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儿童对牙科干预的认知是怎样的?一项定性系统评价。

What are children's perceptions of dental interventions? A qualitative systematic review.

作者信息

Dalsochio Luciana, Timm Maske Tamires, Kerber Tedesco Tamara, Fernandes Montagner Anelise, van de Sande Françoise Hélène

机构信息

Universidade Federal de Pelotas, Pelotas, Brazil.

Federal University of Rio Grande do Sul, Porto Alegre, Brazil.

出版信息

Eur Arch Paediatr Dent. 2025 Oct 28. doi: 10.1007/s40368-025-01133-3.

DOI:10.1007/s40368-025-01133-3
PMID:41152552
Abstract

PURPOSE

To explore the experiences and perceptions of children who underwent minimally invasive dentistry interventions and invasive dental interventions for caries prevention and management.

METHODS

Electronic searches were conducted to identify studies that used qualitative data to assess the phenomenon of interest up to October 2024. Two reviewers conducted the selection of studies independently and in duplicate. The methodological quality of the studies was evaluated, and the final synthesised findings were graded. Data were analysed using a meta-aggregative approach.

RESULTS

The search strategy identified 2503 studies, of which eight were included. The methodological quality of the included studies was rated as good. Five categories were developed, leading to two synthesised key findings: dental fear and anxiety in children, and impressions of the guidance provided. Confidence in the synthesised findings was rated as high.

CONCLUSIONS

Children's views, as the end users of interventions, reveal factors that influence their acceptance, knowledge retention, coping strategies, and behavioural responses to dental interventions, regardless of the intervention's level of invasiveness. Findings assist paediatric dentists in tailoring communication and care, considering children's emotional self-regulation. Dentists and parents are crucial in fostering positive experiences. Interactive and repetitive methods improve oral health knowledge retention and promote lasting behavioural changes.

摘要

目的

探讨接受微创牙科干预和侵入性牙科干预以预防和管理龋齿的儿童的经历和看法。

方法

进行电子检索,以确定截至2024年10月使用定性数据评估感兴趣现象的研究。两名评审员独立且重复地进行研究选择。评估研究的方法学质量,并对最终综合结果进行分级。使用元聚合方法分析数据。

结果

检索策略确定了2503项研究,其中八项被纳入。纳入研究的方法学质量被评为良好。形成了五个类别,得出两个综合关键结果:儿童的牙科恐惧和焦虑,以及对所提供指导的印象。对综合结果的信心被评为高。

结论

作为干预最终用户的儿童观点揭示了影响他们对牙科干预的接受度、知识保留、应对策略和行为反应的因素,无论干预的侵入程度如何。研究结果有助于儿科牙医根据儿童的情绪自我调节来调整沟通和护理方式。牙医和家长在营造积极体验方面至关重要。互动和重复的方法可提高口腔健康知识的保留率,并促进持久的行为改变。

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本文引用的文献

1
Effectiveness of school oral health programs in children and adolescents: an umbrella review.学校口腔健康项目对儿童和青少年的有效性:一项系统综述。
Evid Based Dent. 2024 Dec;25(4):211. doi: 10.1038/s41432-024-01013-7. Epub 2024 May 23.
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A Qualitative Study of Preschool Children's Perspectives on an Oral Health Promotion Program in New South Wales, Australia.澳大利亚新南威尔士州学前儿童对口腔健康促进项目看法的定性研究
Children (Basel). 2024 Apr 1;11(4):415. doi: 10.3390/children11040415.
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Global prevalence of early childhood dental fear and anxiety: A systematic review and meta-analysis.
全球儿童早期牙科恐惧和焦虑的患病率:系统评价和荟萃分析。
J Dent. 2024 Mar;142:104841. doi: 10.1016/j.jdent.2024.104841. Epub 2024 Jan 20.
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Exploring Malaysian schoolchildren's perception of the advantages and disadvantages of the ToothPoly board game: a qualitative study.探究马来西亚学童对 ToothPoly 棋盘游戏优缺点的看法:一项定性研究。
J Clin Pediatr Dent. 2024 Jan;48(1):101-110. doi: 10.22514/jocpd.2023.096. Epub 2024 Jan 3.
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Children's Perceptions of Dental Experiences and Ways to Improve Them.儿童对看牙经历的认知及改善方法
Children (Basel). 2022 Oct 29;9(11):1657. doi: 10.3390/children9111657.
6
A qualitative study of barriers and facilitators to the implementation of a pilot school-based, toothbrushing programme.一项关于试点学校基础刷牙计划实施的障碍和促进因素的定性研究。
BMC Oral Health. 2022 Oct 24;22(1):451. doi: 10.1186/s12903-022-02494-7.
7
Acceptability of the Brushing RemInder 4 Good oral HealTh (BRIGHT) trial intervention: a qualitative study of perspectives of young people and school staff.刷牙提醒 4 好口腔健康(BRIGHT)试验干预措施的可接受性:年轻人和学校工作人员观点的定性研究。
BMC Oral Health. 2022 Feb 23;22(1):44. doi: 10.1186/s12903-022-02073-w.
8
Global Prevalence of Meeting Screen Time Guidelines Among Children 5 Years and Younger: A Systematic Review and Meta-analysis.全球 5 岁及以下儿童符合屏幕时间指南的比例:系统评价和荟萃分析。
JAMA Pediatr. 2022 Apr 1;176(4):373-383. doi: 10.1001/jamapediatrics.2021.6386.
9
Does the presence of parents in the dental operatory room influence children's behaviour, anxiety and fear during their dental treatment? A systematic review.家长在牙科诊室的存在是否会影响儿童在牙科治疗过程中的行为、焦虑和恐惧?系统评价。
Int J Paediatr Dent. 2021 May;31(3):318-336. doi: 10.1111/ipd.12762. Epub 2021 Mar 17.
10
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。
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