Marcum B K, Turner C, Courts F J
Department of Pediatric Dentistry, University of Florida, USA.
Pediatr Dent. 1995 Nov-Dec;17(7):432-6.
A controversial aspect of pediatric dentistry today is parental presence. A number of authors report an increase in the number of parents who wish to accompany their children throughout the dental appointment. Dentists historically have excluded parents from the treatment area, while pediatricians routinely keep the parent and child together. The purpose of this survey was to determine the frequency that Florida pediatric dentists permit parental presence during children's dental visits and to relate the influence of patient age, dentist's years in practice, procedure type, and practitioner attitudes on parental presence. A high return rate (98.9%) was obtained, and results indicated a significant increase in parental presence in the dental operatory and that further increases in parental presence are expected. Younger children were more likely to be accompanied by a parent for each procedure. Parental presence for examination was more likely than for restorative or extraction. Analysis of variance (ANOVA) indicated that the most frequent attitudes influencing the pediatric dentist's choice to exclude parents were that their presence: wastes time (P < 0.001); disrupts the child (P < 0.05); and makes the dentist uncomfortable (P < 0.05).
如今儿童牙科领域一个有争议的方面是家长在场的问题。一些作者报告称，希望在整个看牙过程中陪伴孩子的家长数量有所增加。从历史上看，牙医会将家长拒之治疗区域外，而儿科医生通常会让家长和孩子待在一起。这项调查的目的是确定佛罗里达州儿童牙医在儿童看牙时允许家长在场的频率，并探讨患者年龄、牙医从业年限、治疗程序类型以及从业者态度对家长在场情况的影响。该调查获得了很高的回复率（98.9%），结果表明在牙科诊疗室中家长在场的情况显著增加，并且预计家长在场的情况还会进一步增加。年龄较小的孩子在每次治疗时更有可能有家长陪同。检查时家长在场的可能性高于修复或拔牙时。方差分析（ANOVA）表明，影响儿童牙医选择不让家长在场的最常见态度是：家长在场浪费时间（P < 0.001）；干扰孩子（P < 0.05）；以及让牙医感到不舒服（P < 0.05）。
