195例牙科患者焦虑症现状及影响因素调查研究

发布时间：2018-05-28 12:14

本文选题：焦虑症 + 医生病人关系　；参考：《重庆医学》2015年18期

【摘要】：目的本论文旨在调查牙科患者焦虑症(DA)现状及影响因素,找出减轻牙科焦虑症的方法。方法采用便利抽样方法选取辽宁省朝阳市中心医院口腔科患者195例,通过基本资料、改良的牙科焦虑量表(MDAS)、状态焦虑量表(S-AI)和两个自制的量表进行调查。结果牙科焦虑组中女性的比例高于非焦虑组(60%vs.40%,P=0.008)。多因素Logistic回归分析发现:担心医技(OR=2.247),口内喷水(OR=2.151),影响正常功能(OR=2.589),听负面经历(OR=2.825),缺乏口腔知识(OR=2.539),害怕疼痛(OR=2.074)是DA的独立危险因素;掌握口腔知识(OR=0.374),听音乐(OR=0.279),打麻药(OR=0.305),多用鼓励语言(OR=0.460)是缓解DA的独立保护因素。结论担心医技、口内喷水、影响正常功能、听负面经历、缺乏了解口腔知识、害怕疼痛都是引起DA的常见原因,学习口腔知识、听音乐、打麻药、医护人员多用鼓励的语言是有效缓解牙科焦虑症的方法。
[Abstract]:Objective to investigate the present situation and influencing factors of Dental anxiety Disorder (DAD) and to find out the methods to alleviate Dental anxiety Disorder. Methods A total of 195 patients from the Department of Stomatology in the Central Hospital of Chaoyang City, Liaoning Province were selected by convenient sampling method. The basic data, the modified Dental anxiety scale (MDASA), the State anxiety scale (S-Aix) and two self-made scales were investigated. Results the proportion of female in dental anxiety group was higher than that in non-anxiety group. Multivariate Logistic regression analysis showed that the independent risk factors of DA were worried about medical skill, 2.247, 2.151 in oral water spray, 2.589 in normal function, 2.825 in hearing negative experience, lack of oral knowledge, and fear of pain. Mastering oral knowledge and listening to music were independent protective factors for DA. Conclusion fear of medical skill, intraoral water spray, normal function, hearing negative experience, lack of knowledge of oral cavity and fear of pain are the common causes of DA. Learning oral knowledge, listening to music, and playing narcotic drugs are the common causes of DA. Encouraging language is an effective way to relieve dental anxiety.
【作者单位】：辽宁医学院沈阳奥新口腔医院研究生培养基地;辽宁省朝阳市中心医院口腔科;沈阳奥新全民口腔医院;
【分类号】：R749.72;R781

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