动画视频卡通作为一种分散注意力的技术对 I 类 GIC 修复过程中儿童预期焦虑水平的影响。
The impact of animated video cartoons as a distraction technique on anticipatory anxiety levels among children during class I GIC restoration procedures.
机构信息
Faculty of Dentistry, Brawijaya University, Malang, Indonesia.
YDSF Clinic, Malang, Indonesia.
出版信息
Eur Arch Paediatr Dent. 2024 Oct;25(5):685-693. doi: 10.1007/s40368-024-00927-1. Epub 2024 Sep 15.
PURPOSE
Investigating the effect of visual distraction using animated video cartoons (AVCs) on anxiety of children during class I class I glass-ionomer cement (GIC) restoration procedures.
PATIENTS AND METHODS
This randomized clinical trial, 42 children between the ages of 5-6 years were enrolled. These participants were divided into two groups: Group 1, consisting of 21 individuals (AVCs), who were exposed to a cartoon as a visual distraction tool, and Group 2, a control group with 21 participants who did not receive any form of distraction during their first visit. Both groups underwent class I GIC restoration procedures that were conducted in a consistent manner. To evaluate the anxiety levels of the children, measurements of their pulse rate (PR) were taken at the beginning and end of the treatment. Additionally, patient behavior was assessed using the Frankl behavior rating scale (FBRS) as well as validated self-reported dental anxiety scale, the Visual Analog Scale - Anxiety (VAS-A) score.
RESULTS
In the control group, postoperative PR increased significantly, while the AVC group experienced a decrease compared to their preoperative PR levels. Additionally, audio-visual distraction had a notable impact on FBRS scores compared to the standard approach. Similarly, the VAS-A score displayed a significant reduction when patients received audio-visual distraction compared to the control condition. Subgroup analysis by gender showed that girls tended to be more responsive to AVCs than boys when evaluated by PR and FBRS, but such findings were not observed using VAS-A. Patients with deeper caries had higher VAS-A scores than those with shallower ones. Despite the caries depth, those who received AVC seemed to be calmer, especially to those with deeper lesions, as indicated lower postoperative VAS-A scores compared to their preoperative levels, unlike the control group.
CONCLUSION
Our study suggests that the use of AVCs can be an effective method for reducing anxiety in children undergoing class I GIC restoration procedures.
目的
研究使用动画视频卡通（AVC）对儿童在 I 类玻璃离子水门汀（GIC）修复过程中的焦虑的影响。
患者和方法
这是一项随机临床试验，纳入了 42 名年龄在 5-6 岁之间的儿童。这些参与者被分为两组：第 1 组（AVC 组）21 人，使用卡通作为视觉分散工具；第 2 组（对照组）21 人，在第一次就诊时不接受任何形式的分散注意力。两组均接受 I 类 GIC 修复程序，以一致的方式进行。为了评估儿童的焦虑水平，在治疗开始和结束时测量他们的脉搏率（PR）。此外，使用 Frankl 行为评定量表（FBRS）和经过验证的自我报告牙科焦虑量表（VAS-A）评分评估患者行为。
结果
在对照组中，术后 PR 显著增加，而 AVC 组与术前 PR 水平相比则有所下降。此外，与标准方法相比，视听分散对 FBRS 评分有显著影响。同样，与对照组相比，患者接受视听分散时 VAS-A 评分显著降低。按性别进行的亚组分析显示，在 PR 和 FBRS 评估中，女孩比男孩对 AVC 的反应更大，但在 VAS-A 中未观察到这种情况。龋齿较深的患者 VAS-A 评分较高。尽管有龋齿深度，但那些接受 AVC 的患者似乎更平静，尤其是对于那些病变较深的患者，术后 VAS-A 评分比术前水平低，与对照组不同。
结论
我们的研究表明，使用 AVC 可以有效减少接受 I 类 GIC 修复程序的儿童的焦虑。
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