Assoc. 1982 Jan;104(1):32-8. doi: 10.14219/jada.archive.1982.0117.
4
Dentists' behavior management as it affects compliance and fear in pediatric patients.牙医的行为管理及其对儿童患者依从性和恐惧的影响。
J Am Dent Assoc. 1983 Mar;106(3):324-30. doi: 10.14219/jada.archive.1983.0055.
5
Dentists' management of patients' fear and anxiety.牙医对患者恐惧和焦虑的管理。
J Am Dent Assoc. 1985 May;110(5):734-6. doi: 10.14219/jada.archive.1985.0427.
6
The use of nitrous oxide in the treatment of children: results of a controlled study.一氧化二氮在儿童治疗中的应用:一项对照研究的结果。
J Am Dent Assoc. 1986 Mar;112(3):325-31. doi: 10.1016/s0002-8177(86)23011-1.
7
Childhood fear and anxiety states in relation to dental treatment.与牙科治疗相关的儿童恐惧和焦虑状态。
Aust Dent J. 1979 Aug;24(4):256-9. doi: 10.1111/j.1834-7819.1979.tb02935.x.
8
Strategies used by dentists in Victoria, Australia, to manage children with anxiety or behavior problems.澳大利亚维多利亚州的牙医用于管理焦虑或行为问题儿童的策略。
ASDC J Dent Child. 1991 May-Jun;58(3):223-8.
9
[Anxiety, fear, phobias of children and the refusal of treatment].
Zahnarztl Mitt. 1982 Sep 16;72(18):1983-4, 1986.
10
[Difficulties of the dental surgeon in the face of anguish and fear in the child].
Rev Odontostomatol (Paris). 1981 May-Jun;10(3):247-52.

引用本文的文献

1
Review: behaviour management techniques in paediatric dentistry.综述:儿童牙科中的行为管理技术
Eur Arch Paediatr Dent. 2010 Aug;11(4):166-74. doi: 10.1007/BF03262738.