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儿童友好型牙科着装,牙科环境中焦虑和疼痛管理的变革者,一项随机临床试验。

Child's friendly dental attire, a game changer for anxiety and pain management in dental environment, a randomized clinical trial.

作者信息

Bchara Jamila, Abed Dajma, Laflouf Mohannad, Massoud Snaa, Alfeel Jina, Abed Dani

机构信息

Department of Pediatric Dentistry, Faculty of Dentistry, Damascus University, Damascus, Syria.

Department of Psychology, Faculty of Education, Damascus University, Damascus, Syria.

出版信息

Sci Rep. 2024 Dec 4;14(1):30182. doi: 10.1038/s41598-024-81952-4.

DOI:10.1038/s41598-024-81952-4
PMID:39632938
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11618609/
Abstract

Dental anxiety usually stands in the way of obtaining adequate dental treatment, and the dental setting and team are considered factors that may affect dental anxiety. Many cross-sectional studies have indicated that dentally anxious children prefer their dentist to wear friendly attire rather than a conventional white coat, but no clinical trial has detected the effect of wearing a child's friendly attire on anxiety levels among young patients. A total of 120 children were enrolled in this study and divided into four groups in which the dentists wore either friendly attire or white coat in the reception and treatment areas. Anxiety and pain were assessed while the patients received a dental injection. A statistically significant decrease in anxiety levels was observed in the 1st group compared with the other three groups after dental infiltration into the maxilla. The pain scores were significantly lower in the 1st group, whereas the control group patients scored the highest scores. A child's friendly attire can help dentists build positive relationships with young patients and help reduce their anxiety.

摘要

牙科焦虑通常会妨碍获得足够的牙科治疗,而牙科环境和团队被认为是可能影响牙科焦虑的因素。许多横断面研究表明,患有牙科焦虑症的儿童更喜欢他们的牙医穿着友好的服装,而不是传统的白大褂,但没有临床试验检测到穿着儿童友好服装对年轻患者焦虑水平的影响。本研究共招募了120名儿童,并将其分为四组,在接待区和治疗区,牙医分别穿着友好服装或白大褂。在患者接受牙科注射时评估焦虑和疼痛情况。在上颌进行牙科浸润后,与其他三组相比,第一组的焦虑水平有统计学意义的显著降低。第一组的疼痛评分显著更低,而对照组患者的评分最高。儿童友好服装有助于牙医与年轻患者建立积极的关系,并有助于减轻他们的焦虑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b155/11618609/3ffbd2b9abec/41598_2024_81952_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b155/11618609/60a0b00a074d/41598_2024_81952_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b155/11618609/3ffbd2b9abec/41598_2024_81952_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b155/11618609/60a0b00a074d/41598_2024_81952_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b155/11618609/3ffbd2b9abec/41598_2024_81952_Fig2_HTML.jpg

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本文引用的文献

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The Prevalence of Dental Fear and Its Relationship to Dental Caries and Gingival Diseases Among School Children in Wardha.瓦尔达地区学童的牙科恐惧患病率及其与龋齿和牙龈疾病的关系。
Cureus. 2023 Oct 2;15(10):e46360. doi: 10.7759/cureus.46360. eCollection 2023 Oct.
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Anxiety among patients undergoing various dental procedures.接受各种牙科手术的患者的焦虑情绪。
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Associations between pain, health, and lifestyle factors in 10-year-old boys and girls from a Swedish birth cohort.
10 岁瑞典出生队列男孩和女孩的疼痛、健康和生活方式因素之间的关联。
BMC Pediatr. 2023 Jun 29;23(1):328. doi: 10.1186/s12887-023-04139-2.
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Dental pain perception and emotional changes: on the relationship between dental anxiety and olfaction.牙齿疼痛感知与情绪变化:论牙科焦虑与嗅觉的关系。
BMC Oral Health. 2023 Mar 26;23(1):175. doi: 10.1186/s12903-023-02864-9.
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Child Dental Patient's Anxiety and Preference for Dentist's Attire: A Cross-sectional Study.儿童牙科患者的焦虑情绪及对牙医着装的偏好:一项横断面研究。
Int J Clin Pediatr Dent. 2021;14(Suppl 2):S107-S110. doi: 10.5005/jp-journals-10005-1940.
6
Medical Clowning: A Cost-Effective Way to Reduce Stress Among Children Undergoing Invasive Procedures.医疗小丑疗法:一种减轻接受侵入性治疗儿童压力的经济有效方法。
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7
Do Children and Adolescents Prefer Pediatric Attire over White Attire during Dental Appointments? A Meta-analysis of Prevalence Data.儿童和青少年在牙科就诊时更喜欢儿科医护人员着装而非白色着装吗?患病率数据的荟萃分析。
Int J Clin Pediatr Dent. 2021 Jan-Feb;14(1):14-29. doi: 10.5005/jp-journals-10005-1861.
8
Children's Perceptions of Dentist's Attire and Environment: A Systematic Review and Meta-analysis.儿童对牙医着装和环境的认知:一项系统评价与荟萃分析。
Int J Clin Pediatr Dent. 2020 Nov-Dec;13(6):700-716. doi: 10.5005/jp-journals-10005-1839.
9
Prevalence of dental anxiety in children and adolescents globally: A systematic review with meta-analyses.全球儿童和青少年牙科焦虑症的患病率:系统评价和荟萃分析。
Int J Paediatr Dent. 2021 Mar;31(2):168-183. doi: 10.1111/ipd.12712. Epub 2020 Sep 9.
10
Children's Anxiety and Factors Related to the COVID-19 Pandemic: An Exploratory Study Using the Children's Anxiety Questionnaire and the Numerical Rating Scale.儿童焦虑与新冠疫情相关因素的探索性研究:使用儿童焦虑问卷和数字评分量表。
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