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两种分散注意力技术在6至9岁儿童牙科治疗中疼痛和焦虑管理方面的有效性

Effectiveness of Two Types of Distraction Techniques in the Management of Pain and Anxiety during Dental Treatment in 6-9-year-old Children.

作者信息

Chandran Lekshmi Shobana, Issac Jyoti Sumi, Girija Parvathy, Thomas Pinku Thekkemelathethil, Shirli Arjun Dileep, Jalal Siddik Abdul

机构信息

Department of Pediatric and Preventive Dentistry, Azeezia College of Dental Sciences and Research, Kollam, Kerala, India.

出版信息

Int J Clin Pediatr Dent. 2024 Mar;17(3):291-296. doi: 10.5005/jp-journals-10005-2794.

Abstract

AIM

To determine the effectiveness of distraction with virtual reality (VR) distraction devices in comparison with mobile phone video games in the management of pain and anxiety during dental treatment in 6-9-year-old children.

MATERIALS AND METHODS

It was a comparative observational study. A total of 33 children aged 6-9 years who reported to the department for their first dental visit were selected and the subjects were divided into three groups. Group I patients were in a normal clinical environment without any distractions. Group II patients were given mobile phone video games. Group III patients were given a VR distraction device as a means of distraction.The anxiety levels of patients before treatment, after using a distraction device preoperatively, during local anesthesia injection, and after dental treatment were assessed. Pain after local anesthesia injection in each group was assessed. The easability of handling the patient and carrying out the procedure was assessed using a questionnaire. All data were collected and analyzed.

RESULTS

The results showed when compared to the children in groups I and II, children in group III obtained significantly lower anxiety scores after treatment, and they also reported significantly decreased pain perception during dental treatment ( < 0.001). The pain while administering local anesthesia was greater for the control group and lowest for the VR group. It was observed that VR group patients were easier to handle and easier to carry out procedures than those in the mobile phone group.

CONCLUSION

Virtual reality distraction is an effective distraction technique for reducing pain and anxiety in children during various treatment procedures.

CLINICAL SIGNIFICANCE

Virtual reality distraction can be used effectively in clinics.It is a patient-friendly technique and is more comfortable for both patients and dentists during treatment.It does not require any previous education and training and has a positive impact on memories of the treatment, leading to behavior modification.

HOW TO CITE THIS ARTICLE

Chandran LS, Issac JS, Girija P, Effectiveness of Two Types of Distraction Techniques in the Management of Pain and Anxiety during Dental Treatment in 6-9-year-old Children. Int J Clin Pediatr Dent 2024;17(3):291-296.

摘要

目的

比较虚拟现实(VR)分心设备与手机视频游戏在6至9岁儿童牙科治疗中缓解疼痛和焦虑方面的效果。

材料与方法

这是一项比较性观察研究。选取了33名首次到科室就诊的6至9岁儿童,将受试者分为三组。第一组患者处于正常临床环境,无任何分心措施。第二组患者使用手机视频游戏。第三组患者使用VR分心设备作为分心手段。评估患者治疗前、术前使用分心设备后、局部麻醉注射期间以及牙科治疗后的焦虑水平。评估每组局部麻醉注射后的疼痛情况。使用问卷评估处理患者和实施操作的难易程度。收集并分析所有数据。

结果

结果显示,与第一组和第二组儿童相比,第三组儿童治疗后的焦虑得分显著更低,且他们在牙科治疗期间报告的疼痛感知也显著降低(<0.001)。对照组局部麻醉时的疼痛更大,VR组最低。观察发现,VR组患者比手机组患者更易于处理且更便于实施操作。

结论

虚拟现实分心是一种有效的分心技术,可减轻儿童在各种治疗过程中的疼痛和焦虑。

临床意义

虚拟现实分心在临床中可有效使用。这是一种对患者友好的技术,在治疗过程中对患者和牙医都更舒适。它无需任何前期教育和培训,对治疗记忆有积极影响,可导致行为改变。

如何引用本文

钱德兰LS、艾萨克JS、吉里贾P,两种分心技术在6至9岁儿童牙科治疗中缓解疼痛和焦虑的效果。《国际临床儿科牙科杂志》2024年;17(3):291 - 296。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/920c/11320797/c130b32601e1/ijcpd-17-291-g001.jpg

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