Department of Anesthesiology, Stomatological Hospital of Chongqing Medical University, Chongqing, China.
Chongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing, China.
Front Public Health. 2022 Jul 18;10:900899. doi: 10.3389/fpubh.2022.900899. eCollection 2022.
Dental anxiety is a multivariate phenomenon that regularly occurs during a dental procedure. Although it may lead to patients' safety concerns and adverse events in routine treatment, it is often ignored. The purpose of this research is to develop a novel WeChat Applet for dental anxiety (WADA) with the following features and aims: (1) to help patients with dental anxiety management; (2) provide patient with a physical status self-evaluation; and(3) provide a platform for online assessment and tele-consultancy by dentists. We aimed to test and verify whether such an applet could play a beneficial role before and after a dental procedure and facilitate management of high-risk patients during the COVID-19 pandemic.
During the 12-month survey period (August 2020 to July 2021), a total of 180 patients aged 3-74 years from eight different cities ( = 180 at the end of treatment, = 25 for the System Usability Scale (SUS) and follow-up interview) and 20 medical staff from eight different cities ( =20 for follow-up interview) were evaluated by WADA. At the end of the survey period, the results of the interviews were analyzed thematically.
WADA assessment results from 180 patients and follow-up interview results from 45 participants were analyzed. In this study with a male to female ratio of 2:3, 75% were found to be suffering from dental anxiety, 86% were found with postoperative complications, and 11 cases were found to have contraindications to surgery. The total SUS score for WADA is 72.25 above the mean score, proving that WADA is a relevant and useful tool before and after dental treatment. Based on the results of the interviews, the following themes were identified: patient satisfaction; dentists' effectiveness; multi-center data integration; and increase its frequency of usage.
The WADA was developed for dental procedures and is effective for reducing treatment risks, improving patients' satisfaction and dentists' convenience, especially in terms of facilitating management of high-risk patient during the COVID-19 pandemic.
牙科焦虑是一种多变量现象，在常规治疗中经常发生。尽管它可能导致患者对安全的担忧和不良事件，但往往被忽视。本研究旨在开发一种具有以下特点和目的的新型微信小程序（WADA）用于牙科焦虑症的管理：（1）帮助牙科焦虑症患者进行管理；（2）为患者提供身体状况自我评估；（3）为牙医提供在线评估和远程咨询的平台。我们旨在测试和验证该小程序在牙科治疗前后是否能发挥有益的作用，并在 COVID-19 大流行期间方便对高危患者进行管理。
在为期 12 个月的调查期间（2020 年 8 月至 2021 年 7 月），来自八个不同城市的 180 名 3-74 岁的患者（治疗结束时为 180 名，系统可用性量表（SUS）和随访访谈各 25 名）和来自八个不同城市的 20 名医务人员（随访访谈各 20 名）接受了 WADA 的评估。在调查结束时，对访谈结果进行了主题分析。
分析了 180 名患者的 WADA 评估结果和 45 名参与者的随访访谈结果。在这项研究中，男性与女性的比例为 2:3，75%的患者患有牙科焦虑症，86%的患者术后出现并发症，11 例患者手术禁忌。WADA 的总 SUS 评分为 72.25 分，高于平均分，证明 WADA 在牙科治疗前后是一种相关且有用的工具。根据访谈结果，确定了以下主题：患者满意度；牙医的效果；多中心数据集成；并增加其使用频率。
WADA 是为牙科治疗开发的，可有效降低治疗风险，提高患者满意度和牙医便利性，尤其是在 COVID-19 大流行期间方便对高危患者进行管理。
