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不同信息方法对6至9岁儿童行为和焦虑水平的影响评估:一项随机对照试验。

The evaluation of different information methods on behaviour and anxiety levels of children aged 6 to 9 years: a randomised controlled trial.

作者信息

Özşin Özler C, Altun D, Türkyılmaz E, Uzamış Tekçiçek M, Ataç A S, Özmert E N

机构信息

Department of Pediatric Dentistry, Faculty of Dentistry, Hacettepe University, Ankara, Türkiye.

Ihsan Dogramaci Children Hospital, Hacettepe University, Ankara, Türkiye.

出版信息

Eur Arch Paediatr Dent. 2025 Feb;26(1):83-93. doi: 10.1007/s40368-024-00963-x. Epub 2024 Nov 18.

Abstract

PURPOSE

To evaluate the alteration of pre-post informing anxiety levels and behavioural scores of the children in the groups between those who were shown the multimedia-application and verbally explained.

METHODS

In this randomized controlled study, healthy children, who applied to a paediatric-dental-clinic who never had a dental visit or dental procedure rather than oral examination were included. In the waiting room evaluation of children with a behaviour-control-list and Frankl's-Behaviour-Rating-Scale were performed, Venham-Picture-Test (VPT) was shown to the children. Then, the random information method (with a multimedia-application or verbally) was used for giving information. Finally, the child was observed whilst sitting in the dental chair and meeting with dentist, the behaviour-control-list was filled out again, and child's behaviour were re-scored.

RESULTS

A total of 56 children [mean (± sd) age of 7.3 (± 1.1)] participated. There was no statistically significant difference between the median values of the change in Frankl and VPT-scores after the information (p = 0.261 and p = 0.651, respectively). The percentage change of pre-post informing in definitively negative children according to Frankl's score was higher in the multimedia application group (25%). Besides, the percentage change in children scored with score 5-6 according to VPT was also higher in multimedia-application group (25%-28.6%, respectively, for scores 5-6).

CONCLUSION

Although the score changes after the information procedure were more pronounced in the multimedia-application group for both VPT and Frankl-scores, the difference was not statistically significant. Multimedia applications seem to offer a promising modern tool for patient education before dental examination in 6- to 9-year-old children.

摘要

目的

评估在向儿童展示多媒体应用程序并进行口头解释的两组之间,儿童告知前后焦虑水平和行为评分的变化。

方法

在这项随机对照研究中,纳入了那些前往儿科牙科诊所就诊,但从未进行过牙科检查或治疗(仅进行过口腔检查)的健康儿童。在候诊室使用行为控制清单和弗兰克尔行为评定量表对儿童进行评估,并向儿童展示韦纳姆图片测试(VPT)。然后,采用随机告知方法(通过多媒体应用程序或口头方式)提供信息。最后,观察儿童坐在牙科椅上与牙医会面时的情况,再次填写行为控制清单,并对儿童的行为重新评分。

结果

共有56名儿童[平均(±标准差)年龄为7.3(±1.1)岁]参与。告知后弗兰克尔评分和VPT评分变化的中位数之间无统计学显著差异(分别为p = 0.261和p = 0.651)。根据弗兰克尔评分,在明确为消极的儿童中,多媒体应用组告知前后的百分比变化更高(25%)。此外,根据VPT评分为5 - 6分的儿童中,多媒体应用组的百分比变化也更高(5 - 6分的分别为25% - 28.6%)。

结论

尽管对于VPT评分和弗兰克尔评分,多媒体应用组在告知程序后的评分变化更为明显,但差异无统计学意义。多媒体应用似乎为6至9岁儿童牙科检查前的患者教育提供了一种有前景的现代工具。

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