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脑波反馈对儿童牙科患者术前恐惧和焦虑的影响:一项随机对照试验。

Effectiveness of brainwave entrainment on pre-operative fear and anxiety in pediatric dental patients: a randomized controlled trial.

机构信息

Department of Pediatric and Preventive Dentistry, SRM Kattankulathur Dental College, SRM Institute of Science and Technology, Potheri, Kattankulathur, Tamil Nadu, 603203, India.

Department of Conservative Dentistry and Endodontics, SRM Kattankulathur Dental College, SRM Institute of Science and Technology, Potheri, Kattankulathur, Tamil Nadu, 603203, India.

出版信息

Eur Arch Paediatr Dent. 2024 Aug;25(4):577-587. doi: 10.1007/s40368-024-00921-7. Epub 2024 Jul 9.

Abstract

PURPOSE

The study aims to evaluate the effectiveness of brainwave entrainment on pre-operative fear and anxiety in pediatric dental patients.

METHODS

The study protocol received approval from the Institutional Ethical Committee under reference number 3010/IEC/2021. Pediatric patients (252) aged from 7 to 12 years, who reported to the dental department were randomized pre-operatively and presented either with brainwave entrainment (experimental), delivered using a "David delight plus device" or a standard behavior management protocol (control). Baseline and post-assessment of anxiety and fear levels were done using the Visual Facial Anxiety Scale and Frankl's behavior rating scale with Wright's modification. Vitals such as blood pressure and pulse rate were also measured.

RESULTS

The study sample (n = 252) comprised 118 females and 134 males. The non-significant differences for values of (VFAS FRS HR and BP indicated similar baseline characteristics. In the brainwave entrainment group, the p values of the Mann-Whitney U test and Wilcoxon Signed Ranks test (p < 0.01) between the two-timepoints indicated a statistical difference for the values of (VFAS FBRS HR BP and (VFAS FBRS HR BP.

CONCLUSIONS

Brainwave entrainment effectively reduces pre-operative fear and anxiety in pediatric dental patients. Therefore, they can be a non-pharmacological and non-invasive behavior management aid.

TRIAL REGISTRATION

Clinical Trial Registry of India database CTRI/2023/03/051066.

摘要

目的

本研究旨在评估脑波刺激对儿科牙科患者术前恐惧和焦虑的效果。

方法

本研究方案获得了机构伦理委员会的批准(参考编号 3010/IEC/2021)。7 至 12 岁的儿科患者(252 名)在牙科部门就诊时进行了术前随机分组,他们接受脑波刺激(实验组),使用“David delight plus 设备”或标准行为管理方案(对照组)。使用视觉面部焦虑量表(VFAS)和 Frankl 行为评分量表(改良 Wright 版)进行焦虑和恐惧水平的基线和后评估。还测量了生命体征,如血压和脉搏率。

结果

研究样本(n=252)包括 118 名女性和 134 名男性。VFAS、FRS、HR 和 BP 的值没有显著差异,表明基线特征相似。在脑波刺激组中,Mann-Whitney U 检验和 Wilcoxon 符号秩检验的 p 值(p<0.01)表明两个时间点之间 VFAS、FRS、HR 和 BP 的值存在统计学差异。

结论

脑波刺激可有效降低儿科牙科患者的术前恐惧和焦虑。因此,它可以作为一种非药物和非侵入性的行为管理辅助手段。

试验注册

印度临床试验注册中心数据库 CTRI/2023/03/051066。

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