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催眠、指压和视听辅助手段在减轻儿童局部麻醉给药期间焦虑方面的疗效比较评估。

Comparative Evaluation of Efficacy of Hypnosis, Acupressure and Audiovisual Aids in Reducing the Anxiety of Children during Administration of Local Anesthesia.

作者信息

Erappa Umadevi, Konde Sapna, Agarwal Manisha, Peethambar Preetha, Devi V, Ghosh Suryoday

机构信息

Department of Pediatric and Preventive Dentistry, Vydehi Institute of Dental Sciences, Bengaluru, Karnataka, India.

Department of Pedodontics, AECS Maaruti College of Dental Sciences and Research Centre, Bengaluru, Karnataka, India.

出版信息

Int J Clin Pediatr Dent. 2021;14(Suppl 2):S186-S192. doi: 10.5005/jp-journals-10005-2113.

Abstract

AIM

The present study aimed to assess and compare the efficacy of acupressure, hypnosis and audiovisual aids in reducing anxiety in children during the administration of local anesthesia (LA).

METHODOLOGY

Two hundred apparently healthy children were selected randomly between 6 and 10 years of age and were divided into 4 groups with 50 children in each group. Group I: children were subjected to hypnosis, group II: acupressure, group III: AV aids i.e., VPT, and group IV: children were the control group where no anxiety-reducing techniques were used during administration of LA. The anxiety scores were recorded at three different time intervals by recording the pulse rate (PR), respiratory rate (RR) and anxiety rate (AR) and subjected to statistical analysis.

RESULTS

The results showed that, all the three distraction techniques showed a significant reduction in PR, RR and AR at all time intervals, when compared to the control group. A significant reduction in PR, RR and AR was seen in the hypnosis group when compared to acupressure and only PR in comparison to AV aids. There was no significant difference between group II and III in reducing anxiety.

CONCLUSION

The present study indicates that all the three distraction techniques were effective in reducing anxiety in children. Hypnosis was most promising, followed by audiovisual aids and acupressure.

CLINICAL SIGNIFICANCE

The techniques can be utilized in a day-to-day practice to manage patients with anxiety.

HOW TO CITE THIS ARTICLE

Erappa U, Konde S, Agarwal M, Comparative Evaluation of Efficacy of Hypnosis, Acupressure and Audiovisual Aids in Reducing the Anxiety of Children during Administration of Local Anesthesia. Int J Clin Pediatr Dent 2021;14(S-2):S186-S192.

摘要

目的

本研究旨在评估和比较指压、催眠和视听辅助手段在局部麻醉(LA)过程中减轻儿童焦虑的效果。

方法

随机选取200名6至10岁的健康儿童,分为4组,每组50名儿童。第一组:对儿童进行催眠;第二组:指压;第三组:视听辅助手段,即视频术前宣教(VPT);第四组:对照组,在局部麻醉过程中不使用任何减轻焦虑的技术。通过记录脉搏率(PR)、呼吸率(RR)和焦虑率(AR),在三个不同时间间隔记录焦虑评分,并进行统计分析。

结果

结果显示,与对照组相比,所有三种分散注意力的技术在所有时间间隔的PR、RR和AR均显著降低。与指压组相比,催眠组的PR、RR和AR显著降低,与视听辅助手段组相比,仅PR显著降低。第二组和第三组在减轻焦虑方面无显著差异。

结论

本研究表明,所有三种分散注意力的技术在减轻儿童焦虑方面均有效。催眠最有前景,其次是视听辅助手段和指压。

临床意义

这些技术可用于日常实践中管理焦虑患者。

如何引用本文

埃拉帕·U、孔德·S、阿加瓦尔·M,《催眠、指压和视听辅助手段在局部麻醉过程中减轻儿童焦虑效果的比较评估》。《国际临床儿科牙科学杂志》2021年;14(S-2):S186-S192。

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