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犬辅助治疗(DAT)在儿科牙科护理中焦虑管理的应用:范围综述。

Dog-Assisted Therapy (DAT) for the management of anxiety during paediatric dental care. A scoping review.

机构信息

Paediatric Dentistry Postgraduate Program. Faculty of Dentistry, University of San Luis Potosí, México.

Medicine Program. Faculty of Professional Studies Zona Huasteca, University of San Luis Potosí, México.

出版信息

Eur J Paediatr Dent. 2024 Jun 3;25(2):120-125. doi: 10.23804/ejpd.2024.2001. Epub 2024 Mar 1.

Abstract

AIM

Distraction techniques in paediatric dentistry can be effective in decreasing the child's attention span from an unpleasant or stressful procedure. Distraction is achieved through imagination, audio, and/or visual stimuli. It has been shown that the accompaniment and participation of animals or pets, specifically dogs (Dog-Assisted Therapy or DAT), during medical, oral, and therapeutic activities can improve the physical and mental health of patients, especially children. However, there is limited information available regarding the impact of incorporating a certified therapy dog into the paediatric dental environment as a distraction strategy to alleviate anxiety levels during dental procedures.

METHODS

This scoping review aimed to identify and review published articles concerning the use of DAT in paediatric dentistry. The article discusses indications, benefits, and potential risks to human health and safety in clinical settings. Eligible sources encompass clinical trials, observational studies, and narrative reviews written in either English or Spanish and published over the last two decades, sourced from four electronic databases. Ultimately, seven pertinent studies were included in the review.

CONCLUSION

DAT presents itself as a promising alternative in managing anxiety and stress among children during dental visits. The integration of a therapy dog and its handler into the paediatric oral care team should be thoughtfully considered by clinicians as a means to enhance the comfort and compliance of apprehensive patients.

摘要

目的

在儿童牙科中,分散注意力的技巧可以有效地减少孩子在不愉快或紧张的治疗过程中的注意力持续时间。分散注意力是通过想象、音频和/或视觉刺激来实现的。已经表明,在医疗、口腔和治疗活动中,动物或宠物(动物辅助治疗或 DAT)的陪伴和参与可以改善患者的身心健康,尤其是儿童。然而,关于将经过认证的治疗犬纳入儿科牙科环境作为一种分散注意力的策略,以减轻牙科治疗过程中的焦虑水平的信息有限。

方法

本范围综述旨在确定和回顾有关 DAT 在儿童牙科中应用的已发表文章。文章讨论了在临床环境中 DAT 的适应证、益处和对人类健康和安全的潜在风险。合格的来源包括过去二十年中以英语或西班牙语撰写并发表的临床试验、观察性研究和叙述性评论,来自四个电子数据库。最终,有 7 项相关研究被纳入综述。

结论

DAT 在管理儿童牙科就诊时的焦虑和压力方面表现出很大的潜力。治疗犬及其训练者应被临床医生认真考虑纳入儿科口腔护理团队,以增强焦虑患者的舒适度和配合度。

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