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虚拟现实和八维音频镇痛方法的分散注意力技术对儿童修复治疗过程中疼痛感知和焦虑水平的影响评估:一项比较研究。

Evaluation of Effect of Distraction Techniques Using Virtual Reality and Eight-dimension Audio Analgesia Methods on Pain Perception and Anxiety Levels in Children During Restorative Procedures: A Comparative Study.

作者信息

Karuppiah Maheshkumar, Balamurugan Suba Ranjana, Rajashekaran Subhathira, Chowdhary Nagalakshmi, Vundala Rajashekar Reddy, Shaji Nikhitha Elsa

机构信息

Department of Pedodontics and Preventive Dentistry, Sri Siddhartha Dental College and Hospital, Sri Siddhartha Academy of Higher Education, Tumakuru, Karnataka, India.

Private Practitioner, Pearl Smile Care, Madurai, Tamil Nadu, India.

出版信息

Int J Clin Pediatr Dent. 2024 Oct;17(10):1087-1092. doi: 10.5005/jp-journals-10005-2960.

Abstract

INTRODUCTION

Dental pain and dental anxiety are the most common determinants of negative dental experience, the reason for broken appointments and ignored oral health care affecting the quality of life.

AIM

To evaluate the effects of distraction techniques using virtual reality and eight-dimension (8D) audio analgesia method on pain perception and anxiety levels in children during restorative procedures.

MATERIALS AND METHODS

A total of 120 children between the ages of 4 and 10 years old who visited for the first time to a pediatric dental department were grouped equally between three interventional groups. Group I was treated with conventional tell-show-do (TSD) method; patients selected for group II (8D audio analgesia) and group III (virtual reality method) underwent two-step procedure that initially involved the TSD technique, by explaining the distraction techniques method conditioned for restoration treatment. Clinical evaluation of anxiety levels was measured by using the Chotta Bheem-Chutki (CBC), face, legs, activity, cry, consolability (FLACC) scale, and recording pulse and oxygen saturation rate. One-way analysis of variance (ANOVA) followed by Tukey's test was done to compare all the parameters between the three groups.

RESULTS

In comparison to the conventional TSD method, both 8D audio analgesia and virtual reality method showed statistically better results. One-way ANOVA followed by Tukey's test showed no significant difference between the virtual reality group and 8D audio analgesic group.

CONCLUSION

Both 8D audio analgesia and virtual reality box distraction techniques can be used as an efficient distraction technique for TSD during dental procedures in children.

HOW TO CITE THIS ARTICLE

Karuppiah M, Balamurugan SR, Rajashekaran S, Evaluation of Effect of Distraction Techniques Using Virtual Reality and Eight-dimension Audio Analgesia Methods on Pain Perception and Anxiety Levels in Children During Restorative Procedures: A Comparative Study. Int J Clin Pediatr Dent 2024;17(10):1087-1092.

摘要

引言

牙痛和牙科焦虑是负面牙科体验最常见的决定因素,是预约失败和忽视口腔保健的原因,影响生活质量。

目的

评估使用虚拟现实和八维(8D)音频镇痛方法的分心技术对儿童修复治疗过程中疼痛感知和焦虑水平的影响。

材料与方法

总共120名首次到儿科牙科就诊的4至10岁儿童被平均分为三个干预组。第一组采用传统的告知-展示-操作(TSD)方法;选择第二组(8D音频镇痛)和第三组(虚拟现实方法)的患者接受两步程序,最初采用TSD技术,通过解释为修复治疗而设定的分心技术方法。使用乔塔·比姆-楚蒂(CBC)、面部、腿部、活动、哭闹、安慰度(FLACC)量表测量焦虑水平的临床评估,并记录脉搏和血氧饱和度。采用单因素方差分析(ANOVA),然后进行Tukey检验,以比较三组之间的所有参数。

结果

与传统的TSD方法相比,8D音频镇痛和虚拟现实方法均显示出统计学上更好的结果。单因素方差分析然后进行Tukey检验显示,虚拟现实组和8D音频镇痛组之间没有显著差异。

结论

8D音频镇痛和虚拟现实盒分心技术均可作为儿童牙科手术中TSD的有效分心技术。

如何引用本文

Karuppiah M, Balamurugan SR, Rajashekaran S, 评估使用虚拟现实和八维音频镇痛方法的分心技术对儿童修复治疗过程中疼痛感知和焦虑水平的影响:一项比较研究。《国际临床儿科牙科杂志》2024;17(10):1087 - 1092。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/43ac/11617436/21c58d6b828a/ijcpd-17-1087-g001.jpg

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