Modabber Melika, Campbell Karen M, McMurtry C Meghan, Taddio Anna, Dempster Laura J
Faculty of Dentistry, University of Toronto, Toronto, ON M5G 1X3, Canada.
Department of Psychology, The University of Guelph, Guelph, ON N1G 2W1, Canada.
Children (Basel). 2022 Oct 29;9(11):1657. doi: 10.3390/children9111657.
This qualitative study explored children's perceptions of their dental experiences and their acceptability of the CARD™ (Comfort, Ask, Relax, Distract) system, adapted for the dental setting as a means to mitigate dental fear and anxiety (DFA). A purposive sample of 12 participants (7 males) aged 8-12 years receiving dental care at the Paediatric Dental Clinic, University of Toronto, was recruited. Virtual one-on-one interviews were augmented with visual aids. Participants were oriented to and asked about their perceptions of various dental procedures. Data were deductively analyzed, according to the Person-Centered Care framework (PCC). Four themes were identified: establishing a therapeutic relationship, shared power and responsibility, getting to know the person and empowering the person. Children emphasized the importance of clinic staff attributes and communication skills. They expressed a desire to engage more actively in their own care and highlighted the positive influence of pre-operative education and preparation. Participants found the CARD™ system to facilitate opportunities for self-advocacy in their dental care.
这项定性研究探讨了儿童对其牙科就诊经历的看法，以及他们对为牙科环境改编的CARD™（舒适、询问、放松、分散注意力）系统的接受程度，该系统旨在减轻牙科恐惧和焦虑（DFA）。研究招募了一个有目的的样本，包括12名年龄在8至12岁之间、在多伦多大学儿科牙科诊所接受牙科护理的参与者（7名男性）。虚拟一对一访谈辅以视觉辅助工具。向参与者介绍并询问他们对各种牙科程序的看法。根据以患者为中心的护理框架（PCC）对数据进行演绎分析。确定了四个主题：建立治疗关系、共享权力和责任、了解患者以及赋予患者权力。儿童强调了诊所工作人员特质和沟通技巧的重要性。他们表示希望更积极地参与自身护理，并强调了术前教育和准备的积极影响。参与者发现CARD™系统有助于在牙科护理中为自我主张创造机会。
